Integrating a mental health intervention into PrEP services for South African young women: a human‐centred implementation research approach to intervention development
Journal of the International AIDS Society,
Год журнала:
2024,
Номер
27(S1)
Опубликована: Июль 1, 2024
Abstract
Introduction
Adolescent
girls
and
young
women
(AGYW)
who
may
benefit
from
HIV
pre‐exposure
prophylaxis
(PrEP)
face
high
levels
of
common
mental
disorders
(e.g.
depression,
anxiety).
Common
can
reduce
PrEP
adherence
increase
risk,
yet
health
interventions
have
not
been
well‐integrated
into
delivery.
Methods
We
conducted
a
four‐phase
human‐centred
design
process,
December
2020
to
April
2022,
understand
challenges
among
AGYW
in
Johannesburg,
South
Africa
barriers
integrated
services.
In
the
“Discover”
phase,
we
in‐depth
interviews
with
key
informants
(KIs)
Johannesburg.
rapid
qualitative
analysis,
informed
by
Consolidated
Framework
for
Implementation
Research
(CFIR),
identify
facilitators
services
mapped
potential
implementation
strategies.
“Design”
“Build”
phases,
stakeholder
workshops
iteratively
adapt
an
evidence‐based
intervention,
Friendship
Bench,
refine
strategies
African
delivery
settings.
“Test”
piloted
our
adapted
Bench
package.
Results
Interviews
70
Discover
phase
participants
(48
AGYW,
22
KIs)
revealed
importance
AGYW.
Interviewees
described
around
CFIR
domains:
intervention
characteristics
“opening
up”);
outer
Johannesburg
setting
community
stigma);
inner
clinic
judgemental
healthcare
providers);
counsellors
training
gaps);
process
need
demand
creation).
The
Design
Build
included
13
15
KIs.
related
quality
accessibility
public‐sector
services,
lay
counsellor
training,
education
creation
activities
were
prioritized.
This
led
12
adaptations
specification
10
that
acceptable
feasible
initial
pilot
testing
three
Conclusions
Using
approach,
identified
determinants
solutions
integrating
within
centred
stakeholders’
perspectives,
enabling
development
Язык: Английский
Assessing the impact of a community-based psychodrama intervention on mental health promotion of adolescents and young adults in Mozambique: A mixed-methods study
Journal of Global Health,
Год журнала:
2024,
Номер
14
Опубликована: Июль 25, 2024
While
mental
health
is
an
emerging
issue
in
low-income
countries,
its
promotion
remains
poor,
with
little
context-oriented
evidence
available.
Here
we
aimed
to
assess
the
impact
and
acceptability/feasibility
of
a
community-based
psychodrama
intervention
involving
both
adolescents
young
adults
(AYA)
living
HIV
(AYALHIV)
without
(AYAHIV-).
Язык: Английский
Study protocol for Sauti ya Vijana (The Voice of Youth): A hybrid-type 1 randomized trial to evaluate effectiveness and implementation of a mental health and life skills intervention to improve health outcomes for Tanzanian youth living with HIV
PLoS ONE,
Год журнала:
2024,
Номер
19(8), С. e0305471 - e0305471
Опубликована: Авг. 26, 2024
Objective
Young
people
living
with
HIV
(YPLWH)
experience
increased
morbidity
and
mortality
compared
to
all
other
age
groups.
Adolescence
brings
unique
challenges
related
sexual
reproductive
health,
the
elevated
importance
of
peer
groups,
often,
emerging
symptoms
emotional
distress.
Failure
address
this
life
stage
for
YPLWH
can
lead
worse
mental
health
outcomes.
Herein
lies
protocol
a
hybrid-type-1
effectiveness-implementation
trial
designed
evaluate
skills
intervention
that
aims
these
needs
in
Tanzania.
Methods
This
is
an
individually
randomized
group-treatment
effectiveness
Sauti
ya
Vijana
(SYV:
The
Voice
Youth)
toward
improving
viral
suppression
(HIV
RNA
<400
copies/mL)
outcomes
assess
implementation
including
acceptability,
feasibility,
fidelity,
cost-effectiveness
manualized
intervention.
being
conducted
across
four
geographically
distinct
regions
Peer
group
leaders
(PGL)
lived
deliver
10-session
group-based
two
individual
sessions
during
which
participants
describe
their
disclosure
narrative
(when
they
learned
live
HIV)
value-based
goal
setting.
Caregiver
or
chosen
supportive
adults
are
encouraged
attend
specific
youth.
Participants
10–24
years
age,
prescribed
antiretroviral
therapy
at
least
6
months,
fully
aware
status,
able
commit
session
attendance,
understand
meaningfully
contribute
sessions.
Participant
study
visits
occur
5
time
points
evaluation:
baseline,
4-,
6-,
12-,
18-months
post
baseline.
A
single
booster
before
12-month
visit.
Study
adverse
childhood
events,
interpersonal
violence,
resilience,
stigma,
knowledge,
substance
use,
relationships,
ART
adherence,
RNA.
Implementation
feasibility
acceptability
through
notes,
focus
discussion
groups
qualitative
interviews.
Fidelity
measured
using
fidelity
checklists
by
PGL
observer
each
session.
Cost
calculated
incremental
ratio
utilizes
patient
cost
questionnaire
financial
records
costs.
Significance
Few
interventions
have
demonstrated
effectiveness.
Results
from
will
provide
information
about
peer-led
delivering
low-income
settings.
Trial
identifier
registered
clinicaltrials.gov
NCT05374109
.
Язык: Английский
Evaluation of the Impact of Human Immunodeficiency Virus Infection on the Mental Health and Quality of life of Children and Adolescents
Annals of Psychiatry and Treatment,
Год журнала:
2024,
Номер
8(1), С. 043 - 047
Опубликована: Янв. 1, 2024
Introduction:
HIV
infection
has
been
identified
as
a
major
cause
of
morbidity
and
mortality
in
children
adolescents.
The
vulnerabilities
Children
Adolescents
Living
with
(CAHIV)
are
multiple.
Stigmatization
or
self-stigmatization
may
also
be
present.
To
our
knowledge,
no
local
study
yet
looked
at
the
mental
health
these
CAHIV.
authors’
aim
was
to
assess
impact
on
quality
life
CAHIV
followed
unit.
Methodology:
We
conducted
mixed-method,
cross-sectional,
descriptive
study.
It
took
place
from
September
30,
2021,
January
31,
2022.
concerned
adolescents
living
1,
aged
7
12
years,
regularly
care
unit
Centre
Hospitalier
National
des
Enfants
Albert
Royer.
Results:
20
were
included,
girls
8
boys.
sex
ratio
(M/F)
0.66.
mean
age
10.6
extremes
years.
13
(65%)
orphans,
including
5
(25%)
double
maternal
three
paternal
orphans.
had
diffuse
dermatoses.
memory
complaints
concentration
problems.
Sleepiness
most
prevalent
psychosomatic
symptom.
present
50%
3
(15%)
suffered
mild
depression
according
Hamilton
Depression
Scale.
17
(85%)
anxiety
Anxiety
Conclusion:
raises
many
psychopathological
issues
Their
diagnosis
management
essential
improve
therapeutic
compliance
reduce
antiretroviral
treatment
failure.
Язык: Английский
Implementation Science for Eliminating HIV Among Adolescents in High-Burden African Countries: Findings and Lessons Learned from the Adolescent HIV Prevention and Treatment Implementation Science Alliance (AHISA)
AIDS and Behavior,
Год журнала:
2023,
Номер
27(S1), С. 3 - 6
Опубликована: Март 25, 2023
Eliminating
adolescent
HIV
in
high-burden
African
countries
depends
on
the
success
of
implementing
evidence-based
interventions
to
reduce
transmission
and
improve
treatment
outcomes.
The
Adolescent
Prevention
Treatment
Implementation
Science
Alliance
(AHISA)
takes
a
collaborative
approach
addressing
key
challenges
identifying
developing
new
areas
investigation
advance
agenda.
This
special
supplement
represents
collective
learning
related
implementation
science
context
continuum
care
from
multiple
countries.
Specifically,
this
series
describes
current
academic
landscape
science,
such
as
methodological
use
utility
measures
frameworks;
addresses
timely
topics
innovative
technologies
for
study
adaptations
global
COVID-19
pandemic;
explores
opportunities
enhance
adolescent-responsive
approaches
prevention
using
science.
Язык: Английский