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Development of a coping intervention to improve traumatic stress and HIV care engagement among South African women with sexual trauma histories

Author

Listed:
  • Sikkema, Kathleen J.
  • Choi, Karmel W.
  • Robertson, Corne
  • Knettel, Brandon A.
  • Ciya, Nonceba
  • Knippler, Elizabeth T.
  • Watt, Melissa H.
  • Joska, John A.

Abstract

This paper describes the development and preliminary trial run of ImpACT (Improving AIDS Care after Trauma), a brief coping intervention to address traumatic stress and HIV care engagement among South African women with sexual trauma histories. We engaged in an iterative process to culturally adapt a cognitive-behavioral intervention for delivery within a South African primary care clinic. This process involved three phases: (a) preliminary intervention development, drawing on content from a prior evidence-based intervention; (b) contextual adaptation of the curriculum through formative data collection using a multi-method qualitative approach; and (c) pre-testing of trauma screening procedures and a subsequent trial run of the intervention. Feedback from key informant interviews and patient in-depth interviews guided the refinement of session content and adaptation of key intervention elements, including culturally relevant visuals, metaphors, and interactive exercises. The trial run curriculum consisted of four individual sessions and two group sessions. Strong session attendance during the trial run supported the feasibility of ImpACT. Participants responded positively to the logistics of the intervention delivery and the majority of session content. Trial run feedback helped to further refine intervention content and delivery towards a pilot randomized clinical trial to assess the feasibility and potential efficacy of this intervention.

Suggested Citation

  • Sikkema, Kathleen J. & Choi, Karmel W. & Robertson, Corne & Knettel, Brandon A. & Ciya, Nonceba & Knippler, Elizabeth T. & Watt, Melissa H. & Joska, John A., 2018. "Development of a coping intervention to improve traumatic stress and HIV care engagement among South African women with sexual trauma histories," Evaluation and Program Planning, Elsevier, vol. 68(C), pages 148-156.
    • Handle: RePEc:eee:epplan:v:68:y:2018:i:c:p:148-156
    DOI: 10.1016/j.evalprogplan.2018.02.007
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    References listed on IDEAS

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    1. Jewkes, Rachel & Abrahams, Naeema, 2002. "The epidemiology of rape and sexual coercion in South Africa: an overview," Social Science & Medicine, Elsevier, vol. 55(7), pages 1231-1244, October.
    2. Kaiser, Bonnie N. & Haroz, Emily E. & Kohrt, Brandon A. & Bolton, Paul A. & Bass, Judith K. & Hinton, Devon E., 2015. "“Thinking too much”: A systematic review of a common idiom of distress," Social Science & Medicine, Elsevier, vol. 147(C), pages 170-183.
    3. Aslıhan Sayın & Selçuk Candansayar & Leyla Welkin, 2013. "Group psychotherapy in women with a history of sexual abuse: what did they find helpful?," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(23-24), pages 3249-3258, December.
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    Cited by:

    1. Petal Petersen Williams & Carrie Brooke-Sumner & John Joska & James Kruger & Lieve Vanleeuw & Siphokazi Dada & Katherine Sorsdahl & Bronwyn Myers, 2020. "Young South African Women on Antiretroviral Therapy Perceptions of a Psychological Counselling Program to Reduce Heavy Drinking and Depression," IJERPH, MDPI, vol. 17(7), pages 1-16, March.

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