ArticleBMJ open2016
Realist evaluation of the antiretroviral treatment adherence club programme in selected primary healthcare facilities in the metropolitan area of Western Cape Province, South Africa: a study protocol.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Contextual success and pitfalls of mHealth service for maternal and child health in Africa: An Intervention, Context, Actors, Mechanism, and Outcome (ICAMO) framework guided systematic review of qualitative evidence.BMC pregnancy and childbirth · 2024Pooled it
- An exploration of group-based HIV/AIDS treatment and care models in Sub-Saharan Africa using a realist evaluation (Intervention-Context-Actor-Mechanism-Outcome) heuristic tool: a systematic review.Implementation science : IS · 2017Pooled it
- Optimizing the role and functions of CHWs in service of a people-centred community health system in sub-Saharan Africa. A realist synthesis.SSM - health systems · 2025Review
- Outpatient Virtual Care Among People Living With and Beyond Cancer From Culturally and Linguistically Diverse Backgrounds in Australia: A Protocol for a Realist Evaluation.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- The role of provincial health administration in supporting district health management teams in the Democratic Republic of Congo: eliciting an initial programme theory of a realist evaluation.Health research policy and systems · 2024Review
- 'For Want of a Nail': developing a transparent approach to retroduction and early initial programme theory development in a realist evaluation of community end of life care services.International journal of social research methodology · 2024Article
- Mentorship to strengthen health system leadership: A case study of the Walungu rural health zone in the eastern Democratic Republic of Congo.PLOS global public health · 2024Article
- Article
- Initial programme theory for community-based ART delivery for key populations in Benue State, Nigeria: a realist evaluation study.BMC public health · 2023Review
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- Making implementation science more real.BMC medical research methodology · 2022Article
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- Framework for the development and evaluation of complex interventions: gap analysis, workshop and consultation-informed update.Health technology assessment (Winchester, England) · 2021Article
- Article
- Understanding the impact of a residential housing programme for people living with HIV/AIDS: a realist evaluation protocol.BMJ open · 2021Article
- Explaining the impact of mHealth on maternal and child health care in low- and middle-income countries: a realist synthesis.BMC pregnancy and childbirth · 2021Article
- Implementing large-system, value-based healthcare initiatives: a realist study protocol for seven natural experiments.BMJ open · 2020Article
- Combining the theory of change and realist evaluation approaches to elicit an initial program theory of the MomConnect program in South Africa.BMC medical research methodology · 2020Article
- Alcohol-related beliefs and non-adherence to antiretroviral therapy in Cape Town, South Africa.Journal of behavioral medicine · 2020Article
- The effects of Teen Clubs on retention in HIV care among adolescents in Windhoek, Namibia.Southern African journal of HIV medicine · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSuboptimal retention in care and poor treatment adherence are key challenges to antiretroviral therapy (ART) in sub-Saharan Africa. Community-based approaches to HIV service delivery are recommended to improve patient retention in care and ART adherence. The implementation of the adherence clubs in the Western Cape province of South Africa was with variable success in terms of implementation and outcomes. The need for operational guidelines for its implementation has been identified. Therefore, understanding the contexts and mechanisms for successful implementation of the adherence clubs is crucial to inform the roll-out to the rest of South Africa. The protocol outlines an evaluation of adherence club intervention in selected primary healthcare facilities in the metropolitan area of the Western Cape Province, using the realist approach. METHODS AND ANALYSIS: In the first phase, an exploratory study design will be used. Document review and key informant interviews will be used to elicit the programme theory. In phase two, a multiple case study design will be used to describe the adherence clubs in five contrastive sites. Semistructured interviews will be conducted with purposively selected programme implementers and members of the clubs to assess the context and mechanisms of the adherence clubs. For the programme's primary outcomes, a longitudinal retrospective cohort analysis will be conducted using routine patient data. Data analysis will involve classifying emerging themes using the context-mechanism-outcome (CMO) configuration, and refining the primary CMO configurations to conjectured CMO configurations. Finally, we will compare the conjectured CMO configurations from the cases with the initial programme theory. The final CMOs obtained will be translated into middle range theories. ETHICS AND DISSEMINATION: The study will be conducted according to the principles of the declaration of Helsinki (1964). Ethics clearance was obtained from the University of the Western Cape. Dissemination will be done through publications and curation.
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