Systematic cultural adaptation of cognitive-behavioral therapy to reduce alcohol use among HIV-infected outpatients in western Kenya.
Identifieur interne : 000473 ( PubMed/Curation ); précédent : 000472; suivant : 000474Systematic cultural adaptation of cognitive-behavioral therapy to reduce alcohol use among HIV-infected outpatients in western Kenya.
Auteurs : Rebecca K. Papas [États-Unis] ; John E. Sidle ; Steve Martino ; Joyce B. Baliddawa ; Rogers Songole ; Otieno E. Omolo ; Benson N. Gakinya ; Michael M. Mwaniki ; Japheth O. Adina ; Tobista Nafula ; Willis D. Owino-Ong'Or ; Kendall J. Bryant ; Kathleen M. Carroll ; Joseph L. Goulet ; Amy C. Justice ; Stephen A. MaistoSource :
- AIDS and behavior [ 1573-3254 ] ; 2010.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient, Adulte, Adulte d'âge moyen, Alcoolisme (), Assistance, Caractéristiques culturelles, Consommation d'alcool (épidémiologie), Femelle, Humains, Infections à VIH (), Infections à VIH (psychologie), Infections à VIH (transmission), Kenya (épidémiologie), Mâle, Patients en consultation externe, Projets pilotes, Résultat thérapeutique, Satisfaction du patient, Thérapie cognitive (), Études de faisabilité.
- MESH :
- psychologie : Infections à VIH.
- épidémiologie : Consommation d'alcool, Infections à VIH, Kenya.
- Acceptation des soins par le patient, Adulte, Adulte d'âge moyen, Alcoolisme, Assistance, Caractéristiques culturelles, Femelle, Humains, Infections à VIH, Mâle, Patients en consultation externe, Projets pilotes, Résultat thérapeutique, Satisfaction du patient, Thérapie cognitive, Études de faisabilité.
- Wicri :
- geographic : Kenya.
English descriptors
- KwdEn :
- Adult, Alcohol Drinking (epidemiology), Alcoholism (therapy), Cognitive Therapy (methods), Counseling, Cultural Characteristics, Feasibility Studies, Female, HIV Infections (complications), HIV Infections (prevention & control), HIV Infections (psychology), HIV Infections (transmission), Humans, Kenya (epidemiology), Male, Middle Aged, Outpatients, Patient Acceptance of Health Care, Patient Satisfaction, Pilot Projects, Treatment Outcome.
- MESH :
- geographic , epidemiology : Kenya.
- complications : HIV Infections.
- epidemiology : Alcohol Drinking.
- methods : Cognitive Therapy.
- prevention & control : HIV Infections.
- psychology : HIV Infections.
- therapy : Alcoholism.
- transmission : HIV Infections.
- Adult, Counseling, Cultural Characteristics, Feasibility Studies, Female, Humans, Male, Middle Aged, Outpatients, Patient Acceptance of Health Care, Patient Satisfaction, Pilot Projects, Treatment Outcome.
Abstract
Two-thirds of those with HIV worldwide live in sub-Saharan Africa. Alcohol use is associated with the HIV epidemic through risky sex and suboptimal ARV adherence. In western Kenya, hazardous drinking was reported by HIV (53%) and general medicine (68%) outpatients. Cognitive behavioral treatment (CBT) has demonstrated strong efficacy to reduce alcohol use. This article reports on a systematic cultural adaptation and pilot feasibility study of group paraprofessional-delivered CBT to reduce alcohol use among HIV-infected outpatients in Eldoret, Kenya. Following adaptation and counselor training, five pilot groups were run (n = 27). Overall attendance was 77%. Percent days abstinent from alcohol (PDA) before session 1 was 52-100% (women) and 21-36% (men), and by session 6 was 96-100% (women) and 89-100% (men). PDA effect sizes (Cohen's d) between first and last CBT session were 2.32 (women) and 2.64 (men). Participants reported treatment satisfaction. Results indicate feasibility, acceptability and preliminary efficacy for CBT in Kenya.
DOI: 10.1007/s10461-009-9647-6
PubMed: 19967441
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<term>Counseling</term>
<term>Cultural Characteristics</term>
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<front><div type="abstract" xml:lang="en">Two-thirds of those with HIV worldwide live in sub-Saharan Africa. Alcohol use is associated with the HIV epidemic through risky sex and suboptimal ARV adherence. In western Kenya, hazardous drinking was reported by HIV (53%) and general medicine (68%) outpatients. Cognitive behavioral treatment (CBT) has demonstrated strong efficacy to reduce alcohol use. This article reports on a systematic cultural adaptation and pilot feasibility study of group paraprofessional-delivered CBT to reduce alcohol use among HIV-infected outpatients in Eldoret, Kenya. Following adaptation and counselor training, five pilot groups were run (n = 27). Overall attendance was 77%. Percent days abstinent from alcohol (PDA) before session 1 was 52-100% (women) and 21-36% (men), and by session 6 was 96-100% (women) and 89-100% (men). PDA effect sizes (Cohen's d) between first and last CBT session were 2.32 (women) and 2.64 (men). Participants reported treatment satisfaction. Results indicate feasibility, acceptability and preliminary efficacy for CBT in Kenya.</div>
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<Abstract><AbstractText>Two-thirds of those with HIV worldwide live in sub-Saharan Africa. Alcohol use is associated with the HIV epidemic through risky sex and suboptimal ARV adherence. In western Kenya, hazardous drinking was reported by HIV (53%) and general medicine (68%) outpatients. Cognitive behavioral treatment (CBT) has demonstrated strong efficacy to reduce alcohol use. This article reports on a systematic cultural adaptation and pilot feasibility study of group paraprofessional-delivered CBT to reduce alcohol use among HIV-infected outpatients in Eldoret, Kenya. Following adaptation and counselor training, five pilot groups were run (n = 27). Overall attendance was 77%. Percent days abstinent from alcohol (PDA) before session 1 was 52-100% (women) and 21-36% (men), and by session 6 was 96-100% (women) and 89-100% (men). PDA effect sizes (Cohen's d) between first and last CBT session were 2.32 (women) and 2.64 (men). Participants reported treatment satisfaction. Results indicate feasibility, acceptability and preliminary efficacy for CBT in Kenya.</AbstractText>
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<ForeName>Rebecca K</ForeName>
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<Author ValidYN="Y"><LastName>Sidle</LastName>
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<ForeName>Amy C</ForeName>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000428" MajorTopicYN="N">Alcohol Drinking</DescriptorName>
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<MeshHeading><DescriptorName UI="D000437" MajorTopicYN="N">Alcoholism</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName>
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<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010045" MajorTopicYN="N">Outpatients</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010342" MajorTopicYN="N">Patient Acceptance of Health Care</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName>
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