Integration of a Collaborative Care Model for Mental Health Services Into HIV Care for Pregnant and Postpartum Women in Kenya (the Tunawiri Study)

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

This study seeks to improve mental health, pregnancy, and HIV outcomes among pregnant and postpartum women living with HIV with common mental health disorders in Kenya. The investigators will tailor a collaborative care model for peripartum women with HIV experiencing mental health symptoms and evaluate its impact on participants' mental health, antenatal, and HIV care outcomes. The investigators will actively engage key stakeholders throughout the process and assess scalability and sustainability through multi-method approaches. This study will contribute to the overall goal of achieving optimal health outcomes for women living with HIV and their families in sub-Saharan Africa.

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 15
Healthy Volunteers: f
View:

• pregnant woman living with HIV attending an antenatal clinic in southwestern Kenya

• screening positive for probable common mental disorders

• living in catchment area of study facility.

• on/initiating ART

• \>15 years of age

Locations
Other Locations
Kenya
Kenya Medical Research Institute
RECRUITING
Nairobi
Contact Information
Primary
Lisa Abuogi, MD,MSc
lisa.abuogi@cuanschutz.edu
303-724-9383
Time Frame
Start Date: 2024-10-01
Estimated Completion Date: 2028-05-31
Participants
Target number of participants: 900
Treatments
Experimental: Collaborative Care Model (CCM)
The investigators propose a CCM called Tunawiri, meaning thrive in Kiswahili, that will be integrated within an existing multidisciplinary team of clinicians, mentor mothers, and other clinic staff in Kenyan antenatal care clinics. CCM includes: 1) clinic-level sensitization and integration, 2) Screening for CMD including anxiety, depression and trauma symptoms, 3) Problem-solving type cognitive behavioral therapy delivered by lay health workers, 4) Decision Support and monitoring via an Electronic Health Registry, and 5) Psychiatrist case review and nurse-managed mental health medication.
Related Therapeutic Areas
Sponsors
Collaborators: Kenya Medical Research Institute, University of Alabama at Birmingham, University of North Carolina, Chapel Hill
Leads: University of Colorado, Denver

This content was sourced from clinicaltrials.gov