Cultural Adaptation of a Medication Adherence Intervention With Prisoners Living With HIV in Indonesia: A Pragmatic Approach to Intervention Development.

The paper reports adaptation and formative findings, not outcomes of the adapted intervention; the pilot randomized controlled trial with 120 prisoners living with HIV was underway and not reported. The formative data came from 102 prisoners living with HIV in two prisons in Jakarta and 24 family members or caretakers, so the adaptations may not fit other prison systems, countries, or patients without HIV. The adapted intervention combines nurse assessment, peer educators, monthly prison groups, community home visits, discharge planning, and tailored messages, so no single component can be credited with any later effect. The paper identifies core components and key messages but does not report their full content in the text supplied. The recommendations were shaped by stakeholder feedback and prior studies, not by a comparison with alternative adherence interventions.

The paper is listed as supported by NIH extramural research. The supplied article text does not include a conflicts-of-interest declaration or state whether the funder designed, wrote, or paid for the study.

Do not read this as proof that the adapted intervention improves ART adherence or mortality after prison release. The paper describes cultural adaptation and formative findings; the pilot randomized controlled trial with 120 prisoners living with HIV was underway and its results are not reported here.