Table I.

Participant Reactions to CBT for Adherence and Depression in HIV

	Participant reactions
Topic	Strengths	Limitations
General experience	Therapy was helpful (n=6) Increased adherence (n=4) and decreased depression (n=4) Facilitated self-evaluation (n=6) Changed perspective (n=6) Increased structure in daily living (n=4)	Completing homework (n=3) Difficulty discussing personal topics (n=4) Difficulty facing problems (n=2) and changing behaviors (n=2) Own initial reservations about therapy (n=2)
Core modules
Psychoeducation	Developed awareness of links among thoughts, behaviors, emotions (n=5) Allowed them to break the cycle (n=5) Helped to change thoughts (n=5)differently (n=5)	Applying information (n=1)
Behavioral activation	Encouraged engagement in activities (n=4) Fostered use of social support (n=3) Increased awareness of activities (n=3) and involvement in activities (n=3)	Following through with activities (n=2) Tediousness of logging activities (n=1)
Cognitive restructuring	Fostered a more objective thought process (n=5) Restructured thoughts (n=5) Writing thoughts down was helpful (n=3) Increased rational responses (n=2)	Time required to complete homework (n=3)
Problem solving	Increased ability to break problems down (n=3), develop action plan (n=3), overcome problems (n=3)	Selecting best alternative (n=1)
Relaxation training	Increased ability to shift focus (n=5) and stay in control (n=2)	Learning to apply skill (n=1)
Ability to participate	Fully able to participate (n=8)	Feeling ill due to HIV (n=1) Scheduling difficulties (n=2) Completing homework (n=2) Not understanding how to use therapy or what issues could be addressed (n=1) Lack of motivation to engage in treatment (n=1)
Patient-therapist relationship	Comfortable with therapist (n=8) Satisfied with therapist (n=13) Therapist listened well (n=5) Therapist was understanding (n=9), supportive (n=2), and sympathetic (n=13)	Was concerned that the therapist would get bored if participant was not doing the homework (n=1)
Assessments	Felt comfortable with assessor (n=4) Provided an opportunity to evaluate oneself (n=3) Pill caps increased awareness of timing of medications (n=6)	Difficulty with pill caps (n=10)

Note. CBT=cognitive-behavioral therapy.