@article {1095,
	title = {Systematic cultural adaptation of cognitive-behavioral therapy to reduce alcohol use among HIV-infected outpatients in western Kenya.},
	journal = {AIDS and behavior},
	volume = {14},
	year = {2010},
	month = {2010 Jun},
	pages = {669-78},
	abstract = {Two-thirds of those with HIV worldwide live in sub-Saharan Africa. Alcohol use is associated with the HIV epidemic through risky sex and suboptimal ARV adherence. In western Kenya, hazardous drinking was reported by HIV (53\%) and general medicine (68\%) outpatients. Cognitive behavioral treatment (CBT) has demonstrated strong efficacy to reduce alcohol use. This article reports on a systematic cultural adaptation and pilot feasibility study of group paraprofessional-delivered CBT to reduce alcohol use among HIV-infected outpatients in Eldoret, Kenya. Following adaptation and counselor training, five pilot groups were run (n = 27). Overall attendance was 77\%. Percent days abstinent from alcohol (PDA) before session 1 was 52-100\% (women) and 21-36\% (men), and by session 6 was 96-100\% (women) and 89-100\% (men). PDA effect sizes (Cohen{\textquoteright}s d) between first and last CBT session were 2.32 (women) and 2.64 (men). Participants reported treatment satisfaction. Results indicate feasibility, acceptability and preliminary efficacy for CBT in Kenya.},
	keywords = {Adult, Alcohol Drinking, Alcoholism, Cognitive Therapy, Counseling, Cultural Characteristics, Feasibility Studies, Female, HIV Infections, Humans, Kenya, Male, Middle Aged, Outpatients, Patient Acceptance of Health Care, Patient Satisfaction, Pilot Projects, Treatment Outcome},
	issn = {1573-3254},
	doi = {10.1007/s10461-009-9647-6},
	author = {Papas, Rebecca K and Sidle, John E and Martino, Steve and Baliddawa, Joyce B and Songole, Rogers and Omolo, Otieno E and Gakinya, Benson N and Mwaniki, Michael M and Adina, Japheth O and Nafula, Tobista and Owino-Ong{\textquoteright}or, Willis D and Bryant, Kendall J and Carroll, Kathleen M and Goulet, Joseph L and Justice, Amy C and Maisto, Stephen A}
}
