Feasibility, acceptability, and preliminary impact of telemedicine-administered cognitive behavioral therapy for adherence and depression among African American women living with HIV in the rural South

被引：15
|
作者：
Junkins, Anna [1 ]
Psaros, Christina [2 ,3 ]
Ott, Corilyn [1 ]
Azuero, Andres [1 ]
Lambert, Crystal Chapman [1 ]
Cropsey, Karen [1 ]
Savage, Robert [1 ]
Haberer, Jessica E. [2 ,3 ]
Safren, Steven A. [4 ]
Kempf, Mirjam-Colette [1 ]
机构：
[1] Univ Alabama Birmingham, 1701 Univ Blvd, Birmingham, AL 35294 USA
[2] Massachusetts Gen Hosp, Boston, MA 02114 USA
[3] Harvard Med Sch, Boston, MA 02115 USA
[4] Univ Miami, Coral Gables, FL 33124 USA
来源：
JOURNAL OF HEALTH PSYCHOLOGY | 2021年 / 26卷 / 14期
基金：
美国国家卫生研究院;
关键词：
adherence; cognitive behavioral therapy; depression; HIV; women's health; ANTIRETROVIRAL MEDICATION ADHERENCE; HEALTH-CARE-DELIVERY; UNITED-STATES; NEUROCOGNITIVE IMPAIRMENT; INFECTED ADOLESCENT; DRUG-USERS; CBT-AD; BARRIERS; COHORT; HIV/AIDS;
D O I：
10.1177/1359105320926526
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Women living with HIV are disproportionally affected by depression and mental healthcare access. A pilot feasibility trial using videoconferencing compared cognitive behavioral therapy for antiretroviral therapy adherence and depression (N = 11) to supportive psychotherapy (N = 11). Participants completed 10-12 weekly therapy sessions and 6-month follow-up. Retention at 6 months was 95 percent. Depression symptoms significantly decreased in both arms; antiretroviral therapy adherence remained high as measured via self-report and Wisepill. Satisfaction with intervention components was high; videoconferencing was highly acceptable and comparable to face-to-face counseling. This study demonstrates the feasibility of telemedicine-administered psychotherapy addressing mental health needs among women living with HIV.
引用
收藏
页码：2730 / 2742
页数：13
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