Process Evaluation of a Randomized Controlled Trial of Group Support Psychotherapy for Depression Treatment Among People with HIV/AIDS in Northern Uganda.

Journal: Community mental health journal

Volume: 53

Issue: 8

Year of Publication: 2018

Affiliated Institutions:  College of Health Sciences, Makerere University, Kampala, Uganda. ethelmpungu@yahoo.com. Center for Victims of Torture, Gulu, Uganda. Department of Psychiatry, Gulu University, Gulu, Uganda. Ministry of Health of Uganda, Kampala, Uganda. Precision Health Economics, Vancouver, Canada. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Canada. College of Health Sciences, Makerere University, Kampala, Uganda.

Abstract summary 

We describe the process evaluation for a randomized controlled trial that compared group support psychotherapy (GSP) with group HIV education for treatment of depression among people with HIV. Process data were obtained using mixed methods. Variables evaluated were indicators of feasibility and acceptability; causal mediating processes and contextual influences. GSP was feasible and acceptable. Potential mediating variables between GSP and reduction of depression were improved emotional and social support, better coping strategies, and pursuit of livelihoods. Culturally sensitive intervention content facilitated intervention delivery. These data complement the trial outcomes, and may provide a contextualized description of how GSP treats depression.

Authors & Co-authors:  Nakimuli-Mpungu Etheldreda E Wamala Kizito K Okello James J Ndyanabangi Sheila S Kanters Steve S Mojtabai Ramin R Nachega Jean B JB Mills Edward J EJ Musisi Seggane S

Study Outcome 

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Statistics
Citations :  Abas M, Ali GC, Nakimuli-Mpungu E, Chibanda D. Depression in people living with HIV in sub-Saharan Africa: Time to act. Tropical Medicine & International Health. 2014;19(12):1392–1396. doi: 10.1111/tmi.12382.
Authors :  9
Identifiers
Doi : 10.1007/s10597-017-0129-4
SSN : 1573-2789
Study Population
Male,Female
Mesh Terms
Adaptation, Psychological
Other Terms
Depression;Group support psychotherapy;Persons living with HIV/AIDS;Process evaluation;Randomized trial;Uganda
Study Design
Randomized Control Trial,Cross Sectional Study
Study Approach
Mixed Methods
Country of Study
Uganda
Publication Country
United States