Affordable Access

deepdyve-link
Publisher Website

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

Authors
  • Andersen, Lena S1
  • Magidson, Jessica F2
  • O'Cleirigh, Conall2, 3
  • Remmert, Jessica E2
  • Kagee, Ashraf4
  • Leaver, Matthew1
  • Stein, Dan J1, 5
  • Safren, Steven A6
  • Joska, John1
  • 1 1 University of Cape Town, South Africa. , (South Africa)
  • 2 2 Massachusetts General Hospital/ Harvard Medical School, USA.
  • 3 3 Fenway Health, USA.
  • 4 4 Stellenbosch University, South Africa. , (South Africa)
  • 5 5 Medical Research Council Unit on Anxiety and Stress Disorders, South Africa. , (South Africa)
  • 6 6 University of Miami, USA.
Type
Published Article
Journal
Journal of health psychology
Publication Date
May 01, 2018
Volume
23
Issue
6
Pages
776–787
Identifiers
DOI: 10.1177/1359105316643375
PMID: 27121977
Source
Medline
Keywords
License
Unknown

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.

Report this publication

Statistics

Seen <100 times