We used 2 of the intervention’s 4 modules
(focusing on health and mental health) to
address specific challenges faced by people
living with HIV and their families face in
Thailand. Our findings suggest that programs
must be culturally adapted to ensure their longterm
effectiveness. For instance, in targeting
mental health, we learned that feelings of guilt
are dominant themes in coping with HIV status
in Thailand. This concept of guilt is highly
relevant and identifiable in Thai Buddhist
philosophy and was fully integrated into the
intervention.