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NCT Number: NCT05006625

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

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).

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Key information

Conditions

Depression Behavior Behavioral Symptoms HIV

Sex eligibility

All sexes

Study type

Observational

Primary location

Chulalongkorn University

Bangkok, Thailand

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

AYA patients at the CU Buddy Clinic (for both quantitative and qualitative study)

Inclusion criteria

  • 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

Exclusion criteria

  • Individuals with a history of, or are currently receiving, mental healthcare at the CU psychiatric clinic or elsewhere

Service providers at CU Buddy Clinic

Inclusion criteria

  • Current staff providing care at the CU Buddy Clinic with any active patient interface, such as physicians, nurses, peer navigators, psychologists and psychiatrists

Exclusion criteria

  • Staff with less than 3 months duration of service at the CU Buddy Clinic
  • Staff who are not affiliated with the CU Buddy Clinic

Treatment and study plan

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

Primary outcomes

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

    Time frame: 1 year

    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

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

    Time frame: 1 year

    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

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

    Time frame: 1 year

    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

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

    Time frame: 1 year

    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

Sponsors and collaborators

Lead sponsor

Chulalongkorn University

Other

Collaborators

  • amfAR, The Foundation for AIDS Research

Registry information

Official study title

Implementation of a Collaborative Care Model to Screen and Treat Depression Among Adolescents and Young Adults Ages 15-24 Years Seeking HIV Treatment and Prevention Services in Bangkok, Thailand

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Aug 16, 2021
Registry last updated
Feb 9, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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