Adaptation, acceptability and feasibility of Problem Management Plus (PM+) intervention to promote the mental health of young people living with HIV in Kenya: formative mixed-methods research
Background Problem Management Plus (PM+) is a psychological intervention that seeks to address common mental disorders among individuals exposed to adversity. Thus far, the potential for delivering PM+ by mobile phones has not been evaluated. Aims To adapt PM+ for telephone delivery (ten weekly se...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-09-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472422005646/type/journal_article |
| _version_ | 1811156910303346688 |
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| author | Moses Kachama Nyongesa Eva Mwangome Paul Mwangi Carophine Nasambu Judy Wanjiru Mbuthia Hans M. Koot Pim Cuijpers Charles R. J. C. Newton Amina Abubakar |
| author_facet | Moses Kachama Nyongesa Eva Mwangome Paul Mwangi Carophine Nasambu Judy Wanjiru Mbuthia Hans M. Koot Pim Cuijpers Charles R. J. C. Newton Amina Abubakar |
| author_sort | Moses Kachama Nyongesa |
| collection | DOAJ |
| description |
Background
Problem Management Plus (PM+) is a psychological intervention that seeks to address common mental disorders among individuals exposed to adversity. Thus far, the potential for delivering PM+ by mobile phones has not been evaluated.
Aims
To adapt PM+ for telephone delivery (ten weekly sessions of about 45 min each) and preliminarily evaluate its acceptability and feasibility with young people living with HIV (YLWH) in coastal Kenya.
Method
This was a mixed-method formative research. Qualitative data collection included consultations with stakeholders, conducting key informant interviews with HIV care providers and focus group discussions with potential end-users, i.e. YLWH. Moreover, brief exit interviews with recipients of the adapted PM+ were conducted. Quantitative acceptability and feasibility indicators and outcome measures were tracked/assessed during PM+ preliminary implementation involving 70 YLWH.
Results
From the qualitative inquiries, the adapted PM+ emerged as contextually appropriate, acceptable and feasible for mobile phone delivery, despite some concerns around missing nonverbal cues and poor network connectivity. High recruitment (85%) and fair programme retention (69%) were observed. Intervention sessions over the telephone lasted 46 min on average (range 42–55 min). Preliminary feasibility data indicated that the adapted PM+ has the potential of reducing common mental disorders among YLWH from the Kenyan coast.
Conclusions
PM+ is acceptable and can feasibly be delivered via mobile phone to YLWH in coastal Kenya. This study sets the stage for a future fully powered, randomised controlled trial assessing the efficacy of the adapted PM+ in this or a similar setting.
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| first_indexed | 2024-04-10T04:57:57Z |
| format | Article |
| id | doaj.art-54712caf7ef84fcf9ac41d2fcb2bb002 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:57:57Z |
| publishDate | 2022-09-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-54712caf7ef84fcf9ac41d2fcb2bb0022023-03-09T12:29:21ZengCambridge University PressBJPsych Open2056-47242022-09-01810.1192/bjo.2022.564Adaptation, acceptability and feasibility of Problem Management Plus (PM+) intervention to promote the mental health of young people living with HIV in Kenya: formative mixed-methods researchMoses Kachama Nyongesa0https://orcid.org/0000-0002-7761-0718Eva Mwangome1Paul Mwangi2Carophine Nasambu3Judy Wanjiru Mbuthia4Hans M. Koot5Pim Cuijpers6https://orcid.org/0000-0001-5497-2743Charles R. J. C. Newton7Amina Abubakar8KEMRI-Wellcome Trust Research Programme, Centre for Geographic Medicine Research (Coast), Kenya; and Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, The NetherlandsKEMRI-Wellcome Trust Research Programme, Centre for Geographic Medicine Research (Coast), KenyaKEMRI-Wellcome Trust Research Programme, Centre for Geographic Medicine Research (Coast), KenyaKEMRI-Wellcome Trust Research Programme, Centre for Geographic Medicine Research (Coast), KenyaUzima Mental Health Services, KenyaDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, The NetherlandsDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, The NetherlandsKEMRI-Wellcome Trust Research Programme, Centre for Geographic Medicine Research (Coast), Kenya; Department of Public Health, Pwani University, Kenya; Department of Psychiatry, University of Oxford, UK; and Institute for Human Development, Aga Khan University, KenyaKEMRI-Wellcome Trust Research Programme, Centre for Geographic Medicine Research (Coast), Kenya; Department of Public Health, Pwani University, Kenya; Department of Psychiatry, University of Oxford, UK; and Institute for Human Development, Aga Khan University, Kenya Background Problem Management Plus (PM+) is a psychological intervention that seeks to address common mental disorders among individuals exposed to adversity. Thus far, the potential for delivering PM+ by mobile phones has not been evaluated. Aims To adapt PM+ for telephone delivery (ten weekly sessions of about 45 min each) and preliminarily evaluate its acceptability and feasibility with young people living with HIV (YLWH) in coastal Kenya. Method This was a mixed-method formative research. Qualitative data collection included consultations with stakeholders, conducting key informant interviews with HIV care providers and focus group discussions with potential end-users, i.e. YLWH. Moreover, brief exit interviews with recipients of the adapted PM+ were conducted. Quantitative acceptability and feasibility indicators and outcome measures were tracked/assessed during PM+ preliminary implementation involving 70 YLWH. Results From the qualitative inquiries, the adapted PM+ emerged as contextually appropriate, acceptable and feasible for mobile phone delivery, despite some concerns around missing nonverbal cues and poor network connectivity. High recruitment (85%) and fair programme retention (69%) were observed. Intervention sessions over the telephone lasted 46 min on average (range 42–55 min). Preliminary feasibility data indicated that the adapted PM+ has the potential of reducing common mental disorders among YLWH from the Kenyan coast. Conclusions PM+ is acceptable and can feasibly be delivered via mobile phone to YLWH in coastal Kenya. This study sets the stage for a future fully powered, randomised controlled trial assessing the efficacy of the adapted PM+ in this or a similar setting. https://www.cambridge.org/core/product/identifier/S2056472422005646/type/journal_articleCommon mental disordersyoung peopleHIV infectionsProblem Management Plusacceptability and feasibility |
| spellingShingle | Moses Kachama Nyongesa Eva Mwangome Paul Mwangi Carophine Nasambu Judy Wanjiru Mbuthia Hans M. Koot Pim Cuijpers Charles R. J. C. Newton Amina Abubakar Adaptation, acceptability and feasibility of Problem Management Plus (PM+) intervention to promote the mental health of young people living with HIV in Kenya: formative mixed-methods research BJPsych Open Common mental disorders young people HIV infections Problem Management Plus acceptability and feasibility |
| title | Adaptation, acceptability and feasibility of Problem Management Plus (PM+) intervention to promote the mental health of young people living with HIV in Kenya: formative mixed-methods research |
| title_full | Adaptation, acceptability and feasibility of Problem Management Plus (PM+) intervention to promote the mental health of young people living with HIV in Kenya: formative mixed-methods research |
| title_fullStr | Adaptation, acceptability and feasibility of Problem Management Plus (PM+) intervention to promote the mental health of young people living with HIV in Kenya: formative mixed-methods research |
| title_full_unstemmed | Adaptation, acceptability and feasibility of Problem Management Plus (PM+) intervention to promote the mental health of young people living with HIV in Kenya: formative mixed-methods research |
| title_short | Adaptation, acceptability and feasibility of Problem Management Plus (PM+) intervention to promote the mental health of young people living with HIV in Kenya: formative mixed-methods research |
| title_sort | adaptation acceptability and feasibility of problem management plus pm intervention to promote the mental health of young people living with hiv in kenya formative mixed methods research |
| topic | Common mental disorders young people HIV infections Problem Management Plus acceptability and feasibility |
| url | https://www.cambridge.org/core/product/identifier/S2056472422005646/type/journal_article |
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