Evidence map›Paper›PMID 31242877›Full record

ArticleBMC public health2019

The effectiveness of depression management for improving HIV care outcomes in Malawi: protocol for a quasi-experimental study.

Michael Udedi, Melissa A Stockton, Kazione Kulisewa, Mina C Hosseinipour, Bradley N Gaynes, Steven M Mphonda, Brian W Pence

Registry-linked trialAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03555669 (UNCPM 21609 Project SOAR Mental Health), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03555669 nacompletednot on this map

UNCPM 21609 Project SOAR Mental Health: Evaluation of the Impact of a Depression Treatment Program on Mental Health and HIV Care Outcomes in Malawi

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2017 to 2019Enrolled2,082ConditionsDepression, HIV/AIDSArmsDepression Treatment
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  14. Risk factors for readmission among a cohort of psychiatric inpatients in Lilongwe, Malawi.International journal of psychiatry in clinical practice · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Michael UdediNCDs and Mental Health Unit, Ministry of Health, P. O. Box 30377, Capital City, Lilongwe 3, Malawi. mphatsoudedi@yahoo.co.uk.ORCID http://orcid.org/0000-0001-8769-4313
Melissa A StocktonDepartment of Epidemiology, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, 135 Dauer Dr, Chapel Hill, NC, 27599, USA.
Kazione KulisewaDepartment of Mental Health, University of Malawi, College of Medicine, P/Bag 360, Chichiri, Blantyre 3, Malawi.
Mina C HosseinipourTidziwe Centre, University of North Carolina Project-Malawi, Private Bag A-104, Lilongwe, Malawi.
Bradley N GaynesDepartment of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, 333 S Columbia St, Chapel Hill, NC, 27516, USA.
Steven M MphondaTidziwe Centre, University of North Carolina Project-Malawi, Private Bag A-104, Lilongwe, Malawi.
Brian W PenceDepartment of Epidemiology, University of North Carolina at Chapel Hill, Gillings School of Global Public Health, 135 Dauer Dr, Chapel Hill, NC, 27599, USA.

Funding

Malawi HIV Implementation Research Scientist Training Program (MHIRST)D43TW010060 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MINA CHRISTINE HOSSEINIPOUR, Victor Mwapasa · 2015 to 2026
$3.8M
FIC NIH HHS D43 TW010060USAID AID-OAA-14-00060
6 · The paper itself

Abstract

backgroundDepression, prevalent among people living with HIV (PLWH) in Malawi, is associated with negative HIV patient outcomes and likely affects HIV medical management. Despite the high prevalence of depression, its management has not been integrated into HIV care in Malawi or most low-income countries.

methodsThis study employs a pre-post design in two HIV clinics in Lilongwe, Malawi, to evaluate the effect of integrating depression management into routine HIV care on both mental health and HIV outcomes. Using a multiple baseline design, this study is examining mental health and HIV outcome data of adult (≥18 years) patients newly initiating ART who also have depression, comparing those entering care before and after the integration of depression screening and treatment into HIV care. The study is also collecting cost information to estimate the cost-effectiveness of the program in improving rates of depression remission and HIV treatment engagement and success. DISCUSSION: We anticipate that the study will generate evidence on the effect of depression management on HIV outcomes and the feasibility of integrating depression management into existing HIV care clinics. The results of the study will inform practice and policy decisions on integration of depression management in HIV care clinics in Malawi and related settings, and will help design a next-step strategy to scale-up integration to a larger scale.

trial registrationClinicalTrials.gov ID [ NCT03555669 ]. Retrospectively registered on 13 June 2018.

Indexed as

Disease ManagementMental HealthPatient CareAdolescentAdultCost-Benefit AnalysisDepressionDepressive DisorderFemaleHIVHIV InfectionsHumansMalawiMaleMass ScreeningResearch DesignDepressionHIV/AIDSImplementation scienceIntegrationMalawiMental healthProgram evaluationRetentionSub-Saharan AfricaTask-shifting

Identifiers

PMID31242877
PMCPMC6595692

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.