Change My Story Task Shifted Mental Health Intervention

Summary

Psychological distress and depression are common among young people living with HIV (Y-PLWH) and negatively impact medication adherence and disease control. In low- and middle-income countries, this problem is compounded by the lack of trained mental health professionals on the provider side and the requirement of frequent clinic-based visits imposing greater cost, inconvenience, and stigma for patients. Change My Story, is a theory-grounded, interactive narrative game designed to address the key drivers of depression and psychological distress among Y-PLWH in Nigeria. This pilot hybrid implementation-effectiveness randomized controlled trial (RCT) will compare Change My Story combined with PST to PST alone among 80 Y-PLWH with depression or psychological distress.

Eligibility

Inclusion Criteria:

* HIV-positive
* age 16-24 years
* self-reported proficiency in reading and understanding English.
* PHQ9 score of 8-17 and impairment in functioning (consistent with clinical depression)

Exclusion Criteria:

* pregnant or nursing
* in care and on ART for \<6 months
* history of- or positive assessment for- bipolar or psychotic disorder.

Conditions3

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