HIV/AIDS
Conditions
Interventions
LifeSteps and Problem Solving Therapy
Standard care - adherence counselling
Sponsors
King's College London
UZ-CHS NECTAR
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 or above 2. On ART for at least 4 months as confirmed by pharmacy records 3. Score ¿ 10 OR meet criteria for a diagnosis of depression on the 9 item Patient Health Questionnaire (PHQ-9) OR Score ¿ 9 on the Shona Symptom Questionnaire (SSQ-14) 4. Screen positive for recent non-adherence, as detected by any of the following methods: i) Self Report Adherence Questionnaire ii) Missed one HIV clinic appointment in the previous 6 months iii) Falling CD4 count (CD4 below 350 that has fallen by at least 50 in the past 6 months) iv) Detectable viral loads
Exclusion criteria
Exclusion criteria: 1. Score ¿6 on the International HIV Dementia Scale (IHDS) 2. Score of 3 or higher for women and a score of 4 or higher for men on the short AUDIT-C screen for alcohol dependance 3. On medication for tuberculosis 4.Have suicidal intent as determined by the P4 Suicidality Screener 5. Interviewer assesses person too unwell and/ agitated to take part
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Depression Score;Wisepill Adherence Percentage | — |
Secondary
| Measure | Time frame |
|---|---|
| Viral Load | — |
Countries
Zimbabwe
Contacts
Public ContactMelanie Abas
Reader in Global Mental Health (King's College London)
Outcome results
None listed