Jacqueline W Ndirangu, Margaret W Gichane, Felicia A Browne, Courtney P Bonner, William A Zule, Erin N Cox, Brittni N Howard, Tracy L Kline, Wendee M Wechsberg
{"title":"“这些会议开阔了我们的眼界和思想”:参与者对南非妇女酒精使用、艾滋病毒治疗和性行为方面以性别为重点的艾滋病毒和药物使用风险降低干预措施的接受程度和满意度。","authors":"Jacqueline W Ndirangu, Margaret W Gichane, Felicia A Browne, Courtney P Bonner, William A Zule, Erin N Cox, Brittni N Howard, Tracy L Kline, Wendee M Wechsberg","doi":"10.1093/her/cyaf011","DOIUrl":null,"url":null,"abstract":"<p><p>Women living with human immunodeficiency virus (HIV) who use alcohol are at a heightened risk of disengagement in HIV care. A mixed-methods substudy was embedded in an implementation science trial to assess perceived satisfaction and acceptability of the Women's Health CoOp (WHC), a gender-focused, alcohol and harmful substance use, HIV biobehavioural intervention in Cape Town, South Africa. A modified version of the Client Satisfaction Questionnaire (CSQ-8)® was used to assess patient satisfaction (N = 456). Eight focus groups were also conducted to assess the perceived acceptability and satisfaction of the WHC after completion of the intervention workshops. Participants reported being very pleased with the WHC with an acceptable internal consistency estimate (α = .81). Intervention satisfaction was high (M = 30.9; SD = 0.1) on the CSQ-8 scale. Focus group participants reported that the WHC helped them reduce the amount and frequency of heavy alcohol use. Knowledge gained through the WHC reduced misperceptions about mixing alcohol with antiretroviral therapy and motivated re-engagement in HIV care. Participants also reported a decrease in condomless sex. Interventions that support and empower women living with HIV reporting heavy alcohol use should be implemented sustainably to improve HIV treatment retention and re-engagement and to reduce alcohol consumption among this population.</p>","PeriodicalId":48236,"journal":{"name":"Health Education Research","volume":"40 3","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000720/pdf/","citationCount":"0","resultStr":"{\"title\":\"'Those sessions open[ed] our eyes and our minds': participant acceptability and satisfaction with a gender-focused HIV and substance use risk-reduction intervention on alcohol use, HIV treatment, and sexual behaviour among women in South Africa.\",\"authors\":\"Jacqueline W Ndirangu, Margaret W Gichane, Felicia A Browne, Courtney P Bonner, William A Zule, Erin N Cox, Brittni N Howard, Tracy L Kline, Wendee M Wechsberg\",\"doi\":\"10.1093/her/cyaf011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Women living with human immunodeficiency virus (HIV) who use alcohol are at a heightened risk of disengagement in HIV care. A mixed-methods substudy was embedded in an implementation science trial to assess perceived satisfaction and acceptability of the Women's Health CoOp (WHC), a gender-focused, alcohol and harmful substance use, HIV biobehavioural intervention in Cape Town, South Africa. A modified version of the Client Satisfaction Questionnaire (CSQ-8)® was used to assess patient satisfaction (N = 456). Eight focus groups were also conducted to assess the perceived acceptability and satisfaction of the WHC after completion of the intervention workshops. Participants reported being very pleased with the WHC with an acceptable internal consistency estimate (α = .81). Intervention satisfaction was high (M = 30.9; SD = 0.1) on the CSQ-8 scale. Focus group participants reported that the WHC helped them reduce the amount and frequency of heavy alcohol use. Knowledge gained through the WHC reduced misperceptions about mixing alcohol with antiretroviral therapy and motivated re-engagement in HIV care. Participants also reported a decrease in condomless sex. Interventions that support and empower women living with HIV reporting heavy alcohol use should be implemented sustainably to improve HIV treatment retention and re-engagement and to reduce alcohol consumption among this population.</p>\",\"PeriodicalId\":48236,\"journal\":{\"name\":\"Health Education Research\",\"volume\":\"40 3\",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-04-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000720/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Education Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/her/cyaf011\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"EDUCATION & EDUCATIONAL RESEARCH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Education Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/her/cyaf011","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
'Those sessions open[ed] our eyes and our minds': participant acceptability and satisfaction with a gender-focused HIV and substance use risk-reduction intervention on alcohol use, HIV treatment, and sexual behaviour among women in South Africa.
Women living with human immunodeficiency virus (HIV) who use alcohol are at a heightened risk of disengagement in HIV care. A mixed-methods substudy was embedded in an implementation science trial to assess perceived satisfaction and acceptability of the Women's Health CoOp (WHC), a gender-focused, alcohol and harmful substance use, HIV biobehavioural intervention in Cape Town, South Africa. A modified version of the Client Satisfaction Questionnaire (CSQ-8)® was used to assess patient satisfaction (N = 456). Eight focus groups were also conducted to assess the perceived acceptability and satisfaction of the WHC after completion of the intervention workshops. Participants reported being very pleased with the WHC with an acceptable internal consistency estimate (α = .81). Intervention satisfaction was high (M = 30.9; SD = 0.1) on the CSQ-8 scale. Focus group participants reported that the WHC helped them reduce the amount and frequency of heavy alcohol use. Knowledge gained through the WHC reduced misperceptions about mixing alcohol with antiretroviral therapy and motivated re-engagement in HIV care. Participants also reported a decrease in condomless sex. Interventions that support and empower women living with HIV reporting heavy alcohol use should be implemented sustainably to improve HIV treatment retention and re-engagement and to reduce alcohol consumption among this population.
期刊介绍:
Publishing original, refereed papers, Health Education Research deals with all the vital issues involved in health education and promotion worldwide - providing a valuable link between the health education research and practice communities.