The Effect of a Life-Stage Based Intervention on Depression in Youth Living with HIV in Kenya and Uganda: Results from the SEARCH-Youth Trial
Tropical Medicine and Infectious Disease,
Год журнала:
2025,
Номер
10(2), С. 55 - 55
Опубликована: Фев. 14, 2025
Depression
among
adolescents
and
young
adults
with
HIV
affects
both
their
wellbeing
clinical
care
outcomes.
Integrated
models
are
needed.
We
hypothesized
that
the
SEARCH-Youth
intervention,
a
life-stage-based
model
improved
viral
suppression,
would
reduce
depressive
symptoms
as
compared
to
standard
of
care.
conducted
mixed-methods
study
youth
aged
15-24
years
in
SEARCH-Youth,
cluster-randomized
trial
rural
Uganda
Kenya
(NCT03848728).
was
assessed
cross-sectionally
PHQ-9
screening
tool
by
arm
using
targeted
minimum
loss-based
estimation.
In-depth
semi-structured
interviews
participants,
family
members,
providers
were
analyzed
modified
framework
select
codes
pertaining
depression.
surveyed
1,234
participants
(median
age
21
years,
80%
female).
Having
any
less
common
intervention
(53%)
control
(73%),
representing
28%
risk
reduction
(risk
ratio:
0.72;
CI:
0.59-0.89).
Predictors
at
least
mild
depression
included
pressure
have
sex,
physical
threats,
recent
major
life
events.
Longitudinal
qualitative
research
113
found
supportive
counseling
from
helped
patients
build
confidence
coping
skills.
address
social
adverse
events,
support
can
be
used
HIV.
Язык: Английский
Friendship Bench intervention to address depression and improve HIV care engagement among adolescents living with HIV in Malawi: Study protocol for a pilot randomized controlled trial
PLoS ONE,
Год журнала:
2025,
Номер
20(3), С. e0302666 - e0302666
Опубликована: Март 19, 2025
Background
Adolescents
in
Sub-Saharan
Africa
are
disproportionately
affected
by
the
HIV
epidemic.
Comorbid
depression
is
prevalent
among
adolescents
living
with
(ALWH)
and
poses
numerous
challenges
to
care
engagement
retainment.
We
present
a
pilot
trial
designed
investigate
feasibility,
fidelity,
acceptability
of
an
dapted
e
nhanced
F
riendship
B
ench
intervention
(henceforth:
AFB
EFB)
reducing
improving
ALWH
Malawi.
Methods
Design:
Participants
will
be
randomized
one
three
conditions:
Friendship
Bench
adapted
for
(AFB,
n
=
35),
enhanced
peer
support
(EFB,
or
standard
(SOC,
35).
Recruitment
planned
early
2024
four
clinics
Participants:
Eligibility
criteria
(1)
aged
13–19;
(2)
diagnosed
(vertically
horizontally);
(3)
scored
≥
13
on
self-reported
Beck’s
Depression
Inventory
(BDI-II);
(4)
clinic’s
catchment
area
intention
remain
at
least
1
year;
(5)
willing
provide
informed
consent.
Interventions:
includes
6
counseling
sessions
facilitated
young,
trained
non-professional
counselors.
EFB
consists
plus
integration
group
facilitate
care.
SOC
mental
health
public
facilities
Malawi
options
basic
supportive
counseling,
medication,
referral
psychiatric
units
tertiary
hospitals
more
severe
cases.
Outcomes:
The
primary
outcomes
acceptability,
fidelity
assessed
months
12
compared
across
3
arms.
secondary
outcome
assess
preliminary
effectiveness
interventions
depressive
symptoms
viral
suppression
months.
Discussion
This
study
insights
into
youth-friendly
adaptations
model
value
adding
engagement.
information
gathered
this
lead
R01
application
test
our
large-scale
cluster
controlled
improve
ALWH.
Trial
registration
ClinicalTrials.gov
(
NCT06173544
)
Язык: Английский
Key factors in supporting adolescents to achieve high self-esteem and a positive body image: A qualitative community-based study
PLoS ONE,
Год журнала:
2025,
Номер
20(2), С. e0318989 - e0318989
Опубликована: Фев. 25, 2025
Introduction
Body
dissatisfaction
can
be
affect
adolescents’
mental
health,
leading
to
issues
with
body
weight
control,
low
self-esteem,
and
poor
school
performance.
Methods
A
total
of
24
interviews
adolescents,
parents,
teachers
in
Spain
were
conducted
for
this
study.
The
study
aimed
explore
compare
the
views
regarding
interventions
improve
self-esteem
positive
image
school-aged
adolescents.
generic
qualitative
design
purposive
sampling
was
used,
data
thematically
analyzed.
Results
Key
barriers
identified
included
lack
family
communication,
unfavourable
environments,
insufficient
training.
Social
media
gender
stereotypes,
along
social
rejection,
major
challenges
Facilitators
involvement
using
role
models
as
a
strategy.
Proposed
focused
on
individual
group
recreational
activities
starting
at
an
early
age,
engaging
adolescents
interest,
promoting
collaboration
families.
Conclusion
This
facilitators
proposing
multi-level
that
engage
families,
educational
institutions,
community.
Strengthening
reducing
should
guide
future
public
health
policies.
Public
contribution
These
findings
may
useful
developing
multilevel
improving
which
could,
turn,
prevent
reduce
severity
clinical
disorders
during
adolescence.
Язык: Английский
Safe spaces for youth mental health: A scoping review
PLoS ONE,
Год журнала:
2025,
Номер
20(4), С. e0321074 - e0321074
Опубликована: Апрель 4, 2025
Introduction
Mental
illness
is
a
significant
challenge
during
adolescence
and
youth
period,
posing
threat
to
individuals’
mental
health,
well-being,
productivity.
Despite
the
global
burden,
comprehensive
evidence
on
use
of
youth-safe
spaces
improve
their
health
has
been
limited.
Therefore,
this
review
aims
explore
existing
literature
role
safe
in
shaping
outcomes
youth.
Methods
We
followed
Joanna
Briggs
Institute
(JBI)
scoping
guidelines.
This
focused
individuals
aged
10
25.
It
explores
for
youth,
including
community
centers,
schools,
clubs,
online
forums,
promoting
health.
conducted
search
using
PubMed/MEDLINE,
PsycINFO,
Web
Science,
Scopus,
Google
Scholar,
grey
sources.
Study
selection
screening
were
done
Covidence
software,
with
two
independent
reviewers
applying
predefined
criteria.
used
standardized
table
data
extraction;
findings
presented
graphical
tabular
formats
alongside
narrative
synthesis.
Reporting
PRISMA
extension
reviews
(PRISMA-ScR)
framework.
Results
The
included
23
studies
from
various
regions,
notably
North
America
(USA)
Europe.
These
found
that
spaces,
primarily
within
offered
support,
resources,
guidance.
Additionally,
organizations,
outreach
programs,
primary
care
clinics
identified
as
enhance
well-being
young
adults.
interventions
these
cognitive-behavioral
therapy,
mindfulness
multi-component
approaches.
Positive
reduced
posttraumatic
stress
disorders,
anxiety,
substance
use,
along
improved
interpersonal
relationships.
However,
there
needs
be
more
focus
methodological
diversity
research
other
regions.
Geographic
imbalances
exist,
beyond
schools
communities
Intersectional
factors
are
often
overlooked.
Conclusion
emphasizes
impact
suggests
fostering
supportive
environments
recreational
can
significantly
benefit
well-being.
highlight
need
expand
space
initiatives
address
people’s
challenges
developmental
stage.
Язык: Английский
Friendship Bench Intervention to Address Depression and Improve HIV Care Engagement Among Adolescents Living with HIV in Malawi: Study Protocol for a Pilot Randomized Controlled Trial
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Апрель 12, 2024
ABSTRACT
Background
Adolescents
in
Sub-Saharan
Africa
are
disproportionately
affected
by
the
HIV
epidemic.
Comorbid
depression
is
prevalent
among
adolescents
living
with
(ALWH)
and
poses
numerous
challenges
to
care
engagement
retainment.
We
present
a
pilot
trial
designed
investigate
feasibility,
fidelity,
acceptability
of
an
dapted
e
nhanced
F
riendship
B
ench
intervention
(henceforth:
AFB
EFB)
reducing
improving
ALWH
Malawi.
Methods
Design:
Participants
will
be
randomized
one
three
conditions:
Friendship
Bench
adapted
for
(AFB,
n=35),
enhanced
peer
support
(EFB,
or
standard
(SOC,
n=35).
Recruitment
planned
early
2024
four
clinics
Participants:
Eligibility
criteria
(1)
aged
13-19;
(2)
diagnosed
(vertically
horizontally);
(3)
scored
≥
13
on
self-reported
Beck’s
Depression
Inventory
(BDI-II);
(4)
clinic’s
catchment
area
intention
remain
at
least
1
year;
(5)
willing
provide
informed
consent.
Interventions:
includes
6
counseling
sessions
facilitated
young,
trained
non-professional
counselors.
EFB
consists
plus
integration
group
facilitate
care.
SOC
mental
health
public
facilities
Malawi
options
basic
supportive
counseling,
medication,
referral
psychiatric
units
tertiary
hospitals
more
severe
cases.
Outcomes:
The
primary
outcomes
acceptability,
fidelity
assessed
months
12
compared
across
3
arms.
secondary
outcome
assess
preliminary
effectiveness
interventions
depressive
symptoms
viral
suppression
months.
Discussion
This
study
insights
into
youth-friendly
adaptations
model
value
adding
engagement.
information
gathered
this
lead
R01
application
test
our
large-scale
cluster
controlled
improve
ALWH.
Trial
registration
ClinicalTrials.gov
Identifier
NCT06173544
Язык: Английский
An Exploration of Mental Well-Being Among Students in Higher Learning Institutions in Western Kenya
Advances in higher education and professional development book series,
Год журнала:
2024,
Номер
unknown, С. 1 - 30
Опубликована: Авг. 28, 2024
Mental
well-being
is
a
vital
factor
which
determines
an
individual's
level
of
general
health
and
productivity.
According
to
WHO,
mental
problems
are
increasing
about
25%
people
suffer
from
illness
globally.
Depression,
anxiety
stress
the
most
common
particularly
among
students
in
higher
learning
institutions.
In
Kenya
studies
on
have
concentrated
secondary
schools.
One
few
conducted
university
Nairobi
Region
found
prevalence
depression
be
35.7%.
The
purpose
study
therefore
was
explore
universities
Western
Kenya.
Objectives
were
determine
depression,
stress,
socio-demographic
correlates
stress.
Язык: Английский