Kemri-Wellcome Trust Research Programme: The Adaptation and Initial Evaluation of an Intervention to Promote Mental Health Outcome of Adolescents Living With HIV in Rural Kenya

Almost 2.3 million children and adolescents are HIV infected worldwide, of these 88% live in sub-Saharan Africa (SSA). Adolescents living with HIV Infection (ALHIV) are at an elevated risk of experiencing mental health problems. Moreover, ALHIV experiencing mental health problems are also at risk of eliciting risky sexual behaviours, partaking in drug or substance abuse and poor adherence to drug therapy. Evidence from adult population living with HIV infection, suggest that cognitive behavioural therapy (CBT) interventions are feasible, acceptable and efficacious across a wide range of mental health problems. However, despite promising results among adults, there is hardly any systematic studies evaluating the extent to which CBT strategies may work in addressing the needs of ALHIV, especially in SSA. I propose a study aimed at developing an adolescent friendly computer based CBT intervention which has been tailored to meet the needs of ALHIV with mental health problems. A randomised control study design will be used. A measure of mental health problems will be administered at baseline and post intervention to both groups. Multi-level regression model will be used to correlate measurement scores from the same individual at different time points and adjust for possible confounders.

Programme: International Masters Fellowship

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