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Motivational interviewing experiences from a community health worker-led HIV prevention and care intervention in rural Uganda: a qualitative study.
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- Author(s): Nishimura, Holly; Kaptchuk, Rose Pollard; Mbabali, Ismail; Mulamba, Jeremiah; Nakyanjo, Neema; Anok, Aggrey; Wawer, Maria J.; Kennedy, Caitlin E.; Nakigozi, Gertrude; Chang, Larry W.; Amico, K. Rivet; Hutton, Heidi
- Source:
AIDS Care. Apr2024, Vol. 36 Issue 4, p491-499. 9p. - Source:
- Additional Information
- Subject Terms: HIV prevention; MOTIVATIONAL interviewing; COMMUNITY health services; MOBILE apps; RURAL health; QUALITATIVE research; INTERPROFESSIONAL relations; RESEARCH funding; EVALUATION of medical care; RANDOMIZED controlled trials; JUDGMENT sampling; BEHAVIOR; CLIENT relations; FISHING; THEMATIC analysis; TRUST; COUNSELING
- Subject Terms:
- Abstract: Motivational Interviewing (MI) and Community Health Workers (CHWs) are increasingly utilized in global settings to improve HIV outcomes, yet research exploring implementation strategies using MI and CHWs is lacking. We examined the experiences of CHWs and their clients in a counseling intervention which used MI-informed counseling to increase engagement in HIV prevention and treatment. This study was nested within the mLAKE cluster-randomized trial in a high HIV prevalence fishing community in rural Rakai District, Uganda. We conducted in-depth interviews with purposively-sampled CHWs (n = 8) and clients (n = 51). Transcripts were analyzed thematically to characterize CHWs' implementation of the intervention. Main themes identified included use of specific MI strategies (including evocation, guidance towards positive behavior change, active listening, and open-ended questions), and MI spirit (including collaboration, power-sharing, trust, and non-judgmental relationship building). Through these specific MI mechanisms, CHWs supported client behavior change to facilitate engagement with HIV services. This study provides evidence from a low-resource setting that CHWs with no previous experience in MI can successfully implement MI-informed counseling that is well-received by clients. CHW-led MI-informed counseling appears to be a feasible and effective approach to increase uptake of HIV prevention and care services in low-resource, HIV endemic regions. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of AIDS Care is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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