Open AccessGenerating CHARISMA: Development of an Intervention to Help Women Build Agency and Safety in Their Relationships While Using PrEP for HIV Prevention
Author(s) -
Miriam Hartmann,
Michele Lanham,
Thesla PalaneePhillips,
Florence Mathebula,
Elizabeth E. Tolley,
Dean Peacock,
Laura Pascoe,
Seth Zissette,
Sarah Roberts,
Danielle Wagner,
Ellen Wilson,
Asha Ayub,
Rose Wilcher,
Elizabeth T. Montgomery,
Charisma team
Publication year - 2019
Publication title -
aids education and prevention
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.309
H-Index - 73
eISSN - 1943-2755
pISSN - 0899-9546
DOI - 10.1521/aeap.2019.31.5.433
Subject(s) - intervention (counseling) , charisma , psychological intervention , agency (philosophy) , medicine , public health , psychology , family medicine , nursing , sociology , social science , philosophy , theology
This article describes the development of the Community Health clinic model for Agency in Relationships and Safer Microbicide Adherence intervention (CHARISMA), an intervention designed to address the ways in which gender norms and power differentials within relationships affect women's ability to safely and consistently use HIV pre-exposure prophylaxis (PrEP). CHARISMA development involved three main activities: (1) a literature review to identify appropriate evidence-based relationship dynamic scales and interventions; (2) the analysis of primary and secondary data collected from completed PrEP studies, surveys and cognitive interviews with PrEP-experienced and naïve women, and in-depth interviews with former vaginal ring trial participants and male partners; and (3) the conduct of workshops to test and refine key intervention activities prior to pilot testing. These steps are described along with the final clinic and community-based intervention, which was tested for feasibility, acceptability, and preliminary effectiveness in Johannesburg, South Africa.