Evidence map›Paper›PMID 38167261›Full record

ArticleImplementation science communications2024

Community health worker training to reduce mental health and substance use stigma towards patients who have disengaged from HIV/TB care in South Africa: protocol for a stepped wedge hybrid type II pilot implementation trial.

Bronwyn Myers, Kristen S Regenauer, Alexandra Rose, Kim Johnson, Sibabalwe Ndamase, Nonceba Ciya, Imani Brown, John Joska, Ingrid V Bassett, Jennifer M Belus and 3 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05282173 (Training CHWs to Support Re-Engagement in TB/HIV Care in the Context of Depression and Substance Use), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05282173 nacompletednot on this map

Training CHWs to Support Re-Engagement in TB/HIV Care in the Context of Depression and Substance Use

TypeinterventionalSponsorUniversity of Maryland, College ParkRan2022 to 2023Enrolled82ConditionsSubstance-Related Disorders, Mental Disorder, Social Stigma, DepressionArmsSiyakhana CHW Training
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. "Global mental health (Cambridge, England) · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 4 countries.

Bronwyn MyersCurtin enAble Institute, Faculty of Health Sciences, Curtin University, Kent Street, Perth, WA, Australia. bronwyn.myers-franchi@curtin.edu.au.ORCID http://orcid.org/0000-0003-0235-6716
Kristen S RegenauerDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Alexandra RoseDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Kim JohnsonMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Parow, Cape Town, South Africa.
Sibabalwe NdamaseMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Parow, Cape Town, South Africa.
Nonceba CiyaMental Health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Parow, Cape Town, South Africa.
Imani BrownDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
John JoskaDepartment of Psychiatry and Mental Health, Division of Neuropsychiatry, University of Cape Town, HIV Mental Health Research Unit, Cape Town, South Africa.
Ingrid V BassettDivision of Infectious Diseases, Medical Practice Evaluation Center, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
Jennifer M BelusDepartment of Clinical Research, Division of Clinical Epidemiology, University Hospital Basel, University of Basel, Basel, Switzerland.
Tianzhou Charles MaDepartment of Epidemiology and Biostatistics, University of Maryland, College Park, MD, USA.
Goodman SibekoDepartment of Psychiatry and Mental Health, Division of Addiction Psychiatry, University of Cape Town, Cape Town, South Africa.
Jessica F MagidsonDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
University of Maryland, College Park · USSouth African Medical Research Council · ZAUniversity of Cape Town · ZAHarvard University · USSwiss Tropical and Public Health Institute · CH

Funding

Training CHWs to Support Re-Engagement in TB/HIV Care in the Context of Depression and Substance UseR34MH122268 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI MAGIDSON, JESSICA F, MYERS, BRONWYN · 2020 to 2022
$606k
Effectiveness and implementation of pre-training interpersonal skills assessment of community health workers in South Africa to predict post-training competence in mental health careF31MH123020 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI ROSE, ALEXANDRA LEAH · 2021 to 2023
$127k
Examining the Effect of Peers on Internalized Substance Use Stigma in the Context of HIV and Substance Use Care Engagement in South AfricaR36DA057167 · NIDA · UNIV OF MARYLAND, COLLEGE PARK · PI REGENAUER, KRISTEN SATU · 2022 to 2023
$106k
NIDA NIH HHS R36 DA057167NIMH NIH HHS F31 MH123020NIMH NIH HHS R34 MH122268
6 · The paper itself

Abstract

backgroundSouth Africa has deployed community health workers (CHWs) to support individuals to enter and stay in HIV/TB care. Although CHWs routinely encounter patients with mental health (particularly depression) and substance use (SU) conditions that impact their engagement in HIV/TB care, CHWs are rarely trained in how to work with these patients. This contributes to mental health and SU stigma among CHWs, a known barrier to patient engagement in care. Mental health and SU training interventions could reduce CHW stigma and potentially improve patient engagement in care, but evidence of the feasibility, acceptability, and preliminary effectiveness of these interventions is scarce. Therefore, we designed a hybrid type 2 effectiveness-implementation pilot trial to evaluate the implementation and preliminary effectiveness of a CHW training intervention for reducing depression and SU stigma in the Western Cape, South Africa.

methodsThis stepped wedge pilot trial will engage CHWs from six primary care clinics offering HIV/TB care. Clinics will be block randomized into three-step cohorts that receive the intervention at varying time points. The Siyakhana intervention involves 3 days of training in depression and SU focused on psychoeducation, evidence-based skills for working with patients, and self-care strategies for promoting CHW wellness. The implementation strategy involves social contact with people with lived experience of depression/SU during training (via patient videos and a peer trainer) and clinical supervision to support CHWs to practice new skills. Both implementation outcomes (acceptability, feasibility, fidelity) and preliminary effectiveness of the intervention on CHW stigma will be assessed using mixed methods at 3- and 6-month follow-up assessments. DISCUSSION: This trial will advance knowledge of the feasibility, acceptability, and preliminary effectiveness of a CHW training for reducing depression and SU stigma towards patients with HIV and/or TB. Study findings will inform a larger implementation trial to evaluate the longer-term implementation and effectiveness of this intervention for reducing CHW stigma towards patients with depression and SU and improving patient engagement in HIV/TB care.

trial registrationClinicalTrials.gov NCT05282173. Registered on 7 March 2022.

Indexed as

DepressionGlobal mental healthLow- and middle-income countryStigmaTask-sharing

Identifiers

PMID38167261
PMCPMC10759561
OpenAlexW4390500396

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.