Cascading Training Model to Promote Screening, Brief Intervention, and Referral to Treatment Across South Africa: Rollout in an HIV Service Organization
Results indicated that the cascading training model was delivered with high fidelity, associated with improvements in all provider outcomes, and reached high numbers of clients for the screening component of the model. Rates of BI and RT delivery were moderate to high, though data suggested over-application of these elements with some clients, highlighting the tension between reach and fidelity. Lessons learned will inform future scale-out of this model in HIV service settings in low- and middle-income countries.
Authors
- Andrew Scheibe (ORCID: https://orcid.org/0000-0002-3238-0699)
- Warren Cornelius
- Anje Pretorius
- Kira DiClemente-Bosco (ORCID: https://orcid.org/0000-0002-1827-4662)
- Tricia Sterling
- Tim Janssen (ORCID: https://orcid.org/0000-0003-0012-2609)
- Goodman Sibeko (ORCID: https://orcid.org/0000-0002-7242-0878)
- Caroline Kuo (ORCID: https://orcid.org/0000-0002-2009-0504)
- Shaheema Allie
- Sara J. Becker
- Timothy Souza
- Ayanda Mkhize
Institutions
- Northwestern University (US)
- University of Cape Town (ZA)
- John Brown University (US)
- American University (US)
- Right to Care (ZA)
- University of Pretoria (ZA)
Publication Details
- Journal
- Implementation Research and Practice
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1177/26334895251389461
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00