Myers Bronwyn, Sorsdahl Katherine, Morojele Neo K, Kekwaletswe Connie, Shuper Paul A, Parry Charles D H
a Alcohol, Tobacco and Other Drug Research Unit , South African Medical Research Council , Tygerberg , South Africa.
b Department of Psychiatry and Mental Health , University of Cape Town , Cape Town , South Africa.
AIDS Care. 2017 Feb;29(2):209-213. doi: 10.1080/09540121.2016.1211242. Epub 2016 Jul 19.
Although hazardous/harmful alcohol use impacts response to HIV treatment, there have been few attempts to deliver alcohol-reduction interventions within South African HIV treatment services. As a first step towards implementing alcohol-focused interventions in these settings, we explored patients' views of the acceptability of a brief motivational interviewing and problem-solving intervention. In-depth interviews were conducted with 11 patients recruited from three HIV treatment sites in Tshwane, South Africa, who had completed the intervention. Participants noted that the intervention was acceptable and appropriate. As a result of the intervention, participants reported less use of alcohol as a coping mechanism. They described greater use of problem-focused and emotional coping strategies for dealing with mutable and immutable problems, respectively. Their only recommendation for improving the intervention was the addition of booster sessions. Findings suggest that this intervention is acceptable to patients receiving HIV treatment and is perceived to be helpful for reducing their use of alcohol.
尽管有害饮酒会影响对艾滋病治疗的反应，但在南非的艾滋病治疗服务中，很少有人尝试提供减少酒精摄入的干预措施。作为在这些环境中实施以酒精为重点的干预措施的第一步，我们探讨了患者对简短动机访谈和解决问题干预措施可接受性的看法。对从南非茨瓦内三个艾滋病治疗点招募的11名完成干预的患者进行了深入访谈。参与者指出，该干预措施是可接受且合适的。由于该干预措施，参与者报告称较少将饮酒作为应对机制。他们分别描述了更多地使用以问题为导向的应对策略和情绪应对策略来处理可变和不可变的问题。他们对改进干预措施的唯一建议是增加强化课程。研究结果表明，这种干预措施对于接受艾滋病治疗的患者是可接受的，并且被认为有助于减少他们的酒精使用。
