Enhanced Problem-solving Therapy and HIV Engagement Support to Improve Perinatal Mental Health & HIV Outcomes in Malawi
Recruiting · NCT06702722 · Interventional (participants receive a specific treatment) · Lead sponsor: University of North Carolina, Chapel Hill
View the official record on ClinicalTrials.gov →Interventions studied
Enhanced Friendship BenchEnhanced usual care
What this trial is about
The main objective of the proposed study is to evaluate the effectiveness of the Enhanced Friendship Bench intervention to improve perinatal depression, HIV care engagement, and infant health outcomes among pregnant women with HIV and depression in Malawi.
Who can take part
Age range
18 Years and older
Sex
Female
Healthy volunteers
No - a diagnosis or condition is required
Phase
Not applicable (e.g. observational or device study)
Study type
Interventional (participants receive a specific treatment)
Inclusion criteria
- Presenting for antenatal care at one of our 5 recruitment sites
- ≥ 18 years of age
- ≤ 34 weeks gestation
- HIV-positive, based on medical records
- Initiating, re-initiating, or on established ART during index pregnancy
- Elevated depressive symptoms as indicated by a EPDS score ≥10. The EPDS is widely used to assess perinatal mood disorders that has been validated in perinatal populations in Malawi with this cut point to identify probable perinatal depression
Exclusion criteria
- Suicidal ideation evaluated as acute risk.
- Other health concerns requiring emergent response.
Where it is running
5 locations listed.
- Area 18 Health Center - Lilongwe, Malawi
- Area 25 Health Center - Lilongwe, Malawi
- Bwaila Hospital - Lilongwe, Malawi
- Kawale Health Center - Lilongwe, Malawi
- Likuni Mission Hosptial - Lilongwe, Malawi