| dc.contributor.author | Rebecca K Papas, John E Sidle, Steve Martino, Joyce B Baliddawa, Rogers Songole, Otieno E Omolo, Benson N Gakinya, Michael M Mwaniki, Japheth O Adina, Tobista Nafula, Willis D Owino-Ong’or, Kendall J Bryant, Kathleen M Carroll, Joseph L Goulet, Amy C Justice, Stephen A Maisto | |
| dc.date.accessioned | 2020-12-10T07:11:58Z | |
| dc.date.available | 2020-12-10T07:11:58Z | |
| dc.date.issued | 2010-06-01 | |
| dc.identifier.uri | https://repository.maseno.ac.ke/handle/123456789/3379 | |
| dc.description.abstract | Two-thirds of those with HIV worldwide live in sub-Saharan Africa. Alcohol use is associated with the HIV epidemic through risky sex and suboptimal ARV adherence. In western Kenya, hazardous drinking was reported by HIV (53%) and general medicine (68%) outpatients. Cognitive behavioral treatment (CBT) has demonstrated strong efficacy to reduce alcohol use. This article reports on a systematic cultural adaptation and pilot feasibility study of group paraprofessional-delivered CBT to reduce alcohol use among HIV-infected outpatients in Eldoret, Kenya. Following adaptation and counselor training, five pilot groups were run (n = 27). Overall attendance was 77%. Percent days abstinent from alcohol (PDA) before session 1 was 52–100% (women) and 21–36% (men), and by session 6 was 96–100% (women) and 89–100% (men). PDA effect sizes (Cohen’s d) between first and last CBT session were 2 … | en_US |
| dc.publisher | Springer US | en_US |
| dc.subject | alcohol, cognitive behavioral therapy, cultural adaptation, HIV, Kenya | en_US |
| dc.title | Systematic cultural adaptation of cognitive-behavioral therapy to reduce alcohol use among HIV-infected outpatients in western Kenya | en_US |
| dc.type | Article | en_US |
