Table 2 Propositions obtained from the systematic review process of group-based ART models
Context | Mechanism | Outcome |
|---|---|---|
- Staffing dynamics | - Active involvement in care - Perceived support from a counsellor and other health professionals. - Feeling empowered by their expanded roles | - Adherence to medication - Reduced operational staff workload |
- Acceptability (buy-in) from health workers - Educational level of patients | - Understanding treatment - Trust and communication - Patient empowerment - Motivation | - Improved retention in care - Improved rate of medication adherence |
- Availability of physical space for group activities - Buy-in from both operational staff and patients | - Positive peer dynamics - Sharing of experience - Bond formation among group members - Conducive environment | - Improved patient support which leads to retention in care and adherence to medication - Decongestion of clinic |
- Acceptability (buy-in) from patients | - Patient satisfaction - Continuity of care | - Improved rate of medication adherence - Reduced workload for the clinicians |