Model component | Intervention component or mechanism | Sessions |
---|---|---|
Information | Provide information about HIV, ART, and the importance of adherence for treatment success and limiting resistance | Pre-ART session 1 |
Motivation | Discuss attitudes and beliefs regarding ART and adherence, and use MI to reframe and build positive attitudes | Pre-ART session 1, early ART week 2, maintenance phase |
Use of problem-solving and confidence rulers to improve adherence self-efficacy and sense of autonomy | Each session after the first one | |
Behavioral skills | Practice trials to practice adherence to planned regimen | Pre-ART sessions |
Review adherence results (self-management) | Each session after the first one | |
Use problem-solving to identify adherence barriers and generate and evaluate solutions to these barriers | Each session after the first one | |
Integrate regimen into daily routine | Pre-ART session 2 | |
Side effect management | Early ART and maintenance | |
Social support | Review source of social support (positive and negative) and discuss ways to enhance support for adherence | Pre-ART session 1, early ART week 2, maintenance phase |