Impact of motivational interviewing training for lay counsellors on HIV care outcomes in South Africa: a cluster-randomized pilot trial.
Int J Infect DisJun 20, 2026 (epub)
Clinical ResearchInfectious Diseases
Dorina Onoya, Tembeka Sineke, Idah Mokhele et al.
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In 30 seconds
This cluster-randomized pilot trial evaluated the impact of motivational interviewing (MI) training for lay counsellors on HIV care outcomes among newly diagnosed individuals in South Africa. The study found that MI training significantly improved 12-month viral suppression rates to 39.86% compared to 28.40% in the standard-of-care group (P = .007).
Key findings
- 12-month viral suppression was 39.86% in the MI group vs 28.40% in the SOC group (P = .007).
- ART initiation rates were 88.3% in the MI group compared to 74.7% in the SOC group.
- 12-month retention was 51.9% in the MI group vs 40.5% in the SOC group (P = .067).
- Counsellor proficiency in change talk increased patient retention (RR: 1.47; P = .016).
Why it matters
Improving retention and viral suppression in HIV care is crucial for public health, particularly in sub-Saharan Africa. Training lay counsellors in motivational interviewing may enhance patient outcomes and support the achievement of global health targets.