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Table 1 Mapping of the START intervention’s conceptual framework and session content

From: Supporting Treatment Adherence Readiness through Training (START) for patients with HIV on antiretroviral therapy: study protocol for a randomized controlled trial

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

  1. ART antiretroviral therapy, MI motivational interviewing, START Supporting Treatment Adherence Readiness through Training