Suubi4Stigma study protocol: a pilot cluster randomized controlled trial to address HIV-associated stigma among adolescents living with HIV in Uganda - Archive ouverte HAL
Article Dans Une Revue Pilot and Feasibility Studies Année : 2022

Suubi4Stigma study protocol: a pilot cluster randomized controlled trial to address HIV-associated stigma among adolescents living with HIV in Uganda

Proscovia Nabunya
Fred M Ssewamala
  • Fonction : Auteur
Ozge Sensoy Bahar
  • Fonction : Auteur
Lynn T M Michalopoulos
  • Fonction : Auteur
James Mugisha
  • Fonction : Auteur
Torsten B Neilands
  • Fonction : Auteur
Mary M Mckay
  • Fonction : Auteur

Résumé

Background: Sub-Saharan Africa (SSA) is heavily burdened by HIV, with 85% of the global new infections among adolescents happening in the region. With advances in medication and national policies promoting antiretroviral therapy (ART), children < 15 years living with HIV (CLWH) continue to grow with a chronic, highly stigmatized disease. Unfortunately, the stigma they experience results in much lower quality of life, including poor mental health and treatment outcomes. Family members also experience stigma and shame by virtue of their association with an HIVinfected family member. Yet, stigma-reduction interventions targeting CLWH and their families are very limited. The goal of this study is to address HIV-associated stigma among CLWH and their caregivers in Uganda. Methods: This three-arm cluster randomized control trial, known as Suubi4Stigma, will evaluate the feasibility, acceptability, and preliminary impact of two evidence-based interventions: (1) group cognitive behavioral therapy (G-CBT) focused on cognitive restructuring and strengthening coping skills at the individual level and (2) a multiple family group (MFG) intervention that strengthens family relationships to address stigma among CLWH (N = 90, 10-14 years) and their families (dyads) in Uganda. Nine clinics will be randomized to one of three study arms (n = 3 clinics, 30 child-caregiver dyads each): (1) usual care; (2) G-CBT + usual care; and (3) MFG + usual care. Both treatment and control conditions will be delivered over a 3-month period. Data will be collected at baseline (pre-intervention) and at 3 months and 6 months post-intervention initiation. Conclusion: The primary aim of the proposed project is to address the urgent need for theoretically and empirically informed interventions that seek to reduce HIV-associated stigma and its negative impact on adolescent health and psychosocial well-being. As several countries in SSA grapple with care and support for CLWH, this study will lay the foundation for a larger intervention study investigating how HIV-associated stigma can be reduced to foster healthy child development-especially for CLWH as they transition through adolescence.
Fichier principal
Vignette du fichier
53-Nabunya-et-al-Pilot&Feasability-Studies-2022.pdf (1.04 Mo) Télécharger le fichier
Origine Fichiers éditeurs autorisés sur une archive ouverte

Dates et versions

hal-03893492 , version 1 (11-12-2022)

Identifiants

Citer

Proscovia Nabunya, Fred M Ssewamala, Ozge Sensoy Bahar, Lynn T M Michalopoulos, James Mugisha, et al.. Suubi4Stigma study protocol: a pilot cluster randomized controlled trial to address HIV-associated stigma among adolescents living with HIV in Uganda. Pilot and Feasibility Studies, 2022, 8, ⟨10.1186/s40814-022-01055-7⟩. ⟨hal-03893492⟩
10 Consultations
23 Téléchargements

Altmetric

Partager

More