https://doi.org/10.17037/DATA.00002142
Adolescents living with HIV have poor virological suppression and high levels of common mental disorders. In Zimbabwe the Zvandiri adolescent peer support programme is effective at improving ART adherence and virological suppression. We assessed the effect of training peer supporters in problem-solving therapy (PST) using a cluster-randomised controlled trial. Sixty clinics stratified by district were randomised 1:1 to either normal Zvandiri peer support or a peer supporter trained in PST by Friendship Bench. We enrolled 842 adolescents aged 11-19. The primary outcome was virological non-suppression, defined as viral load ≥1000 copies. Secondary outcomes were symptoms of common mental disorder measured with the Shona Symptom Questionnaire (SSQ, cutpoint 8/14) and depression measured with the Patient Health Questionnaire (PHQ-9, cutpoint 10/27), and health utility score using the EQ-5D (range 0-1, cutpoint 1). Analysis was at the individual level with a random effect for clustering. Case reviews and focus group discussions were used for qualitative analysis to determine feasibility.
Zimbabwe
29 March 2021
HIV, Adolescent, Mental health
English
Project title | Funder name | Funder ID |
Operations research to measure the effectiveness of a peer-led mental health intervention on virological suppression and mental health among adolescents with HIV in Zimbabwe | Children's Investment Fund Foundation | Unstated |
Forename | Surname | Faculty / Dept | Institution | Role |
Victoria | Simms | Faculty of Epidemiology and Population Health / Dept of Infectious Disease Epidemiology | London School of Hygiene & Tropical Medicine | Data Creator |
Silindweyinkosi | Chinoda | Friendship Bench | Data Creator |
Forename | Surname | Faculty / Dept | Institution | Role |
Nicola | Willis | Africaid | Principal Investigator | |
Dixon | Chibanda | Principal Investigator | ||
Helen | Weiss | Faculty of Epidemiology and Population Health / Dept of Infectious Disease Epidemiology | London School of Hygiene & Tropical Medicine | Co-investigator |
Filename | Description | Access status | Licence |
CIFF_Baseline_survey_non-disclosed | Baseline Case Report Form for participants who do not know they are living with HIV | Open | Creative Commons Attribution (CCBY) |
CIFF_Baseline_survey_disclosed | Baseline Case Report Form for participants who know they are living with HIV | Open | Creative Commons Attribution (CCBY) |
CIFF_Endline_questionnaire | Endline questionnaire for study participants (Disclosed/Non-Disclosed) | Open | Creative Commons Attribution (CCBY) |