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Title
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Perceptions of community and clinic-based adherence clubs for patients stable on antiretroviral treatment : a mixed methods study
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Author
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Abstract
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| Adherence clubs for patients stable on antiretroviral treatment (ART) offer decongestion of clinics and task-shifting, improved adherence and retention in care. Findings on patient acceptability by club location (in the clinic vs. the community) are limited. This was a mixed-methods study set within a randomized controlled trial of community versus clinic-based adherence clubs for retention in care at Witkoppen Health and Welfare Centre in Johannesburg, South Africa. Participants were surveyed on preferences for adherence club-based care (e.g. location, convenience). We conducted in-depth interviews (IDIs) with 36 participants, and surveyed 568 participants: 49% in community-based clubs and 51% in clinic-based clubs. Participants in both arms favorably rated adherence clubs. Almost all (95%) in clinic-based clubs would recommend them to a friend, while fewer (88% in community-based club participants would do so (p = 0.004). Participants found clubs promoted social support, and were convenient and time-saving, though concerns around stigma and access to other health care were noted within community-based clubs. Adherence clubs are a highly acceptable form of differentiated care for stable ART patients. These data indicate that clinic-based clubs may be preferred above community-based clubs, potentially for reasons of stigma and access to additional health care services. |
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Language
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English
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Source (journal)
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Aids and behavior. - New York, N.Y., 1997, currens
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Publication
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New York, N.Y.
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2020
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ISSN
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1090-7165
[print]
1573-3254
[online]
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DOI
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10.1007/S10461-019-02681-8
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Volume/pages
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24
:4
(2020)
, p. 1197-1206
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ISI
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000520707300020
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Pubmed ID
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31560093
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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