@article{6ba6f71546984bbc9bf2c0ea14bc1faa,
title = "A pilot study of a nurse-delivered cognitive behavioral therapy intervention (Ziphamandla) for adherence and depression in HIV in South Africa",
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.",
keywords = "HIV, South Africa, adherence, cognitive behavioral therapy, depression, low- and middle-income countries, task-sharing",
author = "Andersen, {Lena S.} and Magidson, {Jessica F.} and Conall O{\textquoteright}Cleirigh and Remmert, {Jessica E.} and Ashraf Kagee and Matthew Leaver and Stein, {Dan J.} and Safren, {Steven A.} and John Joska",
note = "Funding Information: The authors wish to thank Medicines Sans Frontieres for their support. They also wish to thank sisiLeti, sisiYoli, and Andiswa for all their hard work and commitment to this project. Thanks to Jade Witten for proof reading. Finally, the authors wish to thank the Western Cape Provincial Department of Health, the facility managers at Michael Mapongwana and Ubuntu clinics and all the participants. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health, the National Institutes of Health, USAID, or PEPFAR. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was funded by the Clinical Infectious Diseases Research Initiative (CIDRI) at the University of Cape Town resulting from a Wellcome Trust Strategic award (June 2005 to June 2016) and from the ANOVA Institute resulting from a USAID award from US President{\textquoteright}s Emergency Plan for AIDS Relief (PEPFAR) (award no. 674-A-00-08-00009-00). Additional author time for completion of the manuscript was supported by R01MH103770, K24MH094214, 5T32MH093310, and the Medical Research Council of South Africa. Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was funded by the Clinical Infectious Diseases Research Initiative (CIDRI) at the University of Cape Town resulting from a Wellcome Trust Strategic award (June 2005 to June 2016) and from the ANOVA Institute resulting from a USAID award from US President{\textquoteright}s Emergency Plan for AIDS Relief (PEPFAR) (award no. 674-A-00-08-00009-00). Additional author time for completion of the manuscript was supported by R01MH103770, K24MH094214, 5T32MH093310, and the Medical Research Council of South Africa. Publisher Copyright: {\textcopyright} 2016, {\textcopyright} The Author(s) 2016.",
year = "2018",
month = may,
day = "1",
doi = "10.1177/1359105316643375",
language = "English (US)",
volume = "23",
pages = "776--787",
journal = "Journal of Health Psychology",
issn = "1359-1053",
publisher = "SAGE Publications Ltd",
number = "6",
}
