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Group-Based Intervention to Improve Mental Health and Adherence Among Youth Living With HIV in Low Resource Settings
Sponsor: International Maternal Pediatric Adolescent AIDS Clinical Trials Group
Summary
IMPAACT 2016 is a multi-site, two-arm, individually randomized, controlled study to evaluate whether an Indigenous Leader Outreach Model (ILOM) of trauma-informed cognitive behavioral therapy (TI-CBT) delivered by Indigenous Youth Leaders (IYL) is associated with improved mental health outcomes and ART adherence among youth living with HIV in resource-limited settings. The intervention is adapted to the local context through advance conduct of focus groups and pilot testing.
Official title: IMPAACT 2016 - Evaluating a Group-Based Intervention to Improve Mental Health and Antiretroviral Therapy (ART) Adherence Among Youth Living With HIV in Low Resource Settings
Key Details
Gender
All
Age Range
15 Years - 19 Years
Study Type
INTERVENTIONAL
Enrollment
256
Start Date
2023-11-11
Completion Date
2025-10-15
Last Updated
2025-04-22
Healthy Volunteers
No
Conditions
Interventions
TI-CBT Intervention Arm
TI-CBT teaches techniques and ways to manage distress through psychosocial health education, cognitive restructuring, and "mastery of trauma", which refers to the process by which survivors of psychological trauma work through the traumatic experience in a meaningful way, and are able to move on with life. TI-CBT addresses both the trauma of learning one has HIV and the trauma associated with managing a chronic and stigmatized illness. The intervention highlights links between HIV and traditional gender roles, gender inequities, and gender based violence. Finally, the relaxation training teaches youth strategies to relax and these are integrated at the beginning and end of each session. TI-CBT Youth and Caregiver Intervention Manuals are distributed to sites for translation, backtranslation, and cultural adaptation in preparation for the Randomized Trial.
Discussion Control Arm
Each youth discussion control group session will be led by IYL and each caregiver discussion control group will be led by adult study staff. Discussion topics will be selected by youth and caregivers in the group as applicable. Discussion Control group session will take place at a separate time from TI-CBT youth group sessions in attempt to minimize contamination. To note, participant and caregiver group sessions are always held separately.
Locations (8)
Gaborone Prevention/Treatment Trials CRS 12701
Gaborone, Botswana
Molepolole Prevention/Treatment Trials CRS 12702
Molepolole, Botswana
College of Medicine CRS 30301
Blantyre, Malawi
University of North Carolina Lilongwe CRS 12001
Lilongwe, Malawi
Soweto IMPAACT CRS 8052
Soweto, South Africa
St. Mary's CRS 30303
Chitungwiza, Zimbabwe
Harare Family Care CRS 31890
Harare, Zimbabwe
Seke North CRS 30306
Harare, Zimbabwe