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Description:Partnership for Health is a brief, clinic-based individual-level, provider-administered intervention emphasizing the importance of the patient-provider relationship to promote patients’ healthful behavior. The medication adherence intervention includes the following components: (1) brochures that introduce the patient to the concept of partnership with the provider and messages about ART adherence; (2) posters conveying the partnership theme in the waiting room and posters with adherence messages in every examination room; and (3) communication from the medical provider during the medical examination to establish and solidify the partnership, present adherence messages, and discuss pill scheduling and adherence goals. At each clinic visit, the provider delivers a brief counseling session (3-5 minutes). Patients are given 1-page informational flyers on a monthly basis at subsequent clinic appointments; these serve to support provider messages and cover commonly asked questions about topics, including viral load and CD4 T-cell count, what HIV medications actually do, tips to help with adherence, how to keep from getting resistant virus strains, and information on support to help take medications. Intervention materials include printed and verbal information (the patient’s regimen, potential side effects, and general importance of ART adherence), self-efficacy and skill building (problem solving, identifying barriers and ways to overcome them, identifying supportive people, and efforts to increase the patient’s confidence in adhering to their regimen), and behavioral cues (tailoring of pill taking and establishing cues for when to take pills, including creating a detailed daily pilltaking reminder chart).
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