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Development of a coping intervention to improve traumatic stress and HIV care engagement among South African women with sexual trauma histories.

Publication ,  Journal Article
Sikkema, KJ; Choi, KW; Robertson, C; Knettel, BA; Ciya, N; Knippler, ET; Watt, MH; Joska, JA
Published in: Evaluation and program planning
June 2018

This paper describes the development and preliminary trial run of ImpACT (Improving AIDS Care after Trauma), a brief coping intervention to address traumatic stress and HIV care engagement among South African women with sexual trauma histories. We engaged in an iterative process to culturally adapt a cognitive-behavioral intervention for delivery within a South African primary care clinic. This process involved three phases: (a) preliminary intervention development, drawing on content from a prior evidence-based intervention; (b) contextual adaptation of the curriculum through formative data collection using a multi-method qualitative approach; and (c) pre-testing of trauma screening procedures and a subsequent trial run of the intervention. Feedback from key informant interviews and patient in-depth interviews guided the refinement of session content and adaptation of key intervention elements, including culturally relevant visuals, metaphors, and interactive exercises. The trial run curriculum consisted of four individual sessions and two group sessions. Strong session attendance during the trial run supported the feasibility of ImpACT. Participants responded positively to the logistics of the intervention delivery and the majority of session content. Trial run feedback helped to further refine intervention content and delivery towards a pilot randomized clinical trial to assess the feasibility and potential efficacy of this intervention.

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Published In

Evaluation and program planning

DOI

EISSN

1873-7870

ISSN

0149-7189

Publication Date

June 2018

Volume

68

Start / End Page

148 / 156

Related Subject Headings

  • South Africa
  • Social Sciences Methods
  • Sex Offenses
  • Self Concept
  • Psychological Trauma
  • Program Development
  • Medication Adherence
  • Humans
  • HIV Infections
  • Female
 

Citation

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MLA
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Sikkema, K. J., Choi, K. W., Robertson, C., Knettel, B. A., Ciya, N., Knippler, E. T., … Joska, J. A. (2018). Development of a coping intervention to improve traumatic stress and HIV care engagement among South African women with sexual trauma histories. Evaluation and Program Planning, 68, 148–156. https://doi.org/10.1016/j.evalprogplan.2018.02.007
Sikkema, Kathleen J., Karmel W. Choi, Corne Robertson, Brandon A. Knettel, Nonceba Ciya, Elizabeth T. Knippler, Melissa H. Watt, and John A. Joska. “Development of a coping intervention to improve traumatic stress and HIV care engagement among South African women with sexual trauma histories.Evaluation and Program Planning 68 (June 2018): 148–56. https://doi.org/10.1016/j.evalprogplan.2018.02.007.
Sikkema KJ, Choi KW, Robertson C, Knettel BA, Ciya N, Knippler ET, et al. Development of a coping intervention to improve traumatic stress and HIV care engagement among South African women with sexual trauma histories. Evaluation and program planning. 2018 Jun;68:148–56.
Sikkema, Kathleen J., et al. “Development of a coping intervention to improve traumatic stress and HIV care engagement among South African women with sexual trauma histories.Evaluation and Program Planning, vol. 68, June 2018, pp. 148–56. Epmc, doi:10.1016/j.evalprogplan.2018.02.007.
Sikkema KJ, Choi KW, Robertson C, Knettel BA, Ciya N, Knippler ET, Watt MH, Joska JA. Development of a coping intervention to improve traumatic stress and HIV care engagement among South African women with sexual trauma histories. Evaluation and program planning. 2018 Jun;68:148–156.
Journal cover image

Published In

Evaluation and program planning

DOI

EISSN

1873-7870

ISSN

0149-7189

Publication Date

June 2018

Volume

68

Start / End Page

148 / 156

Related Subject Headings

  • South Africa
  • Social Sciences Methods
  • Sex Offenses
  • Self Concept
  • Psychological Trauma
  • Program Development
  • Medication Adherence
  • Humans
  • HIV Infections
  • Female