Table 3 Intervention-Context-Actor-Mechanism-Outcome configurations of Case X
Intervention modalities | Context | Actor | Mechanism | Outcome |
|---|---|---|---|---|
Club rules and regulation | - Standard operating protocol - HIV policy | - Patient | - Perceived barriers - Perceived threat - Nudged | - Adhering to club appointments |
Grouping patients | - Availability of space for meeting - Longevity of patient in the club - Relationship with other club members | - Patient - Group | - Perceived social support - Positive group dynamics (sense of belonging) | - Better adherence resulting from developed self-efficacy |
Health talks/education | - Availability of personnel | - Patient | - Empowerment (motivation) | - Improved self-efficacy |
Quick medication access | - Availability of medication - Proper preparation for club session | - Patient | - Perceived benefit - Motivation - Satisfaction | - Adherence to medication related to medication access |
Prompt continuity of care | - Availability of clinicians - Staffing dynamics - Organisation of club activities | - Clinicians - Patient | - Trust | - Retained in care through problem resolution |
Club facilitator-patient relationship | - Staffing dynamics - Teamwork/collaboration | - Facilitator - Patient | - Trust - Perceived support | - Adherence to medication - Retention in care |
Overall intervention | - Buy-in from care providers - Preparation and organisation | - Patients - Club teams | - Motivation - Self-efficacy - Satisfaction (with care) | - Improved retention in care and adherence to medication |