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Effective Interventions

Core Elements & Fact Sheet

About SMART Couples

SMART Couples is a couple-level intervention administered to individual discordant couples, with poor medication adherence in the HIV-positive partner. The intervention consists of four sessions with the patient and their partner and lasts about 45 minutes to an hour. Sessions address adherence to anti-retroviral therapy (ART) and safer sex behaviors within the couple dyad by nurturing active support for the HIV-positive partner from their HIV-negative partner, and vice-versa. The intervention includes cognitive-behavioral components to identify barriers, reinforce health behaviors, and problem-solving strategies to identify and overcome adherence barriers. Key components of SMART Couples include education about the importance of adherence to avoid viral resistance, health maintenance, identification of non-adherence patterns and increasing social support for positive health outcomes. SMART Couples sessions are best delivered by a licensed social worker or counselor, HIV case manager, health educator, or nurse with experience working with a couple dyad and providing adherence counseling and education.

Additional Information

  • SMART Couples Fact Sheet
    (Coming Soon)

Capacity Building Branch:    Phone: 404.718.7850    E-mail:  DHAPCBB@cdc.gov
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