FOR PATIENTS STARTING ART: (additional pre-ART sessions as needed) In these session(s), the core exercises (review of practice adherence, identification of barriers, use of problem solving to identify strategies to overcome barriers) are repeated. These core pre-treatment training exercises, together with the practice trials, compose the remainder of the pre-treatment sessions until the patient achieves 85+% adherence to a single practice trial—at which point, the patient has demonstrated readiness to adhere well to ART and thus completes exercises 6 and 7 and starts ART. OBJECTIVES: 1. Review the patient’s adherence to the practice over the past week. 2. Identify barriers to adherence. 3. Problem solve solutions to a specific identified barrier. If 85+% adherence to the preceding practice trial (start ART): 4. Review planned ART regimen 5. Instruct patient on side effect management strategies Exercise 1: Welcome the patient back and go over the objectives of today’s session Start the session off by putting the objectives of the current session in context with what has taken place since the prior session. It is important to re-establish rapport and convey continuity, so that the intervention is perceived as an ongoing process. Welcome back. I’m curious to know how things went with the latest practice trial. If it’s OK with you, your experience with the practice trial will be the focus of this session, as we continue to work towards preparing you to be ready to start ART. The objectives of today’s session are…. [briefly review the objectives as listed above]
FOR PATIENTS STARTING ART: (additional pre-ART sessions as needed) In these session(s), the core exercises (review of practice adherence, identification of barriers, use of problem solving to identify strategies to overcome barriers) are repeated. These core pre-treatment training exercises, together with the practice trials, compose the remainder of the pre-treatment sessions until the patient achieves 85+% adherence to a single practice trial—at which point, the patient has demonstrated readiness to adhere well to ART and thus completes exercises 6 and 7 and starts ART. OBJECTIVES: 1. Review the patient’s adherence to the practice over the past week. 2. Identify barriers to adherence. 3. Problem solve solutions to a specific identified barrier. If 85+% adherence to the preceding practice trial (start ART): 4. Review planned ART regimen 5. Instruct patient on side effect management strategies Exercise 1: Welcome the patient back and go over the objectives of today’s session Start the session off by putting the objectives of the current session in context with what has taken place since the prior session. It is important to re-establish rapport and convey continuity, so that the intervention is perceived as an ongoing process. Welcome back. I’m curious to know how things went with the latest practice trial. If it’s OK with you, your experience with the practice trial will be the focus of this session, as we continue to work towards preparing you to be ready to start ART. The objectives of today’s session are…. [briefly review the objectives as listed above]
Appendix%20N%20-%20AdherenceTrainingManual.docx