Table 4 Intervention-Context-Actor-Mechanism-Outcome configurations of Case Y
Intervention modalities | Context | Actor | Mechanism | Outcome |
|---|---|---|---|---|
Club rules and regulation | - Standard operating protocol - Being reminded of the rules and regulations of the club - HIV policy | - Patient | - Perceived barriers - Perceived coercion - Perceived fear - Reinforcement - nudged | - Nudged to adhere to club appointments |
Group dynamics | - Availability of space for meeting - Longevity of patient in the club - Relationship with other club members | - Patient - Group | - Perceived social support - Bonding and formation of group identity | - Better adherence resulting from developed self-efficacy |
Health talks/education | - Availability of personnel - Team work | - Patient | - Motivation - Empowerment | - Improved self-efficacy |
Quick medication access | - Availability of medication - Organisation of pick-up process and club sessions - Buy-in from care providers | - Patient | - Perceived benefit - Motivation - Satisfaction | - Adherence to medication related to medication availability |
Prompt continuity of care | - Availability of clinicians - Staffing dynamics - Organisation of club activities - Buy-in from care providers | - Clinicians - Patient | - Trust - Satisfaction | - Retained in care through problem resolution |
Club facilitator-patient relationship | - Staffing dynamics - Teamwork/collaboration - Buy-in from care providers | - Facilitator - Patient | - Trust - Perceived support | - Adherence to medication - Retention in care |
Overall intervention | - Availability of programme champion - Buy-in from care providers - Preparation and organisation | - Patients - Club teams | - Motivation - Self-efficacy - Satisfaction | - Improved retention in care and adherence to medication |