Acceptability and feasibility of peer-administered group interpersonal therapy for depression for people living with HIV/AIDS—a pilot study in Northwest Ethiopia

dc.contributor.authorAsrat, Biksegn
dc.contributor.authorLund, Crick
dc.contributor.authorAmbaw, Fentie
dc.contributor.authorSchneider, Marguerite
dc.date.accessioned2021-10-08T07:42:50Z
dc.date.available2021-10-08T07:42:50Z
dc.date.issued2021-07-28
dc.date.updated2021-08-01T03:15:01Z
dc.description.abstractBackground Psychological treatments are widely tested and have been effective in treating depressive symptoms. However, implementation of psychological treatments in the real world and in diverse populations remains difficult due to several interacting barriers. In this study, we assessed the acceptability and feasibility of peer-administered group interpersonal therapy for depressive symptoms among people living with HIV/AIDS in Northwest Ethiopia. Method We conducted a single-arm, peer-administered, group interpersonal therapy intervention with eight weekly sessions from 15 August to 15 December 2019 among people living with HIV/AIDS in Northwest Ethiopia. Four interpersonal therapy groups were formed for the intervention with a total of 31 participants. Results Of the 31 recruited participants, 29 completed the intervention providing a retention rate of 93.5%. The process of the intervention and its outcomes were highly acceptable as most participants expressed success in resolving their psychosocial problems, adjusting to life changes and coping with stigma. The intervention was also reported to be feasible despite anticipated barriers such as access to transportation, perceived stigma and confidentiality concerns. The post-intervention assessment revealed significant reduction in depressive symptoms (mean difference (MD) = 9.92; t =  − 7.82; 95% CI, − 12.54, − 7.31; p < 0.001), improvement in perceived social support (MD = 0.79; t = 2.84; 95% CI, 0.22, 1.37; p = 0.009) and quality of life (MD = 0.39; t = 4.58; 95% CI, 0.21, 0.56; p < 0.001). Conclusion Group interpersonal therapy is feasible and acceptable, and people living with HIV/AIDS can benefit from group interpersonal therapy in managing depressive symptoms and in improving perceived social support and quality of life. Future studies should examine the effectiveness of group interpersonal therapy in this setting.en_US
dc.identifier.apacitationAsrat, B., Lund, C., Ambaw, F., & Schneider, M. (2021). Acceptability and feasibility of peer-administered group interpersonal therapy for depression for people living with HIV/AIDS—a pilot study in Northwest Ethiopia. <i>Pilot and Feasibility Studies</i>, 7(Article number: 147), http://hdl.handle.net/11427/35036en_ZA
dc.identifier.chicagocitationAsrat, Biksegn, Crick Lund, Fentie Ambaw, and Marguerite Schneider "Acceptability and feasibility of peer-administered group interpersonal therapy for depression for people living with HIV/AIDS—a pilot study in Northwest Ethiopia." <i>Pilot and Feasibility Studies</i> 7, Article number: 147. (2021) http://hdl.handle.net/11427/35036en_ZA
dc.identifier.citationAsrat, B., Lund, C., Ambaw, F. & Schneider, M. 2021. Acceptability and feasibility of peer-administered group interpersonal therapy for depression for people living with HIV/AIDS—a pilot study in Northwest Ethiopia. <i>Pilot and Feasibility Studies.</i> 7(Article number: 147) http://hdl.handle.net/11427/35036en_ZA
dc.identifier.ris TY - Journal Article AU - Asrat, Biksegn AU - Lund, Crick AU - Ambaw, Fentie AU - Schneider, Marguerite AB - Background Psychological treatments are widely tested and have been effective in treating depressive symptoms. However, implementation of psychological treatments in the real world and in diverse populations remains difficult due to several interacting barriers. In this study, we assessed the acceptability and feasibility of peer-administered group interpersonal therapy for depressive symptoms among people living with HIV/AIDS in Northwest Ethiopia. Method We conducted a single-arm, peer-administered, group interpersonal therapy intervention with eight weekly sessions from 15 August to 15 December 2019 among people living with HIV/AIDS in Northwest Ethiopia. Four interpersonal therapy groups were formed for the intervention with a total of 31 participants. Results Of the 31 recruited participants, 29 completed the intervention providing a retention rate of 93.5%. The process of the intervention and its outcomes were highly acceptable as most participants expressed success in resolving their psychosocial problems, adjusting to life changes and coping with stigma. The intervention was also reported to be feasible despite anticipated barriers such as access to transportation, perceived stigma and confidentiality concerns. The post-intervention assessment revealed significant reduction in depressive symptoms (mean difference (MD) = 9.92; t =  − 7.82; 95% CI, − 12.54, − 7.31; p < 0.001), improvement in perceived social support (MD = 0.79; t = 2.84; 95% CI, 0.22, 1.37; p = 0.009) and quality of life (MD = 0.39; t = 4.58; 95% CI, 0.21, 0.56; p < 0.001). Conclusion Group interpersonal therapy is feasible and acceptable, and people living with HIV/AIDS can benefit from group interpersonal therapy in managing depressive symptoms and in improving perceived social support and quality of life. Future studies should examine the effectiveness of group interpersonal therapy in this setting. DA - 2021-07-28 DB - OpenUCT DP - University of Cape Town IS - Article number: 147 J1 - Pilot and Feasibility Studies KW - Acceptability KW - Feasibility KW - Group interpersonal therapy KW - HIV/AIDS KW - Ethiopia LK - https://open.uct.ac.za PY - 2021 T1 - Acceptability and feasibility of peer-administered group interpersonal therapy for depression for people living with HIV/AIDS—a pilot study in Northwest Ethiopia TI - Acceptability and feasibility of peer-administered group interpersonal therapy for depression for people living with HIV/AIDS—a pilot study in Northwest Ethiopia UR - http://hdl.handle.net/11427/35036 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s40814-021-00889-x
dc.identifier.urihttp://hdl.handle.net/11427/35036
dc.identifier.vancouvercitationAsrat B, Lund C, Ambaw F, Schneider M. Acceptability and feasibility of peer-administered group interpersonal therapy for depression for people living with HIV/AIDS—a pilot study in Northwest Ethiopia. Pilot and Feasibility Studies. 2021;7(Article number: 147) http://hdl.handle.net/11427/35036.en_ZA
dc.language.isoenen_US
dc.language.rfc3066en
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourcePilot and Feasibility Studiesen_US
dc.source.journalissueArticle number: 147en_US
dc.source.journalvolume7en_US
dc.source.urihttps://pilotfeasibilitystudies.biomedcentral.com/
dc.subjectAcceptabilityen_US
dc.subjectFeasibilityen_US
dc.subjectGroup interpersonal therapyen_US
dc.subjectHIV/AIDSen_US
dc.subjectEthiopiaen_US
dc.titleAcceptability and feasibility of peer-administered group interpersonal therapy for depression for people living with HIV/AIDS—a pilot study in Northwest Ethiopiaen_US
dc.typeJournal Articleen_US
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