Evidence map›Paper›PMID 32153343›Full record

ArticleCognitive and behavioral practice2020

A Task-Shifting Problem-Solving Therapy Intervention for Depression and Barriers to Antiretroviral Therapy Adherence for People Living With HIV in Zimbabwe: Case Series.

Primrose Nyamayaro, Tarisai Bere, Jessica F Magidson, Victoria Simms, Conall O'Cleirigh, Dixon Chibanda, Melanie Abas

Open access · greenAbstract read
In one paragraph

Article in Cognitive and behavioral practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 21 citations in OpenAlex.

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  14. Feasibility and acceptability of a mental health stigma intervention for low-income South African caregivers: A qualitative investigation.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2022
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  18. Integrating mental health into HIV prevention and care: a call to action.Journal of the International AIDS Society · 2021
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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 at 5 institutions in 3 countries.

Primrose NyamayaroCollege of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Tarisai BereCollege of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Jessica F MagidsonDepartment of Psychology, University of Maryland, MD, USA.
Victoria SimmsDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Conall O'CleirighMassachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
Dixon ChibandaCollege of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
Melanie AbasHealth Service & Population Research Department, Centre for Public Mental Health, Institute of Psychiatry, Psychology & Neuroscience, King's College London, Box PO 60, De Crespigny Park, London SE5 8AF, UK.
University of Zimbabwe · ZWKing's College London · GBLondon School of Hygiene & Tropical Medicine · GBMassachusetts General Hospital · USUniversity of Maryland, College Park · US

Funding

Treatment for depression and adherence in people living with HIV in ZimbabweR21MH094156 · NIMH · KING'S COLLEGE LONDON · PI ABAS, MELANIE AMNA, CHIBANDA, DICKSON · 2013 to 2014
$221k
Medical Research Council MR/R010161/1NIMH NIH HHS R21 MH094156
6 · The paper itself

Abstract

HIV is prevalent in Sub-Saharan Africa, and depression frequently co-occurs. Depression is one of the most important predictors of poor adherence to antiretroviral therapy (ART). Little has been done to develop integrated interventions that are feasible and appropriate for task-shifting to nonspecialists that seek to address both depression and barriers to ART adherence in Sub-Saharan Africa. This case series describes an integrated intervention for depression and ART adherence delivered by a lay adherence counselor and supervised by a local psychologist. The 6-session intervention was based on problem-solving therapy for depression and for barriers to adherence (PST-AD), with stepped care for those whose depression did not recover with PST-AD. Primary outcomes were acceptability and depression. Acceptability was measured by participant attendance to the 6 sessions. Three case studies illustrate the structured intervention, solutions identified to adherence barriers and to problems underlying low mood, and changes seen in the clients' psychological symptoms. Acceptability of the intervention was high and common mental disorder symptoms scores measured using the SRQ-8 decreased overall. An integrated intervention for depression and adherence to ART appeared feasible in this low-income setting. An RCT of the intervention versus an appropriate comparison condition is needed to evaluate clinical and cost-effectiveness.

Indexed as

adherencedepressionHIVintegrated interventiontask-shifting

Identifiers

PMID32153343
PMCPMC7062310
OpenAlexW2907180337

What OpenQuestion holds

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Registered trials

None linked

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.