Patricia Cavazos-Rehg1, William Byansi2, Christine Xu3, Proscovia Nabunya2, Ozge Sensoy Bahar2, Jacob Borodovsky4, Erin Kasson4, Nnenna Anako3, Claude Mellins5, Christopher Damulira6, Torsten Neilands7, Fred M Ssewamala2. 1. Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri. Electronic address: pcavazos@wustl.edu. 2. Brown School, Washington University in St. Louis, St. Louis, Missouri. 3. Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri; Brown School, Washington University in St. Louis, St. Louis, Missouri. 4. Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri. 5. Departments of Psychiatry and Sociomedical Sciences, Columbia University, New York, New York. 6. International Center for Child Health and Development, Masaka Field Office, Masaka, Uganda. 7. Center for AIDS Prevention Studies, University of California, San Francisco, School of Medicine, San Francisco, California.
Abstract
PURPOSE: This study examines the extent to which three mental health measures (hopelessness, depression, and poor self-concept) are improved through a family-based economic intervention implemented among adolescents living with HIV in Uganda. METHODS: We used repeated measures from Suubi + Adherence, a large-scale 6-year (2012-2018) longitudinal randomized controlled trial. Bivariate analyses were conducted to test for observable group differences between the intervention and control conditions. Multilevel piecewise repeated measure mixed models were then conducted to assess hypothesized time × intervention interaction in changes in hopelessness, depression, and self-concept using participant-specific follow-up intervals. RESULTS: At 24-month postintervention initiation, adolescents in the intervention condition reported a statistically significant lower hopelessness score than adolescents in the control condition (4.79 vs. 5.56; p = .018; N = 358). At 36-month follow-up, the intervention condition reported a statistically significant lower score on depression in the depression subgroup (N = 344) than the control condition (4.94 vs. 5.81; p = .029). CONCLUSIONS: The results indicate that family-based economic interventions such as Suubi + Adherence can effectively improve the mental health of adolescents living with HIV who evidenced mental health challenges at baseline. Given the promising positive effects of these interventions, at least in the short term, future studies should investigate strategies to promote the sustainability of these mental health benefits.
PURPOSE: This study examines the extent to which three mental health measures (hopelessness, depression, and poor self-concept) are improved through a family-based economic intervention implemented among adolescents living with HIV in Uganda. METHODS: We used repeated measures from Suubi + Adherence, a large-scale 6-year (2012-2018) longitudinal randomized controlled trial. Bivariate analyses were conducted to test for observable group differences between the intervention and control conditions. Multilevel piecewise repeated measure mixed models were then conducted to assess hypothesized time × intervention interaction in changes in hopelessness, depression, and self-concept using participant-specific follow-up intervals. RESULTS: At 24-month postintervention initiation, adolescents in the intervention condition reported a statistically significant lower hopelessness score than adolescents in the control condition (4.79 vs. 5.56; p = .018; N = 358). At 36-month follow-up, the intervention condition reported a statistically significant lower score on depression in the depression subgroup (N = 344) than the control condition (4.94 vs. 5.81; p = .029). CONCLUSIONS: The results indicate that family-based economic interventions such as Suubi + Adherence can effectively improve the mental health of adolescents living with HIV who evidenced mental health challenges at baseline. Given the promising positive effects of these interventions, at least in the short term, future studies should investigate strategies to promote the sustainability of these mental health benefits.
Authors: Wilberforce Tumwesige; Phionah Namatovu; Ozge Sensoy Bahar; William Byansi; Mary M McKay; Fred M Ssewamala Journal: Pediatr Med Date: 2021-02-28
Authors: Proscovia Nabunya; William Byansi; Joelynn Muwanga; Christopher Damulira; Rachel Brathwaite; Flavia Namuwonge; Ozge Sensoy Bahar; Fred M Ssewamala Journal: AIDS Care Date: 2020-11-10