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Table 1 Mapping of the START intervention’s conceptual framework and session content

From: Supporting Treatment Adherence Readiness through Training (START) for patients with HIV on antiretroviral therapy: study protocol for a randomized controlled trial

Model component Intervention component or mechanism Sessions
Information Provide information about HIV, ART, and the importance of adherence for treatment success and limiting resistance Pre-ART session 1
Motivation Discuss attitudes and beliefs regarding ART and adherence, and use MI to reframe and build positive attitudes Pre-ART session 1, early ART week 2, maintenance phase
Use of problem-solving and confidence rulers to improve adherence self-efficacy and sense of autonomy Each session after the first one
Behavioral skills Practice trials to practice adherence to planned regimen Pre-ART sessions
Review adherence results (self-management) Each session after the first one
Use problem-solving to identify adherence barriers and generate and evaluate solutions to these barriers Each session after the first one
Integrate regimen into daily routine Pre-ART session 2
Side effect management Early ART and maintenance
Social support Review source of social support (positive and negative) and discuss ways to enhance support for adherence Pre-ART session 1, early ART week 2, maintenance phase
  1. ART antiretroviral therapy, MI motivational interviewing, START Supporting Treatment Adherence Readiness through Training