Timothy G Heckman1, John C Markowitz2, Bernadette D Heckman1, Henok Woldu1, Timothy Anderson3, Travis I Lovejoy4, Ye Shen1, Mark Sutton2, William Yarber5. 1. Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA. 2. Columbia University College of Physicians & Surgeons, New York, NY. 3. Department of Psychology, Ohio University, Athens, OH, USA. 4. Oregon Health and Science University, Portland, OR, USA. 5. Department of Applied Health and Science, Indiana University, Bloomington, IN USA.
Abstract
Background: Rural areas account for 5% to 7% of all HIV infections in the USA, and rural people living with HIV (PLHIV) are 1.3 times more likely to receive a depression diagnosis than their urban counterparts. A previous analysis from our randomized clinical trial found that nine weekly sessions of telephone-administered interpersonal psychotherapy (tele-IPT) reduced depressive symptoms and interpersonal problems in rural PLHIV from preintervention through postintervention significantly more than standard care but did not increase perceived social support compared to standard care. Purpose: To assess tele-IPT's enduring effects at 4- and 8-month follow-up in this cohort. Methods: Tele-IPT's long-term depression treatment efficacy was assessed through Beck Depression Inventory self-administrations at 4 and 8 months. Using intention-to-treat and completer-only approaches, mixed models repeated measures, and Cohen's d assessed maintenance of acute treatment gains. Results: Intention-to-treat analyses found fewer depressive symptoms in tele-IPT patients than standard care controls at 4 (d = .41; p < .06) and 8-month follow-up (d =.47; p < .05). Completer-only analyses found similar patterns, with larger effect sizes. Tele-IPT patients used crisis hotlines less frequently than standard care controls at postintervention and 4-month follow-up (ps < .05). Conclusions: Tele-IPT provides longer term depression relief in depressed rural PLHIV. This is also the first controlled trial to find that IPT administered over the telephone provides long-term depressive symptom relief to any clinical population. Trial Registration: ClinicalTrials.gov Identifier: NCT02299453.
RCT Entities:
Background: Rural areas account for 5% to 7% of all HIV infections in the USA, and rural people living with HIV (PLHIV) are 1.3 times more likely to receive a depression diagnosis than their urban counterparts. A previous analysis from our randomized clinical trial found that nine weekly sessions of telephone-administered interpersonal psychotherapy (tele-IPT) reduced depressive symptoms and interpersonal problems in rural PLHIV from preintervention through postintervention significantly more than standard care but did not increase perceived social support compared to standard care. Purpose: To assess tele-IPT's enduring effects at 4- and 8-month follow-up in this cohort. Methods:Tele-IPT's long-term depression treatment efficacy was assessed through Beck Depression Inventory self-administrations at 4 and 8 months. Using intention-to-treat and completer-only approaches, mixed models repeated measures, and Cohen's d assessed maintenance of acute treatment gains. Results: Intention-to-treat analyses found fewer depressive symptoms in tele-IPTpatients than standard care controls at 4 (d = .41; p < .06) and 8-month follow-up (d =.47; p < .05). Completer-only analyses found similar patterns, with larger effect sizes. Tele-IPTpatients used crisis hotlines less frequently than standard care controls at postintervention and 4-month follow-up (ps < .05). Conclusions: Tele-IPT provides longer term depression relief in depressed rural PLHIV. This is also the first controlled trial to find that IPT administered over the telephone provides long-term depressive symptom relief to any clinical population. Trial Registration: ClinicalTrials.gov Identifier: NCT02299453.
Authors: Lorraine Sherr; Claudine Clucas; Richard Harding; Elissa Sibley; Jose Catalan Journal: Psychol Health Med Date: 2011-08-02 Impact factor: 2.423