Table 1 Summary of ADAPT-ITT steps undertaken to select and adapt an evidence-based lay supporter intervention for Ugandan TH
ADAPT-ITT stage | Procedure(s) | Process(es) | Date completed |
|---|---|---|---|
Assessment | Determined stakeholder interests in using TH to deliver non-clinical support for PLWH in rural Uganda | • Three focus groups (12 TH and 10 PLWH) in Mbarara • Drafted adaptation of Patient Advocate Program from South Africa [27] based on qualitative data from focus groups, tailoring with language specific for Ugandan TH | June 2021 |
Decision | Selected evidence-based content from similar context to adapt for Ugandan TH | ||
Administration | Theatre test and stakeholder assessments of intervention draft version | 12 TH Advisory Board, 10 HIV clinicians, and 10 PLWH watched theatre presentations then participated in focus groups, and completed implementation surveys | July 2021 |
Production | Revisions made incorporating stakeholder feedback | Identified intervention core elements and created fidelity plan | July 2021 |
Topical Expert Input | Topical experts on HIV care and traditional medicine reviewed intervention draft | Gathered comments and additional revisions | August 2021 |
Integration | Integrated expert feedback | Produced a finalized draft of the intervention materials | August 2021 |
Training | Deliver training in adapted intervention | Trained clinic staff to deliver curriculum to TH, then conducted 2-day training session with TH | August 2021 |
Testing | Pilot tested adapted lay supporter intervention | 9-month evaluation of HIV and implementation outcomes | Sept 2021–May 2022 |