A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa-Reference-Cited by-同舟云学术

A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa

Published:2016-04-26 Issue:6 Volume:23 Page:776-787
ISSN:1359-1053
Container-title:Journal of Health Psychology
language:en
Short-container-title:J Health Psychol

Author:

Andersen Lena S¹,Magidson Jessica F²,O’Cleirigh Conall²³,Remmert Jessica E²,Kagee Ashraf⁴,Leaver Matthew¹,Stein Dan J¹⁵,Safren Steven A⁶,Joska John¹

Affiliation:

1. University of Cape Town, South Africa

2. Massachusetts General Hospital/ Harvard Medical School, USA

3. Fenway Health, USA

4. Stellenbosch University, South Africa

5. Medical Research Council Unit on Anxiety and Stress Disorders, South Africa

6. University of Miami, USA

Abstract

Depression is prevalent among people living with HIV in South Africa and interferes with adherence to antiretroviral therapy. This study evaluated a nurse-delivered, cognitive behavioral therapy intervention for adherence and depression among antiretroviral therapy users with depression in South Africa ( n = 14). Primary outcomes were depression, antiretroviral therapy adherence, feasibility, and acceptability. Findings support robust improvements in mood through a 3-month follow up. Antiretroviral therapy adherence was maintained during the intervention period. Participant retention supports acceptability; however, modest provider fidelity despite intensive supervision warrants additional attention to feasibility. Future effectiveness research is needed to evaluate this nurse-delivered cognitive behavioral therapy intervention for adherence and depression in this context.

Funder

Wellcome Trust

United States Agency for International Development

National Institute of Mental Health

Publisher

SAGE Publications

Subject

Applied Psychology

Link

http://journals.sagepub.com/doi/pdf/10.1177/1359105316643375

Reference36 articles.

1. Understanding the experience and manifestation of depression in people living with HIV/AIDS in South Africa