Acceptability and Feasibility of the CHARISMA Counseling Intervention to Support Women’s Use of Pre-Exposure Prophylaxis Article Swipe
Ellen Wilson
,
Laura Danielle Wagner
,
Thesla Palanee‐Phillips
,
Sarah T. Roberts
,
Elizabeth E. Tolley
,
Florence Mathebula
,
Laura Pascoe
,
Michele Lanham
,
Rose Wilcher
,
Elizabeth Montgomery
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-84883/v1
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-84883/v1
Background: Women may need or seek male partner approval to {Malow, 2000 #18}{Malow, 2000 #18}{Malow, 2000 #18}{Malow, 2000 #18}safely and consistently use oral antiretroviral pre-exposure prophylaxis (PrEP) or vaginal microbicides. We developed CHARISMA, a counseling intervention to support women’s relationships and their ability to consistently use HIV prevention products.Methods: In a pilot study with 95 female participants in Johannesburg, South Africa, lay counselors assessed participants’ relationship(s) with their male partner(s) and barriers or facilitators to HIV prevention method use, and then provided tailored, interactive counseling. We conducted study participant surveys and clinic staff interviews to evaluate CHARISMA’s feasibility and acceptability.Results: The CHARISMA pilot study indicates that a two-session relationship counseling intervention with 6-month follow-up to support women’s ability to safely and effectively use vaginal microbicides was generally acceptable and feasible. Most participants thought CHARISMA was relevant, helpful, and about the right length, and that it had a positive impact on their relationships with their partners and their product use. Staff stated that it was generally feasible to implement. Based on these promising preliminary findings, the project team is currently conducting a randomized controlled trial in which participants are receive either the standard of care for IPV screening and referral (control arm) or the CHARISMA intervention.Conclusions: Clinic staff felt strongly that the length and intensity of CHARISMA were necessary for participants to begin to trust the counselors enough to be open and honest about problems in their relationships, and to begin to overcome the normalization of intimate partner violence. The length and intensity of CHARISMA may not be feasible in some settings, but a shorter version of the intervention may not offer as much support as women and staff need. One possible approach to reduce the burden on clinic staff would be to self-administer the intervention through a computer rather than requiring a counselor. Lessons learned from the pilot study may be relevant to others developing interventions supporting women’s use of oral PrEP or vaginal microbicides.
Related Topics
Concepts
Charisma
Intervention (counseling)
Psychology
Medicine
Pre-exposure prophylaxis
Nursing
Family medicine
Political science
Human immunodeficiency virus (HIV)
Law
Men who have sex with men
Syphilis
Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-84883/v1
- https://www.researchsquare.com/article/rs-84883/v1.pdf?c=1602110309000
- OA Status
- gold
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3155950661
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3155950661Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.3.rs-84883/v1Digital Object Identifier
- Title
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Acceptability and Feasibility of the CHARISMA Counseling Intervention to Support Women’s Use of Pre-Exposure ProphylaxisWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
-
2020-10-07Full publication date if available
- Authors
-
Ellen Wilson, Laura Danielle Wagner, Thesla Palanee‐Phillips, Sarah T. Roberts, Elizabeth E. Tolley, Florence Mathebula, Laura Pascoe, Michele Lanham, Rose Wilcher, Elizabeth MontgomeryList of authors in order
- Landing page
-
https://doi.org/10.21203/rs.3.rs-84883/v1Publisher landing page
- PDF URL
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https://www.researchsquare.com/article/rs-84883/v1.pdf?c=1602110309000Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.researchsquare.com/article/rs-84883/v1.pdf?c=1602110309000Direct OA link when available
- Concepts
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Charisma, Intervention (counseling), Psychology, Medicine, Pre-exposure prophylaxis, Nursing, Family medicine, Political science, Human immunodeficiency virus (HIV), Law, Men who have sex with men, SyphilisTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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23Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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