Implementation of a Collaborative Care Model to Manage Depression Among Adolescents and Young Adults in HIV Services in Thailand

NCT05006625 | Completed

• 1 other identifier: CHIMERA
• Study Type: observational
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate the acceptability and feasibility of the implementation of a collaborative care model (CCM) to screen and treat depression. This model will includes cognitive behavioral therapy (CBT) and useof a task-shifting model to address depression among adolescents and young adults (AYA) who are seeking HIV treatment and prevention services at a hospital in Bangkok, Thailand. Analyses will be guided by the consolidated framework for implementation research (CFIR), which will include the identification of facilitators and barriers to implementation of this CCM. In the last 3 years, 10-20% of AYA patients at King Chulalongkorn Memorial Hospital (KCMH) who seek HIV treatment or prevention services suffer from mental health disorders. As a result, CCM integration for depression screening and treatment was implemented at the 'CU Buddy Clinic' KCMH with the ultimate goal of increasing access to and engagement in mental healthcare with a goal to improve the overall quality of life for Thai AYA. This project will inform a future implementation science study that will focus on how the optimization of integrated mental healthcare into routine AYA HIV treatment and prevention services can impact health outcomes for patients, including ART adherence and long-term viral suppression (AYA living with HIV) and HIV acquisition risk behaviors and PrEP adherence (AYA at risk for HIV).

Conditions

Depression; HIV

Outcome Measures

Primary Outcomes (4)

• Feasibility of using the collaborative care model integration to routine HIV care services

  Qualitative assessment - in-depth interviews using semi-structured interview guides individually asking service providers and adolescent service users the feasibility of using the collaborative care model on integration of screening and treatment for depression (including CBT) for standard AYA HIV treatment and prevention services, audio recorded, transcripted and coded for qualitative analysis

  1 year

• Acceptability of using the collaborative care model integration to routine HIV care services

  Qualitative assessment - in-depth interviews using semi-structured interview guides individually asking service providers and adolescent service users the acceptability of using the collaborative care model on integration of screening and treatment for depression (including CBT) for standard AYA HIV treatment and prevention services, audio recorded, transcripted and coded for qualitative analysis

  1 year

• Facilitators of using the collaborative care model integration to routine HIV care services

  Qualitative assessment - in-depth interviews using semi-structured interview guides individually asking service providers and adolescent service users the facilitators of using the collaborative care model on integration of screening and treatment for depression (including CBT) for standard AYA HIV treatment and prevention services, audio recorded, transcripted and coded for qualitative analysis

  1 year

• Barriers of using the collaborative care model integration to routine HIV care services

  Qualitative assessment - in-depth interviews using semi-structured interview guides individually asking service providers and adolescent service users the barriers of using the collaborative care model on integration of screening and treatment for depression (including CBT) for standard AYA HIV treatment and prevention services, audio recorded, transcripted and coded for qualitative analysis

  1 year

Study Arms (2)

Adolescents and Young Adults

Adolescents and Young Adults Seeking HIV Treatment and Prevention

Other: Collaborative Care Model

Service Providers

Service Providers for Adolescents and Young Adults Seeking HIV Treatment and Prevention

Other: Collaborative Care Model

Interventions

Collaborative Care Model OTHER

Use of the collaborative care model to screen and deliver care for depression in adolescents and young adults aged 15-24 years seeking HIV prevention and treatment services

Adolescents and Young Adults; Service Providers

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

1. Service users aged 15-24 starting or currently receiving HIV treatment and prevention services, which includes any individual or combination receipt of the following services: ART, PrEP, HIV testing, receipt of condoms, HIV risk counselling 2. Staff providing care at the adolescent HIV treatment and prevention services, with any active patient interface, such as physicians, nurses, peer navigators, psychologists and psychiatrists

You may qualify if:

• Aged 15-24 years of age
• Starting or currently receiving HIV treatment and prevention services, which includes any individual or combination receipt of the following services: ART, PrEP, HIV testing, receipt of condoms, HIV risk counselling
• Thai Nationality

You may not qualify if:

• Individuals with a history of, or are currently receiving, mental healthcare at the CU psychiatric clinic or elsewhere
• Service providers at CU Buddy Clinic
• Current staff providing care at the CU Buddy Clinic with any active patient interface, such as physicians, nurses, peer navigators, psychologists and psychiatrists
• Staff with less than 3 months duration of service at the CU Buddy Clinic
• Staff who are not affiliated with the CU Buddy Clinic

Sponsors & Collaborators

• Chulalongkorn University: lead
• amfAR, The Foundation for AIDS Research: collaborator

Study Sites (1)

Chulalongkorn University

Bangkok, Thailand

Location

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 20, 2021
• First Posted: August 16, 2021
• Study Start: October 1, 2021
• Primary Completion: February 24, 2022
• Study Completion: February 24, 2022
• Last Updated: February 9, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

TH (1)