Building resilience: a mental health intervention for Tanzanian youth living with HIV.

Journal: AIDS care

Volume: 30

Issue: sup4

Year of Publication: 2019

Affiliated Institutions:  a Duke University Medical Center, Pediatrics, Infectious Diseases , Durham , NC , USA. c Kilimanjaro Christian Medical Centre , Moshi , Tanzania. b Duke Global Health Institute , Durham , NC , USA. d Department of Biostatistics and Bioinformatics , Duke University , Durham , NC , USA. e The Alpert Medical School of Brown University , Providence , RI , USA. f Center for Health Policy and Inequalities Research , Duke University , Durham , NC , USA.

Abstract summary 

Despite a growing population of youth living with HIV, few interventions have been developed to address their unique mental health needs and to promote resilience. Based on our prior needs assessment, a mental health intervention, Sauti ya Vijana ( The Voice of Youth), was developed to address identified mental health needs and promote resilience. The intervention emphasized resilience strategies for identifying and coping with stressful events, supporting strong familial and social relationships, and planning for a safe and healthy living environment through stigma reduction, planning for disclosure, and instilling hope for the future. Ten group sessions (two of which were joint youth/caregiver sessions) and two individual sessions were developed around these three resilience domains. Youth living with HIV (average age 17.4 years), who were receiving antiretroviral therapy and attending HIV adolescent clinic in Tanzania were randomized to intervention or treatment as usual. Trained group leaders led the intervention sessions. Near perfect program fidelity by the group leaders and unanimous acceptance of the intervention by the youth was documented. SYV successfully promoted youth resilience as measured by youth-reported utilization of new coping skills, improved peer and caregiver relationships, reduced stigma, and improved confidence to live positively according to their personal values.

Authors & Co-authors:  Dow Dorothy E DE Mmbaga Blandina T BT Turner Elizabeth L EL Gallis John A JA Tabb Zachary J ZJ Cunningham Coleen K CK O'Donnell Karen E KE

Study Outcome 

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Statistics
Citations :  Betancourt, Scorza P, Kanyanganzi F, Fawzi MC, Sezibera V, Cyamatare F, . . . Kayiteshonga Y (2014). HIV and child mental health: a case-control study in Rwanda. Pediatrics, 134(2), e464–472. doi:10.1542/peds.2013-2734
Authors :  7
Identifiers
Doi : 10.1080/09540121.2018.1527008
SSN : 1360-0451
Study Population
Male,Female
Mesh Terms
Adaptation, Psychological
Other Terms
Africa;HIV;Resilience;adolescent;mental health
Study Design
Randomized Control Trial
Study Approach
Country of Study
Tanzania
Publication Country
England