Adapting an evidence-based HIV behavioral intervention for South African couples

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dc.contributor.authorWechsberg, Wendeeen_ZA
dc.contributor.authorEl-Bassel, Nabilaen_ZA
dc.contributor.authorCarney, Taraen_ZA
dc.contributor.authorBrowne, Feliciaen_ZA
dc.contributor.authorMyers, Bronwynen_ZA
dc.contributor.authorZule, Williamen_ZA
dc.date.accessioned2015-12-07T08:53:01Z
dc.date.available2015-12-07T08:53:01Z
dc.date.issued2015en_ZA
dc.description.abstractBACKGROUND: In South Africa, heterosexual couples are at risk for HIV infection and transmission through substance use, gender-based violence and traditional gender roles, and sex risk behaviors such as having multiple partners and unsafe sex. METHODS: To address these interconnected HIV risks among heterosexual couples, we used the ADAPT framework to modify an existing, efficacious women's HIV prevention intervention (the Western Cape Women's Health CoOp) to include components of an evidence-based couple's intervention from the United States (Project Connect) and components from the Men as Partners program that has been used successfully in South Africa. We conducted focus groups with men, women and couples, and obtained feedback from a long-standing Community Collaborative Board (CCB) to guide the synthesis of elements of these three interventions into a new intervention. We then piloted the adapted intervention for feasibility and acceptability. RESULTS: The new intervention is called the Couples' Health CoOp. This intervention targets men who use alcohol and other drugs and engage in unprotected sex, and their main female sex partners. The intervention addresses substance use, sex risk, HIV and other sexually transmitted infections, gender roles, gender-based violence, communication skills, and goal-setting activities to increase sexy (eroticize) safe-sex behaviors. The Couples' Health CoOp also includes "voices" from the focus group members to ground the intervention in the experiences of these at-risk couples. In addition, it utilizes a participant handbook that reiterates workshop content and includes homework assignments for couples to complete together to increase problem-solving skills within their relationship, and to improve their sexual relationship and help sustain HIV risk-reduction strategies. All of these adaptations were based on participants' suggestions made during formative work and pilot testing. CONCLUSIONS: The Couples' Health CoOp is a couple-based HIV prevention intervention that targets alcohol and other drug use to reduce sexual risk, reduce gender-based violence and offer alternatives for conflict resolution, promote healthy relationships, and modify traditional gender roles in South Africa.TRIAL REGISTRATION NUMBER:NCT01121692.en_ZA
dc.identifier.apacitationWechsberg, W., El-Bassel, N., Carney, T., Browne, F., Myers, B., & Zule, W. (2015). Adapting an evidence-based HIV behavioral intervention for South African couples. <i>Substance Abuse Treatment, Prevention, and Policy</i>, http://hdl.handle.net/11427/15661en_ZA
dc.identifier.chicagocitationWechsberg, Wendee, Nabila El-Bassel, Tara Carney, Felicia Browne, Bronwyn Myers, and William Zule "Adapting an evidence-based HIV behavioral intervention for South African couples." <i>Substance Abuse Treatment, Prevention, and Policy</i> (2015) http://hdl.handle.net/11427/15661en_ZA
dc.identifier.citationWechsberg, W. M., El-Bassel, N., Carney, T., Browne, F. A., Myers, B., & Zule, W. A. (2015). Adapting an evidence-based HIV behavioral intervention for South African couples. Substance abuse treatment, prevention, and policy, 10(1), 6.en_ZA
dc.identifier.ris TY - Journal Article AU - Wechsberg, Wendee AU - El-Bassel, Nabila AU - Carney, Tara AU - Browne, Felicia AU - Myers, Bronwyn AU - Zule, William AB - BACKGROUND: In South Africa, heterosexual couples are at risk for HIV infection and transmission through substance use, gender-based violence and traditional gender roles, and sex risk behaviors such as having multiple partners and unsafe sex. METHODS: To address these interconnected HIV risks among heterosexual couples, we used the ADAPT framework to modify an existing, efficacious women's HIV prevention intervention (the Western Cape Women's Health CoOp) to include components of an evidence-based couple's intervention from the United States (Project Connect) and components from the Men as Partners program that has been used successfully in South Africa. We conducted focus groups with men, women and couples, and obtained feedback from a long-standing Community Collaborative Board (CCB) to guide the synthesis of elements of these three interventions into a new intervention. We then piloted the adapted intervention for feasibility and acceptability. RESULTS: The new intervention is called the Couples' Health CoOp. This intervention targets men who use alcohol and other drugs and engage in unprotected sex, and their main female sex partners. The intervention addresses substance use, sex risk, HIV and other sexually transmitted infections, gender roles, gender-based violence, communication skills, and goal-setting activities to increase sexy (eroticize) safe-sex behaviors. The Couples' Health CoOp also includes "voices" from the focus group members to ground the intervention in the experiences of these at-risk couples. In addition, it utilizes a participant handbook that reiterates workshop content and includes homework assignments for couples to complete together to increase problem-solving skills within their relationship, and to improve their sexual relationship and help sustain HIV risk-reduction strategies. All of these adaptations were based on participants' suggestions made during formative work and pilot testing. CONCLUSIONS: The Couples' Health CoOp is a couple-based HIV prevention intervention that targets alcohol and other drug use to reduce sexual risk, reduce gender-based violence and offer alternatives for conflict resolution, promote healthy relationships, and modify traditional gender roles in South Africa.TRIAL REGISTRATION NUMBER:NCT01121692. DA - 2015 DB - OpenUCT DO - 10.1186/s13011-015-0005-6 DP - University of Cape Town J1 - Substance Abuse Treatment, Prevention, and Policy LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Adapting an evidence-based HIV behavioral intervention for South African couples TI - Adapting an evidence-based HIV behavioral intervention for South African couples UR - http://hdl.handle.net/11427/15661 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15661
dc.identifier.urihttp://dx.doi.org/10.1186/s13011-015-0005-6
dc.identifier.vancouvercitationWechsberg W, El-Bassel N, Carney T, Browne F, Myers B, Zule W. Adapting an evidence-based HIV behavioral intervention for South African couples. Substance Abuse Treatment, Prevention, and Policy. 2015; http://hdl.handle.net/11427/15661.en_ZA
dc.language.isoengen_ZA
dc.publisherBiomed Central Ltden_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourceSubstance Abuse Treatment, Prevention, and Policyen_ZA
dc.source.urihttp://substanceabusepolicy.biomedcentral.com/en_ZA
dc.subject.otherHIV Heterosexual couplesen_ZA
dc.subject.otherIntervention adaptationen_ZA
dc.subject.otherSubstance abuseen_ZA
dc.subject.otherGender-based violenceen_ZA
dc.subject.otherSex risk behaviorsen_ZA
dc.subject.otherSouth Africaen_ZA
dc.titleAdapting an evidence-based HIV behavioral intervention for South African couplesen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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