Table 4.
Investigator-identified intervention functions targeting identified barriers and facilitators as defined in the behavior change wheel framework
Intervention functions | Potential interventions |
---|---|
Education | 1. Clinic to adopt regular TB/TPT health education talks for PLHIV |
2. Counselling PLHIV about TB and TPT prior to initiation of 3HP | |
Persuasion | 1. Health workers to help convince PLHIV to take 3HP |
2. Leverage once-weekly dosing schedule to convince PLHIV to take 3HP | |
Training | 1. Train health workers on how to use digital adherence technology |
Environmental restructuring | 1. Reduce waiting time for PLHIV by streamlining DOT clinic visits |
Enablement | 1. Weekly dosing reminders for PLHIV taking 3HP as SAT |
2. Consider using fixed-dose combination pills of 3HP to reduce pill burden | |
3. Provide emotional support for PLHIV using counselors at the clinic |
Abbreviations: 3HP rifapentine-isoniazid combination, TB tuberculosis, PLHIV person/people living with HIV, TPT tuberculosis preventive therapy, DOT directly observed therapy, SAT self-administered therapy