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Table 2 Propositions obtained from the systematic review process of group-based ART models

From: A realist approach to eliciting the initial programme theory of the antiretroviral treatment adherence club intervention in the Western Cape Province, South Africa

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