A Stepped Care, Peer-Delivered Intervention to Improve Substance Use and HIV Medication Adherence in Primary Care in South Africa (Project Khanya): Protocol for a Hybrid Type 2 Effectiveness-Implementation Randomized Controlled Trial.

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Title: A Stepped Care, Peer-Delivered Intervention to Improve Substance Use and HIV Medication Adherence in Primary Care in South Africa (Project Khanya): Protocol for a Hybrid Type 2 Effectiveness-Implementation Randomized Controlled Trial.
Authors: Magidson JF; Department of Psychology, University of Maryland, College Park, College Park, MD, United States.; Center for Substance Use, Addiction and Health Research (CESAR), University of Maryland, College Park, College Park, MD, 20742, United States, 1 301-405-5095., Hines AC; Center for Substance Use, Addiction and Health Research (CESAR), University of Maryland, College Park, College Park, MD, 20742, United States, 1 301-405-5095., Majokweni SH; HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa., Tokwe L; HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa., Myers B; Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Bentley, Western Australia, Australia.; Mental Health, Alcohol, Substance Use, and Tobacco Research Unit, South African Medical Research Council, Cape Town, Western Cape, South Africa.; West Australian Country Health Service and Curtin University Research and Innovation Alliance, Perth, Western Australia, Australia., Du Toit S; Institute for Life Course Health Research, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, Western Cape, South Africa., Regenauer K; Department of Psychology, University of Maryland, College Park, College Park, MD, United States.; Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States., Andersen LS; HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa.; Global Health Section, Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Burnhams W; City of Cape Town Health and Substance Abuse, Cape Town, Western Cape, South Africa., Orrell C; HIV and Other Infectious Diseases Unit, South African Medical Research Council, Cape Town, Western Cape, South Africa.; Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa., Murphy SM; Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, United States., Sibeko G; Division of Addiction Psychiatry, Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa., Triplett N; Department of Psychology, University of Maryland, College Park, College Park, MD, United States., Ndwandwa E; HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa., Kotelo NN; HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa., Ma T; Department of Epidemiology and Biostatistics, University of Maryland, College Park, Maryland, MD, United States., Safren S; Department of Psychology, University of Miami, Miami, FL, United States., Joska J; HIV Mental Health Research Unit, Division of Neuropsychiatry, Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, Western Cape, South Africa.
Source: JMIR research protocols [JMIR Res Protoc] 2026 Jul 02; Vol. 15, pp. e94153. Date of Electronic Publication: 2026 Jul 02.
Publication Type: Clinical Trial Protocol; Journal Article
Journal Info: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101599504 Publication Model: Electronic Cited Medium: Internet ISSN: 1929-0748 (Electronic) Linking ISSN: 19290748 NLM ISO Abbreviation: JMIR Res Protoc Subsets: MEDLINE
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