The University of Southampton
University of Southampton Institutional Repository

AIDS impact special issue 2023: two-way associations between relationship quality and uptake of couples health screening including HIV testing and counselling together: quantitative analysis of a couples cohort in rural South Africa

AIDS impact special issue 2023: two-way associations between relationship quality and uptake of couples health screening including HIV testing and counselling together: quantitative analysis of a couples cohort in rural South Africa
AIDS impact special issue 2023: two-way associations between relationship quality and uptake of couples health screening including HIV testing and counselling together: quantitative analysis of a couples cohort in rural South Africa
In the context of a couples cohort established to evaluate an optimised couples-focused behavioural intervention in rural South Africa, we examined: (1) Is couples’ relationship quality (RQ) associated with couples HIV testing and counselling (CHTC) uptake? (2) Does CHTC uptake or the intervention components uptake improve subsequent RQ? Enrolled couples, (n = 218), previously naïve to couples HIV testing, were invited to two group sessions and offered four couples counselling sessions (CS1-CS4), as part of the intervention and administered a questionnaire individually at baseline, four weeks, and four months, which included item-scales to measure RQ: satisfaction, intimacy, dyadic trust, conflict, and mutual constructive communication. Logistic models indicated that no baseline RQ measures were significantly associated with CHTC uptake. Linear regression models showed that CHTC uptake before four weeks assessment significantly improved couples’ satisfaction and trust at four weeks, and intimacy at four months. Attending at least one CS was associated with increased satisfaction, intimacy, and decreased conflict within couples at four weeks; the improvement in intimacy was sustained at four months. Consistent with the theoretical interdependence model, our findings suggest that CHTC and CS seemed to strengthen aspects of relationship quality, possibly leading to further collaboration in managing lifestyle changes and treatment adherence.
behavioural intervention, Couples, HIV testing and counselling, relationship quality, SDG 3: Good health and well-being, South Africa
1360-0451
Abdelkhalek, Fatma
1d118151-a7f4-4f57-a24d-dc747c86a2a8
Joseph, Phillip
4327d4e0-40d1-44d3-970c-04bf8afa63f4
DeRose, Laurie
f85f50c8-37f6-4940-ba23-ace6f23a1b3f
Olamijuwon, Emmanuel
e5692fe5-2a86-409d-90b2-7e6001d20fba
Hosegood, Victoria
c59a89d5-5edc-42dd-b282-f44458fd2993
McGrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
et al.
Abdelkhalek, Fatma
1d118151-a7f4-4f57-a24d-dc747c86a2a8
Joseph, Phillip
4327d4e0-40d1-44d3-970c-04bf8afa63f4
DeRose, Laurie
f85f50c8-37f6-4940-ba23-ace6f23a1b3f
Olamijuwon, Emmanuel
e5692fe5-2a86-409d-90b2-7e6001d20fba
Hosegood, Victoria
c59a89d5-5edc-42dd-b282-f44458fd2993
McGrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961

Abdelkhalek, Fatma, Joseph, Phillip and DeRose, Laurie , et al. (2024) AIDS impact special issue 2023: two-way associations between relationship quality and uptake of couples health screening including HIV testing and counselling together: quantitative analysis of a couples cohort in rural South Africa. AIDS Care : Pyschological and socio-medical aspects of AIDS/HIV. (doi:10.1080/09540121.2024.2308741).

Record type: Article

Abstract

In the context of a couples cohort established to evaluate an optimised couples-focused behavioural intervention in rural South Africa, we examined: (1) Is couples’ relationship quality (RQ) associated with couples HIV testing and counselling (CHTC) uptake? (2) Does CHTC uptake or the intervention components uptake improve subsequent RQ? Enrolled couples, (n = 218), previously naïve to couples HIV testing, were invited to two group sessions and offered four couples counselling sessions (CS1-CS4), as part of the intervention and administered a questionnaire individually at baseline, four weeks, and four months, which included item-scales to measure RQ: satisfaction, intimacy, dyadic trust, conflict, and mutual constructive communication. Logistic models indicated that no baseline RQ measures were significantly associated with CHTC uptake. Linear regression models showed that CHTC uptake before four weeks assessment significantly improved couples’ satisfaction and trust at four weeks, and intimacy at four months. Attending at least one CS was associated with increased satisfaction, intimacy, and decreased conflict within couples at four weeks; the improvement in intimacy was sustained at four months. Consistent with the theoretical interdependence model, our findings suggest that CHTC and CS seemed to strengthen aspects of relationship quality, possibly leading to further collaboration in managing lifestyle changes and treatment adherence.

Text
Clean_Revised_Full_RQ_8_Jan_2024 - Accepted Manuscript
Available under License Creative Commons Attribution.
Download (179kB)
Text
AIDS impact special issue 2023 two-way associations between relationship quality and uptake of couples health screening including HIV testing and cou - Version of Record
Download (1MB)

More information

Accepted/In Press date: 10 January 2024
e-pub ahead of print date: 21 February 2024
Additional Information: Publisher Copyright: © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Keywords: behavioural intervention, Couples, HIV testing and counselling, relationship quality, SDG 3: Good health and well-being, South Africa

Identifiers

Local EPrints ID: 487987
URI: http://eprints.soton.ac.uk/id/eprint/487987
ISSN: 1360-0451
PURE UUID: 11e54ec4-6c49-45e4-8b56-17186d57d6ea
ORCID for Fatma Abdelkhalek: ORCID iD orcid.org/0000-0002-1912-9619
ORCID for Emmanuel Olamijuwon: ORCID iD orcid.org/0000-0002-6109-8131
ORCID for Victoria Hosegood: ORCID iD orcid.org/0000-0002-2244-2518
ORCID for Nuala McGrath: ORCID iD orcid.org/0000-0002-1039-0159

Catalogue record

Date deposited: 12 Mar 2024 17:40
Last modified: 01 May 2024 02:04

Export record

Altmetrics

Contributors

Author: Fatma Abdelkhalek ORCID iD
Author: Phillip Joseph
Author: Laurie DeRose
Author: Emmanuel Olamijuwon ORCID iD
Author: Nuala McGrath ORCID iD
Corporate Author: et al.

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×