Key Findings
Authors examined the effectiveness of the Healthy Relationship Assessment Tool to guide counselors in supporting women to address relationship-related challenges to pre-exposure prophylaxis adherence and measured women's score changes after counseling over time.
Overall, the Healthy Relationship Assessment Tool (HEART) performed as predicted and was consistent with past validation efforts of the tool, increasing the body of evidence supporting its use as a tool to guide tailored counseling to support women's pre-exposure prophylaxis (PrEP) adherence.Counselors found the tool's recommendations appropriate and delivered the recommended counseling module despite being able to override recommendations based on additional knowledge of women's cases, indicating the HEART may help counselors more quickly and accurately assess a woman's relationship and tailor counseling.As a result of receiving the counseling modules, participants' HEART scores changed over time as expected, with a small but statistically significant effect associated with the intervention and likely with the module received.