Healthy Options: study protocol and baseline characteristics for a cluster randomized controlled trial of group psychotherapy for perinatal women living with HIV and depression in Tanzania
Abstract Background Perinatal women accessing prevention of mother-to-child transmission of HIV (PMTCT) services are at an increased risk of depression; however, in Tanzania there is limited access to services provided by mental health professionals. This paper presents a protocol and baseline chara...
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doaj-7e641b4c425f492e9241bdbd348a3a0a2021-01-24T12:04:21ZengBMCBMC Public Health1471-24582020-01-0120111010.1186/s12889-019-7907-6Healthy Options: study protocol and baseline characteristics for a cluster randomized controlled trial of group psychotherapy for perinatal women living with HIV and depression in TanzaniaMary C. Smith Fawzi0Hellen Siril1Elysia Larson2Zenaice Aloyce3Ricardo Araya4Anna Kaale5Janeth Kamala6Muhummed Nadeem Kasmani7Amina Komba8Anna Minja9Angelina Mwimba10Fileuka Ngakongwa11Magreat Somba12Christopher R. Sudfeld13Sylvia F. Kaaya14Department of Global Health and Social Medicine, Harvard Medical SchoolManagement and Development for HealthDepartment of Global Health and Population, Harvard T.H. Chan School of Public HealthAfrica Academy for Public HealthKings College LondonAfrica Academy for Public HealthAfrica Academy for Public HealthDepartment of Global Health and Social Medicine, Harvard Medical SchoolAfrica Academy for Public HealthAfrica Academy for Public HealthAfrica Academy for Public HealthDepartment of Psychiatry and Mental Health, Muhimbili University of Health and Allied SciencesAfrica Academy for Public HealthDepartment of Global Health and Population, Harvard T.H. Chan School of Public HealthDepartment of Psychiatry and Mental Health, Muhimbili University of Health and Allied SciencesAbstract Background Perinatal women accessing prevention of mother-to-child transmission of HIV (PMTCT) services are at an increased risk of depression; however, in Tanzania there is limited access to services provided by mental health professionals. This paper presents a protocol and baseline characteristics for a study evaluating a psychosocial support group intervention facilitated by lay community-based health workers (CBHWs) for perinatal women living with HIV and depression in Dar es Salaam. Methods A cluster randomized controlled trial (RCT) is conducted comparing: 1) a psychosocial support group intervention; and 2) improved standard of mental health care. The study is implemented in reproductive and child health (RCH) centers providing PMTCT services. Baseline characteristics are presented by comparing sociodemographic characteristics and primary as well as secondary outcomes for the trial for intervention and control groups. The trial is registered under clinicaltrials.gov (NCT02039973). Results Among 742 women enrolled, baseline characteristics were comparable for intervention and control groups, although more women in the control group had completed secondary school (25.2% versus 18.2%). Overall, findings suggest that the population is highly vulnerable with over 45% demonstrating food insecurity and 17% reporting intimate partner violence in the past 6 months. Conclusions Baseline characteristics for the cluster RCT were comparable for intervention and control groups. The trial will examine the effectiveness of a psychosocial support group intervention for the treatment of depression among women living with HIV accessing PMTCT services. A reduction in the burden of depression in this vulnerable population has implications in the short-term for improved HIV-related outcomes and for potential long-term effects on child growth and development. Trial registration The trial is registered under clinicaltrials.gov (NCT02039973). Retrospectively registered on January 20, 2014.https://doi.org/10.1186/s12889-019-7907-6HIVDepressionPMTCTWomenInterventionTreatment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mary C. Smith Fawzi Hellen Siril Elysia Larson Zenaice Aloyce Ricardo Araya Anna Kaale Janeth Kamala Muhummed Nadeem Kasmani Amina Komba Anna Minja Angelina Mwimba Fileuka Ngakongwa Magreat Somba Christopher R. Sudfeld Sylvia F. Kaaya |
spellingShingle |
Mary C. Smith Fawzi Hellen Siril Elysia Larson Zenaice Aloyce Ricardo Araya Anna Kaale Janeth Kamala Muhummed Nadeem Kasmani Amina Komba Anna Minja Angelina Mwimba Fileuka Ngakongwa Magreat Somba Christopher R. Sudfeld Sylvia F. Kaaya Healthy Options: study protocol and baseline characteristics for a cluster randomized controlled trial of group psychotherapy for perinatal women living with HIV and depression in Tanzania BMC Public Health HIV Depression PMTCT Women Intervention Treatment |
author_facet |
Mary C. Smith Fawzi Hellen Siril Elysia Larson Zenaice Aloyce Ricardo Araya Anna Kaale Janeth Kamala Muhummed Nadeem Kasmani Amina Komba Anna Minja Angelina Mwimba Fileuka Ngakongwa Magreat Somba Christopher R. Sudfeld Sylvia F. Kaaya |
author_sort |
Mary C. Smith Fawzi |
title |
Healthy Options: study protocol and baseline characteristics for a cluster randomized controlled trial of group psychotherapy for perinatal women living with HIV and depression in Tanzania |
title_short |
Healthy Options: study protocol and baseline characteristics for a cluster randomized controlled trial of group psychotherapy for perinatal women living with HIV and depression in Tanzania |
title_full |
Healthy Options: study protocol and baseline characteristics for a cluster randomized controlled trial of group psychotherapy for perinatal women living with HIV and depression in Tanzania |
title_fullStr |
Healthy Options: study protocol and baseline characteristics for a cluster randomized controlled trial of group psychotherapy for perinatal women living with HIV and depression in Tanzania |
title_full_unstemmed |
Healthy Options: study protocol and baseline characteristics for a cluster randomized controlled trial of group psychotherapy for perinatal women living with HIV and depression in Tanzania |
title_sort |
healthy options: study protocol and baseline characteristics for a cluster randomized controlled trial of group psychotherapy for perinatal women living with hiv and depression in tanzania |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2020-01-01 |
description |
Abstract Background Perinatal women accessing prevention of mother-to-child transmission of HIV (PMTCT) services are at an increased risk of depression; however, in Tanzania there is limited access to services provided by mental health professionals. This paper presents a protocol and baseline characteristics for a study evaluating a psychosocial support group intervention facilitated by lay community-based health workers (CBHWs) for perinatal women living with HIV and depression in Dar es Salaam. Methods A cluster randomized controlled trial (RCT) is conducted comparing: 1) a psychosocial support group intervention; and 2) improved standard of mental health care. The study is implemented in reproductive and child health (RCH) centers providing PMTCT services. Baseline characteristics are presented by comparing sociodemographic characteristics and primary as well as secondary outcomes for the trial for intervention and control groups. The trial is registered under clinicaltrials.gov (NCT02039973). Results Among 742 women enrolled, baseline characteristics were comparable for intervention and control groups, although more women in the control group had completed secondary school (25.2% versus 18.2%). Overall, findings suggest that the population is highly vulnerable with over 45% demonstrating food insecurity and 17% reporting intimate partner violence in the past 6 months. Conclusions Baseline characteristics for the cluster RCT were comparable for intervention and control groups. The trial will examine the effectiveness of a psychosocial support group intervention for the treatment of depression among women living with HIV accessing PMTCT services. A reduction in the burden of depression in this vulnerable population has implications in the short-term for improved HIV-related outcomes and for potential long-term effects on child growth and development. Trial registration The trial is registered under clinicaltrials.gov (NCT02039973). Retrospectively registered on January 20, 2014. |
topic |
HIV Depression PMTCT Women Intervention Treatment |
url |
https://doi.org/10.1186/s12889-019-7907-6 |
work_keys_str_mv |
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