Second, traditional measurement approaches neglect the relational processes between partners. First, relational measures have almost exclusively been developed and normed with Western, middle-class, and/or White adults. However, two challenges arise when using these instruments to measure and interpret relational processes among Mozambican couples, especially those participating in a couples intervention. Psychometric instruments can quantify how people living with HIV experience three key barriers to antiretroviral therapy (ART) and retention: partner support, trust in medical professionals, and internalized HIV-related stigma.
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