The Impact of a Family-Based Economic Intervention on the Mental Health of HIV-Infected Adolescents in Uganda: Results From Suubi + Adherence.
The Impact of a Family-Based Economic Intervention on the Mental Health of HIV-Infected Adolescents in Uganda: Results From Suubi + Adherence.
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DOI：
10.1016/j.jadohealth.2020.07.022
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发表时间：
2021-04
期刊：
影响因子：
--
通讯作者：
Ssewamala FM
中科院分区：
文献类型：
--
作者：
Cavazos-Rehg P;Byansi W;Xu C;Nabunya P;Sensoy Bahar O;Borodovsky J;Kasson E;Anako N;Mellins C;Damulira C;Neilands T;Ssewamala FM
本研究考察了通过在乌干达感染艾滋病毒的青少年中实施以家庭为基础的经济干预，在多大程度上改善了三项心理健康措施（绝望、抑郁和自我概念差）。我们使用了Suubi +依从性的重复测量，这是一项为期6年（2012-2018）的大型纵向随机对照试验。进行双变量分析以检验干预条件和对照条件之间的可观察组差异。然后采用多水平分段重复测量混合模型，使用参与者特定的随访时间间隔来评估假设的时间×干预在绝望、抑郁和自我概念变化中的相互作用。在干预开始后24个月，干预组青少年的绝望得分低于对照组青少年（4.79比5.56;p = 0.018; N = 358）。在36个月的随访中，干预组抑郁亚组（N = 344）的抑郁评分低于对照组（4.94比5.81;p = 0.029）。结果表明，以家庭为基础的经济干预，如Suubi +依从性，可以有效改善基线时存在心理健康挑战的艾滋病毒感染青少年的心理健康。考虑到这些干预措施的积极效果，至少在短期内，未来的研究应该调查促进这些心理健康益处的可持续性的策略。
This study examines the extent to which three mental health measures (hopelessness, depression, and poor self-concept) are improved through a family-based economic intervention implemented among adolescents living with HIV in Uganda. We used repeated measures from Suubi + Adherence, a large-scale 6-year (2012–2018) longitudinal randomized controlled trial. Bivariate analyses were conducted to test for observable group differences between the intervention and control conditions. Multilevel piecewise repeated measure mixed models were then conducted to assess hypothesized time × intervention interaction in changes in hopelessness, depression, and self-concept using participant-specific follow-up intervals. At 24-month postintervention initiation, adolescents in the intervention condition reported a statistically significant lower hopelessness score than adolescents in the control condition (4.79 vs. 5.56; p = .018; N = 358). At 36-month follow-up, the intervention condition reported a statistically significant lower score on depression in the depression subgroup (N = 344) than the control condition (4.94 vs. 5.81; p = .029). The results indicate that family-based economic interventions such as Suubi + Adherence can effectively improve the mental health of adolescents living with HIV who evidenced mental health challenges at baseline. Given the promising positive effects of these interventions, at least in the short term, future studies should investigate strategies to promote the sustainability of these mental health benefits.
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DOI：
10.1016/j.socscimed.2017.01.023
发表时间：
2017-03
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Hjelm L;Handa S;de Hoop J;Palermo T;Zambia CGP and MCP Evaluation Teams
通讯作者：
Zambia CGP and MCP Evaluation Teams
影响因子：
2
作者：
SHERRADEN, M
通讯作者：
SHERRADEN, M
影响因子：
2.4
作者：
Gilbert, Leah;Walker, Liz
通讯作者：
Walker, Liz
影响因子：
4.4
作者：
McMahon, James;Wanke, Christine;Terrin, Norma;Skinner, Sally;Knox, Tamsin
通讯作者：
Knox, Tamsin
影响因子：
6.3
作者：
Han CK;Ssewamala FM;Wang JS
通讯作者：
Wang JS