Process Evaluation of a Randomized Controlled Trial of Group Support Psychotherapy for Depression Treatment Among People with HIV/AIDS in Northern Uganda.
We describe the process evaluation for a randomized controlled trial that compared group support psychotherapy (GSP) with group HIV education for treatment of depression among people with HIV. Process data were obtained using mixed methods. Variables evaluated were indicators of feasibility and acceptability; causal mediating processes and contextual influences. GSP was feasible and acceptable. Potential mediating variables between GSP and reduction of depression were improved emotional and social support, better coping strategies, and pursuit of livelihoods. Culturally sensitive intervention content facilitated intervention delivery. These data complement the trial outcomes, and may provide a contextualized description of how GSP treats depression.
College of Health Sciences, Makerere University, Kampala, Uganda. ethelmpungu@yahoo.com.|Department of Psychiatry, School of Medicine, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda. ethelmpungu@yahoo.com.
Etheldreda
0000-0001-6857-8931
E
Nakimuli-Mpungu
Center for Victims of Torture, Gulu, Uganda.
Kizito
K
Wamala
Department of Psychiatry, Gulu University, Gulu, Uganda.
James
J
Okello
Ministry of Health of Uganda, Kampala, Uganda.
Sheila
S
Ndyanabangi
Precision Health Economics, Vancouver, Canada.
Steve
S
Kanters
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Ramin
R
Mojtabai
Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Jean B
JB
Nachega
Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Canada.
Edward J
EJ
Mills
College of Health Sciences, Makerere University, Kampala, Uganda.
Seggane
S
Musisi
D000223:Adaptation, Psychological; D000328:Adult; D003466:Cultural Characteristics; D003863:Depression / Q000208:ethnology / Q000209:etiology / Q000628:therapy*; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D017064:Process Assessment, Health Care; D011615:Psychotherapy, Group / Q000379:methods*; D012657:Self-Help Groups; D012944:Social Support; D016896:Treatment Outcome; D014454:Uganda / Q000453:epidemiology
Depression; Group support psychotherapy; Persons living with HIV/AIDS; Process evaluation; Randomized trial; Uganda