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Onu C, Ongeri L, Bukusi E, Cohen CR, Neylan TC, Oyaro P, Rota G, Otewa F, Delucchi KL, Meffert SM. Erratum to: 'Interpersonal psychotherapy for depression and posttraumatic stress disorder among HIV-positive women in Kisumu, Kenya: study protocol for a randomized controlled trial'. Trials 2016; 17:151. [PMID: 27000080 PMCID: PMC4802826 DOI: 10.1186/s13063-016-1289-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Accepted: 03/14/2016] [Indexed: 11/21/2022] Open
Affiliation(s)
- Chinwe Onu
- School of Medicine, University of California, San Francisco, USA
| | - Linnet Ongeri
- Kenya Medical Research Institute, Nairobi city, Kenya
| | - Elizabeth Bukusi
- Department of Obstetrics and Gynecology, University of Nairobi, Nairobi, Kenya
| | - Craig R Cohen
- Department of Obstetrics and Gynecology, University of California, San Francisco, USA
| | - Thomas C Neylan
- Department of Psychiatry, University of California, San Francisco, USA
| | - Patrick Oyaro
- Family AIDS Care Education and Services, Kisumu, Kenya
| | - Grace Rota
- Family AIDS Care Education and Services, Kisumu, Kenya
| | - Faith Otewa
- Family AIDS Care Education and Services, Kisumu, Kenya
| | - Kevin L Delucchi
- Department of Psychiatry, University of California, San Francisco, USA
| | - Susan M Meffert
- Department of Psychiatry, University of California, San Francisco, USA.
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Onu C, Ongeri L, Bukusi E, Cohen CR, Neylan TC, Oyaro P, Rota G, Otewa F, Delucchi KL, Meffert SM. Interpersonal psychotherapy for depression and posttraumatic stress disorder among HIV-positive women in Kisumu, Kenya: study protocol for a randomized controlled trial. Trials 2016; 17:64. [PMID: 26841875 PMCID: PMC4738764 DOI: 10.1186/s13063-016-1187-6] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Accepted: 01/20/2016] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Mental disorders are the leading global cause of years lived with disability; the majority of this burden exists in low and middle income countries (LMICs). Over half of mental illness is attributable to depression and anxiety disorders, both of which have known treatments. While the scarcity of mental health care providers is recognized as a major contributor to the magnitude of untreated disorders in LMICs, studies in LMICs find that evidence-based treatments for depression and anxiety disorders, such as brief, structured psychotherapies, are feasible, acceptable and have strong efficacy when delivered by local non-specialist personnel. However, most mental health treatment studies using non-specialist providers in LMICs deploy traditional efficacy designs (T1) without the benefit of integrated mental health treatment models shown to succeed over vertical interventions or methods derived from new implementation science to speed policy change. Here, we describe an effectiveness-implementation hybrid study that evaluates non-specialist delivery of mental health treatment within an HIV clinic for HIV-positive (HIV+) women affected by gender- based violence (GBV) (HIV+ GBV+) in the Nyanza region of Kenya. METHODS/DESIGN In this effectiveness-implementation hybrid type I design, 200 HIV+ women with major depressive disorder (MDD) and posttraumatic stress disorder (PTSD) who are receiving care at a Family AIDS Care Education and Services (FACES)-supported clinic in Kisumu, Kenya will be randomized to: (1) interpersonal psychotherapy (IPT) + treatment as usual (TAU) or (2) TAU, both delivered within the HIV clinic. IPT will consist of 12 weekly 60-minute individual IPT sessions, delivered by non-specialists trained to provide IPT. Primary effectiveness outcomes will include MDD and PTSD diagnosis on the Mini International Diagnostic Interview (MINI). Primary implementation outcomes will include treatment cost-benefit, acceptability, appropriateness, feasibility and fidelity of the IPT delivery within an HIV clinic. DISCUSSION This trial leverages newly defined effectiveness-implementation hybrid designs to gather data on mental health treatment implementation within an HIV care clinic, while testing the effectiveness of an evidence-based treatment for use with a large underserved population (HIV+ GBV+ women) in Kenya. TRIAL REGISTRATION CLINICAL TRIALS IDENTIFIER NCT02320799, registered on 9 September 2014.
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Affiliation(s)
- Chinwe Onu
- School of Medicine, University of California, San Francisco, 500 Parnassus Avenue, San Francisco, CA, 94121, USA.
| | - Linnet Ongeri
- Kenya Medical Research Institute, PO Box 54840, 00200, Nairobi, Kenya.
| | - Elizabeth Bukusi
- Department of Psychiatry, University of Nairobi, Kenya, PO Box 19676, Nairobi, Kenya.
- Department of Obstetrics and Gynecology, University of Nairobi, Kenya, PO Box 19676, Nairobi, Kenya.
| | - Craig R Cohen
- Department of Obstetrics and Gynecology, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
| | - Thomas C Neylan
- Department of Psychiatry, University of California, San Francisco, 4150 Clement Street, San Francisco, CA, 94121, USA.
| | - Patrick Oyaro
- Family AIDS Care Education and Services, Kenya, PO Box 614-40100, Kisumu, Kenya.
| | - Grace Rota
- Family AIDS Care Education and Services, Kenya, PO Box 614-40100, Kisumu, Kenya.
| | - Faith Otewa
- Family AIDS Care Education and Services, Kenya, PO Box 614-40100, Kisumu, Kenya.
| | - Kevin L Delucchi
- Department of Psychiatry, University of California, San Francisco, 401 Parnassus avenue, San Francisco, CA, 94143, USA.
| | - Susan M Meffert
- Department of Psychiatry, University of California, San Francisco, 401 Parnassus avenue, San Francisco, CA, 94143, USA.
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