Table 4.
Uphungu Wanga intervention fidelity: key topics addressed at each session.
| Enrollment | Day 3 | Week 1 | Week 2 | Week 8 | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Topic | Participant (N=14) |
Counselor (N=14) |
Participant (N=13) |
Counselor (N=13) |
Participant (N=13) |
Counselor (N=13) |
Participant (N=13) |
Counselor (N=13) |
Participant (N=14) |
Counselor (N=14) |
||
| Questions answered by both the participant and the counselor | Goal review | 13 (100%) | 13 (100%) | 13 (100%) | 13 (100%) | 13 (100%) | 13 (100%) | 13 (92.9%) | 14 (100.0%) | |||
| Successes and challenges in reaching goal | 13 (100%) | 13 (100%) | 13 (100%) | 13 (100%) | 12 (92.3%) | 13 (100%) | 13 (92.9%) | 14 (100.0%) | ||||
| New sex partners | 11 (84.6%) | 13 (100%) | 12 (92.3%) | 13 (100%) | 12 (92.3%) | 13 (100%) | 12 (85.7%) | 14 (100.0%) | ||||
| Participant has high amount of HIV virus in body during AHI | 13 (92.9%) | 14 (100.0%) | 13 (100%) | 13 (100%) | 13 (100%) | 13 (100%) | 11 (84.6%) | 13 (100%) | ||||
| There is a very high chance that participant will give partners HIV if has unprotected sex during AHI | 14 (100.0%) | 14 (100.0%) | 13 (100%) | 13 (100%) | 13 (100%) | 13 (100%) | 12 (92.3%) | 13 (100%) | ||||
| Abstaining from sex during AHI | 12 (85.7%) | 14 (100.0%) | ||||||||||
| Using condoms during AHI | 14 (100.0%) | 14 (100.0%) | ||||||||||
| Importance of abstaining or using condoms during AHI for at least 3-4 months | 13 (100%) | 13 (100%) | 13 (100%) | 13 (100%) | 13 (100%) | 13 (100%) | ||||||
| Action plan for longer-term safer sex behavior | 14 (100.0%) | 14 (100.0%) | ||||||||||
| Role plays | 4 (30.8%) | 5 (38.5) | 4 (30.8%) | 7 (58.3%) | 4 (28.6%) | 5 (35.7%) | ||||||
| Pros/cons of disclosing to others | 13 (100%) | 12 (92.3%) | ||||||||||
| Disclosure barriers/facilitators | 13 (100%) | 13 (100%) | ||||||||||
| Disclosure options: | Patient referral | 12 (92.3%) | 12 (92.3%) | |||||||||
| Provider referral | 12 (92.3%) | 9 (69.2%) | ||||||||||
| Contract referral with provider | 9 (69.2%) | 9 (69.2%) | ||||||||||
| Questions answered by the participant | How to use condoms | 13 (92.9%) | ||||||||||
| Ways to reduce HIV transmission to others (beyond abstinence and condom use) | 13 (92.9%) | 13 (100%) | ||||||||||
| Set risk-reduction goal until next visit | 13 (92.9%) | 13 (100%) | 13 (100%) | 13 (100%) | ||||||||
| Importance of goal | 13 (92.9%) | 12 (92.3%) | 13 (100%) | 13 (100%) | ||||||||
| Confidence in meeting goal | 13 (92.9%) | 13 (100%) | 13 (100%) | 13 (100%) | ||||||||
| Questions answered by the counselor | Participant’s emotional status | 14 (100.0%) | 13 (100%) | 13 (100%) | 13 (100%) | 14 (100.0%) | ||||||
| Identified specific behaviors for participants to change | 14 (100.0%) | 11 (84.6%) | 11 (84.6%) | 11 (84.6%) | 11 (78.6%) | |||||||
| Barriers to behavior change | 14 (100.0%) | 12 (92.3%) | 13 (100%) | 13 (100%) | 14 (100.0%) | |||||||
| Strategies for behavior change | 13 (92.9%) | 13 (100%) | 13 (100%) | 13 (100%) | 14 (100.0%) | |||||||
| Action plan | 14 (100.0%) | 13 (100%) | 12 (92.3%) | 13 (100%) | ||||||||