Evidence map›Paper›PMID 40073517›Full record

ArticleEvaluation and program planning2025

Development of a brief telehealth-delivered counseling intervention to reduce suicide risk and improve HIV care engagement in Kilimanjaro, Tanzania.

Brandon A Knettel, Ismail Amiri, Elizabeth T Knippler, Kim Madundo, Elizabeth F Msoka, Clotilda Tarimo, Victor Katiti, Louise Joel, Jackline Rwakilomba, Blandina T Mmbaga and 2 more

Abstract read
In one paragraph

Article in Evaluation and program planning, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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

12 authors.

Brandon A KnettelDuke University School of Nursing, Durham, NC, USA; Duke Global Health Institute, Durham, NC, USA. Electronic address: brandon.knettel@duke.edu.
Ismail AmiriDuke Global Health Institute, Durham, NC, USA.
Elizabeth T KnipplerDuke University School of Nursing, Durham, NC, USA; Duke Center for AIDS Research, Durham, NC, USA.
Kim MadundoKilimanjaro Christian Medical Centre, Moshi, Tanzania; Kilimanjaro Christian Medical University, Moshi, Tanzania.
Elizabeth F MsokaKilimanjaro Christian Medical Centre, Moshi, Tanzania; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
Clotilda TarimoKilimanjaro Clinical Research Institute, Moshi, Tanzania.
Victor KatitiKilimanjaro Christian Medical University, Moshi, Tanzania; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
Louise JoelKilimanjaro Christian Medical University, Moshi, Tanzania.
Jackline RwakilombaKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Blandina T MmbagaDuke Global Health Institute, Durham, NC, USA; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Kilimanjaro Christian Medical University, Moshi, Tanzania; Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
Michael V RelfDuke University School of Nursing, Durham, NC, USA; Duke Global Health Institute, Durham, NC, USA.
David B GoldstonDepartment of Psychiatry & Behavioral Sciences, Duke University, Durham, NC, USA.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Sociobehavioral Sciences Research to Improve Care for HIV Infection in TanzaniaD43TW009595 · FIC · KILIMANJARO CHRISTIAN MEDICAL CENTRE · PI Blandina Theophil Mmbaga · 2013 to 2026
$4.2M
Telehealth to Reduce Suicidality and lmprove HIV Care Engagement in TanzaniaK08MH124459 · NIMH · DUKE UNIVERSITY · PI KNETTEL, BRANDON A · 2021 to 2024
$694k
FIC NIH HHS D43 TW009595NIAID NIH HHS P30 AI064518NIMH NIH HHS K08 MH124459
6 · The paper itself

Abstract

Death by suicide is common among people living with HIV (PLWH) in Tanzania, and is strongly influenced by HIV stigma, lack of social support, and HIV-associated stress. Screening and intervention strategies for reducing suicidality, however, are not incorporated into standard HIV care. This study describes the development of a brief, nurse-led telehealth counseling intervention to address suicidal IDeation through HIV Education and counseling, advancing treatment Adherence, and reducing Stigma for renewed Hope (IDEAS for Hope) among PLWH in Tanzania. The three intervention sessions are based on Four Pillars, supported by personal values, to motivate change and build hope for the future: 1) Living healthy with HIV; 2) Managing HIV stigma; 3) Seeking social support; and 4) Active problem-solving to address social determinants of health. The IDEAS for Hope intervention integrates universal suicide screening into routine HIV care; PLWH with recent suicidal ideation are connected by video call to the first IDEAS for Hope session, with two additional sessions offered at two-week intervals. The intervention model is informed by Motivational Interviewing-enhanced safety planning (MI-SafeCope), cognitive-behavioral therapy, and problem-solving therapy frameworks, which are combined to facilitate HIV care engagement, address key contributors to suicidality among PLWH, and build hope for the future.

Indexed as

CounselingHIV InfectionsSuicide PreventionTelemedicineAdultFemaleHumansMaleMiddle AgedMotivational InterviewingSocial StigmaSocial SupportSuicidal IdeationTanzaniaCognitive behavioral therapyDepressionHIVIDEAS for HopeMotivational interviewingProblem-solving therapySuicidalityTanzaniatelehealth

Identifiers

PMID40073517
PMCPMC12167146

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.