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Streamlined Treatment and Evidence-based Adolescent Counseling and Medication Support (STREAMS)
Sponsor: City University of New York, School of Public Health
Summary
Combination interventions to address mental health and adherence to HIV care in low- and middle-income countries (LMICs), are crucial to achieving the UNAIDS 95-95-95 targets as one in four adolescents living with HIV (ALWHIV) experience poor mental health and this contributes to suboptimal medication adherence and lack of viral suppression. Yet few evidence-based mental health and adherence interventions have been evaluated in sub-Saharan Africa (SSA), the region where the majority of the 1.7 million ALWHIV reside. STREAMS will determine if our streamlined combination intervention approach to mental health screening, provision of evidence-based interpersonal psychotherapy groups (IPT-G), and evidence-based family strengthening, and medication counseling is feasible and efficacious for ALWHIV in Uganda.
Key Details
Gender
All
Age Range
15 Years - 19 Years
Study Type
INTERVENTIONAL
Enrollment
588
Start Date
2026-12
Completion Date
2030-08
Last Updated
2026-06-09
Healthy Volunteers
No
Conditions
Interventions
Streamlined Suubi+Adherence
Participants in this intervention arm will receive: * Financial literacy training * Youth savings accounts The intervention aims to strengthen economic stability and support long-term treatment adherence and psychosocial well-being.
Streamlined Interpersonal Psychotherapy Groups (IPT-G)
* Participants in the IPT-G intervention arms will attend: * Six weekly group counseling sessions, * Conducted in groups of approximately 6-10 adolescents, * Facilitated by trained StrongMinds counselors. The sessions will focus on: * Emotional wellbeing * Relationships * Coping with stress * Grief and loss * Social support * Problem-solving skills