Abstract
Depression is prevalent among people living with HIV in South Africa and interferes with adherence to antiretroviral therapy. This study evaluated a nurse-delivered, cognitive behavioral therapy intervention for adherence and depression among antiretroviral therapy users with depression in South Africa ( n = 14). Primary outcomes were depression, antiretroviral therapy adherence, feasibility, and acceptability. Findings support robust improvements in mood through a 3-month follow up. Antiretroviral therapy adherence was maintained during the intervention period. Participant retention supports acceptability; however, modest provider fidelity despite intensive supervision warrants additional attention to feasibility. Future effectiveness research is needed to evaluate this nurse-delivered cognitive behavioral therapy intervention for adherence and depression in this context.
| Original language | English |
|---|---|
| Journal | Journal of Health Psychology |
| Volume | 23 |
| Issue number | 6 |
| Pages (from-to) | 776-787 |
| Number of pages | 12 |
| ISSN | 1359-1053 |
| DOIs | |
| Publication status | Published - May 2018 |
| Externally published | Yes |
Keywords
- Adult
- Anti-HIV Agents/administration & dosage
- Cognitive Behavioral Therapy/methods
- Culturally Competent Care
- Depressive Disorder/nursing
- Feasibility Studies
- Female
- HIV Infections/drug therapy
- Humans
- Male
- Medication Adherence/psychology
- Middle Aged
- Nurse Practitioners
- Patient Acceptance of Health Care
- Pilot Projects
- South Africa