Table 2.
Arm 1 Enhanced standard of care |
- Treatment literacy counseling |
- Discharge counseling |
- Monthly physician visits |
- Social work and other services initiated routinely |
- Study team provides extra training for physicians, nurses, and social workers to enhance standard of care |
Arm 2 Psychosocial support |
- As per Arm 1 with additional elements |
- Discharge planning (if inpatient) |
- Community treatment planning (if outpatient) |
- Monthly counseling interventiona |
- Community adherence support group |
- Home visitsa |
Arm 3 mHealth |
- As per Arm 1 with additional elements |
- 2 Wisepill RT3000 devices; one for BDQ and one for ART |
- Weekly text messagea |
- Study phone calls to support regular adherencea |
Arm 4 Psychosocial support + mHealth |
- As per Arm 1, 2, and 3 |
- Active coordination between mHealth and psychosocial support staffa |
BDQ Bedaquiline, ART Antiretroviral therapy
aThese elements may be increased in intensity or frequency depending on empirically assessed patient needs using a DSD framework within each Arm