Cultural Adaptation of an Intervention to Reduce Hazardous Alcohol Use Among People Living with HIV in Southwestern Uganda

Anna M. Leddy, Judith A. Hahn, Monica Getahun, Nneka I. Emenyonu, Sarah E. Woolf-King, Naomi Sanyu, Anita Katusiime, Robin Fatch, Geetanjali Chander, Heidi E Hutton, Winnie R. Muyindike, Carol S. Camlin

Research output: Contribution to journalArticlepeer-review

Abstract

Hazardous drinking by persons living with HIV (PLHIV) is a well-established determinant of sub-optimal HIV care and treatment outcomes. Despite this, to date, few interventions have sought to reduce hazardous drinking among PLHIV in sub-Saharan Africa (SSA). We describe an iterative cultural adaptation of an evidence-based multi-session alcohol reduction intervention for PLHIV in southwestern Uganda. The adaptation process included identifying core, theoretically informed, intervention elements, and conducting focus group discussions and cognitive interviews with community members, HIV clinic staff and patients to modify key intervention characteristics for cultural relevance and saliency. Adaptation of evidence-based alcohol reduction interventions can be strengthened by the inclusion of the target population and key stakeholders in shaping the content, while retaining fidelity to core intervention elements.

Original languageEnglish (US)
JournalAIDS and behavior
DOIs
StateAccepted/In press - 2021

Keywords

  • Alcohol reduction
  • Cultural adaptation
  • Evidence-based interventions
  • People living with HIV
  • Sub-saharan africa
  • Uganda

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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