Table 1.
Technology-based mental health interventions for people living with HIV/AIDS (searched conducted on May 28, 2015)
Author, year | Targeted MH condition and health behavior | MH intervention | Duration of intervention | Sample | Results |
---|---|---|---|---|---|
I. Telephone-based interventions (n=5) | |||||
Heckman et al., 2013 [24••] | Depression | 11: Supportive-expressive group therapy (tele-SEGT) 12: Coping effectiveness training (tele-CET) C: Standard of Care (SOC) |
12 weekly sessions (90 min per session, 6-8 people per group) | HIV+ older adults; 11: n=122; 12: n=118; C: n=121 | Participants in the tele-SEGT group reported fewer depressive symptoms compared to the tele-CET group at post-intervention and 8-month follow-up as well as to the SOC controls at post-intervention, 4-, and 8-month follow-up |
11: Supportive-expressive group therapy (tele-SEGT) 12: Coping effectiveness training (tele-CET) C: Standard of Care (SOC) |
12 weekly sessions (90 min per session, 6-8 people per group) | HIV+ older men who have sex with men (MSM): n=149; heterosexual: n=212 | MSM and heterosexual participants attended comparable numbers of group sessions. Heterosexual participants received t-SEGT had significantly greater reductions in depressive symptoms compared to SOC controls | ||
Himelhoch et al., 2013 [25••] | Major depression and HAART adherence | I: Telephone-based Cognitive behavioral therapy (T-CBT) C: face-to-face (f2f) therapy |
11-session | Low-income, urban-dwelling people with HIV/AIDS; I: n=16; C: n=18 | Significant differences in depression treatment outcomes were found for within group but not for between group. Participants in the T-CBT group were significantly more likely to maintain HAART adherence compared to the f2f group |
Lovejoy, 2012 [26] | Depression, anxiety, stress, and sexual risk behavior | Telephone-delivered motivational interviewing (MI) 11: One-session MI 12: Four-session MI C: Stand of Care (SOC) |
One- or four-session | HIV+ adults 45+years old: 11: n=39; 12: n=38; C: n=23 | Participants in 11 and 12 reported lower levels of depression, anxiety, and stress at 6-month follow-up compared to the SOC group |
Moore et al., 2015 [35] | Bipolar disorder, ARV, and PSY adherence | I: Medication adherence psychoeducation and daily texts assessing mood, plus personalized medication reminder texts C: Active comparison (CTRL) |
30-day | HIV+ with co-occurring bipolar disorder (HIV+/BD+); I: n=25; C: n=25 | Mean adherence was high and comparable between groups for both ARV and PSY medications among HIV+/BD+. iTAB participants took ARV significantly closer to intended dosing time compared to CTRL (p=0.002, Cliff's d=0.37) |
II. Computer-based interventions (n=2) | |||||
Brown et al., 2011 [36] | Psychosocial stress | Computerized stress management training (CSMT) 11: Immediate intervention 12: Delayed intervention |
One single session (~90 min) | 60 HIV+ female (70 % African American) | Participants in the immediate intervention group demonstrated improved stress management knowledge compared to delayed treatment control at the follow-up (p<0.01). No between-group difference was found for depressive symptoms, psychological distress, perceived stress, and coping self-efficacy (p>0.05) |
Hersch et al., 2013 [37] | Psychosocial stress, mood management, and ARV adherence | 11: Web-based adapted Life-Steps + evidence-based web-based stress and mood management program C: Waitlist control condition |
10 Life-Steps medication adherence modules; 9 stress management modules | HIV+, on ARVs, detectable viral load (>48 copies/ml) no dx of mental disorder | Patients in the web-based Life-Steps condition had significantly higher ARV adherence rates than patients in the control group after 9-month follow-up as measured by MEMS. No significant effects were found on psychosocial stress and mood management |
Abbreviations not described in the table are listed in alphabetical order as follows: ARVantiretroviral, C control, I intervention, HARRT highly active antiretroviral therapy, MH mental health, OR odds ratio, PSY psychotropic