A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa
Research output: Contribution to journal › Journal article › Research › peer-review
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.
Original language | English |
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Journal | Journal of Health Psychology |
Volume | 23 |
Issue number | 6 |
Pages (from-to) | 776-787 |
Number of pages | 12 |
ISSN | 1359-1053 |
DOIs | |
Publication status | Published - May 2018 |
Externally published | Yes |
- Adult, Anti-HIV Agents/administration & dosage, Cognitive Behavioral Therapy/methods, Culturally Competent Care, Depressive Disorder/nursing, Feasibility Studies, Female, HIV Infections/drug therapy, Humans, Male, Medication Adherence/psychology, Middle Aged, Nurse Practitioners, Patient Acceptance of Health Care, Pilot Projects, South Africa
Research areas
ID: 257651495