Open AccessFeasibility, 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
Author(s) -
Anna Junkins,
Christina Psaros,
Corilyn Ott,
Andrés Azuero,
Crystal Chapman Lambert,
Karen L. Cropsey,
Robert Savage,
Jessica Haberer,
Steven A. Safren,
Mirjam Colette Kempf
Publication year - 2020
Publication title -
journal of health psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.716
H-Index - 88
eISSN - 1461-7277
pISSN - 1359-1053
DOI - 10.1177/1359105320926526
Subject(s) - telemedicine , mental health , medicine , depression (economics) , antiretroviral therapy , videoconferencing , intervention (counseling) , cognitive behavioral therapy , randomized controlled trial , human immunodeficiency virus (hiv) , clinical psychology , cognition , psychiatry , health care , viral load , family medicine , telecommunications , computer science , economics , macroeconomics , economic growth
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.