Trial Outcomes & Findings for Community Health Worker Training to Reduce Depression and Substance Use Stigma in TB/HIV Care in South Africa (NCT NCT05282173)
NCT ID: NCT05282173
Last Updated: 2025-03-06
Results Overview
CHW stigma towards substance use measured using the Social Distance Scale (SDS). SDS scores range from 6 to 24, with higher scores indicating more desired social distance (more stigma).
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
82 participants
Primary outcome timeframe
Change between baseline assessment and 6-month follow-up (approximately 6-months post-training)
Results posted on
2025-03-06
Participant Flow
Unit of analysis: Clinics
Participant milestones
| Measure |
Sequence 1: Approximately 1 Month Treatment as Usual, Siyakhana CHW Training
Group 1 was randomized to receive approximately 1-month of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
Sequence 2: Approximately 2 Months Treatment as Usual, Siyakhana CHW Training
Group 2 was randomized to receive approximately two-months of treatment as usual (TAU) then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
Sequence 3: Approximately 3 Months Treatment as Usual, Siyakhana CHW Training
Group 3 was randomized to receive approximately 3-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
|---|---|---|---|
|
Overall Study
STARTED
|
29 2
|
25 2
|
28 2
|
|
Overall Study
COMPLETED
|
26 2
|
23 2
|
24 2
|
|
Overall Study
NOT COMPLETED
|
3 0
|
2 0
|
4 0
|
Reasons for withdrawal
| Measure |
Sequence 1: Approximately 1 Month Treatment as Usual, Siyakhana CHW Training
Group 1 was randomized to receive approximately 1-month of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
Sequence 2: Approximately 2 Months Treatment as Usual, Siyakhana CHW Training
Group 2 was randomized to receive approximately two-months of treatment as usual (TAU) then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
Sequence 3: Approximately 3 Months Treatment as Usual, Siyakhana CHW Training
Group 3 was randomized to receive approximately 3-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
|---|---|---|---|
|
Overall Study
Missed
|
3
|
2
|
4
|
Baseline Characteristics
Community Health Worker Training to Reduce Depression and Substance Use Stigma in TB/HIV Care in South Africa
Baseline characteristics by cohort
| Measure |
Siyakhana CHW Training
n=82 Participants
The Siyakhana CHW Training is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
|---|---|
|
Age, Continuous
|
46.9 years
STANDARD_DEVIATION 8.9 • n=5 Participants
|
|
Sex: Female, Male
Female
|
81 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
82 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
|
Region of Enrollment
South Africa
|
82 participants
n=5 Participants
|
|
CHW Substance Use Stigma
|
12.53 units on a scale
STANDARD_DEVIATION 3.44 • n=5 Participants
|
|
CHW Depression Stigma
|
8.33 units on a scale
STANDARD_DEVIATION 2.17 • n=5 Participants
|
PRIMARY outcome
Timeframe: Change between baseline assessment and 6-month follow-up (approximately 6-months post-training)CHW stigma towards substance use measured using the Social Distance Scale (SDS). SDS scores range from 6 to 24, with higher scores indicating more desired social distance (more stigma).
Outcome measures
| Measure |
Siyakhana CHW Training
n=73 Participants
The Siyakhana CHW Training is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
Sequence 2: Approximately 2 Months TAU, Siyakhana CHW Training
Group 2 was randomized to receive approximately 2-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
Sequence 3: Approximately 3 Months TAU, Siyakhana CHW Training
Group 3 was randomized to receive approximately 3-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
|---|---|---|---|
|
CHW Stigma Towards Substance Use
|
-0.88 change in units on a scale
Standard Error 0.39
|
—
|
—
|
PRIMARY outcome
Timeframe: Change between baseline assessment and 6-month follow-up (approximately 6-months post-training)CHW stigma towards depression measured using the Social Distance Scale (SDS). SDS scores range from 6 to 24, with higher scores indicating more desired social distance (more stigma).
Outcome measures
| Measure |
Siyakhana CHW Training
n=73 Participants
The Siyakhana CHW Training is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
Sequence 2: Approximately 2 Months TAU, Siyakhana CHW Training
Group 2 was randomized to receive approximately 2-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
Sequence 3: Approximately 3 Months TAU, Siyakhana CHW Training
Group 3 was randomized to receive approximately 3-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
|---|---|---|---|
|
CHW Stigma Towards Depression
|
0.15 change in units on a scale
Standard Error 0.73
|
—
|
—
|
PRIMARY outcome
Timeframe: 3-months post-trainingThe number of CHWs who attended all three days of the Siyakhana training. The training will be considered feasible if over 75% of CHWs attend the full training.
Outcome measures
| Measure |
Siyakhana CHW Training
n=29 Participants
The Siyakhana CHW Training is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
Sequence 2: Approximately 2 Months TAU, Siyakhana CHW Training
n=25 Participants
Group 2 was randomized to receive approximately 2-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
Sequence 3: Approximately 3 Months TAU, Siyakhana CHW Training
n=28 Participants
Group 3 was randomized to receive approximately 3-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
|---|---|---|---|
|
Training Feasibility
|
26 Participants
|
25 Participants
|
27 Participants
|
PRIMARY outcome
Timeframe: 3-months post-trainingAcceptability subscale of the John Hopkins D\&I Measure, a 12-item measure for assessing dissemination and implementation outcomes in low- and middle-income settings. This measure will specifically assess CHW's perceived satisfaction, relevance, usefulness, comprehension, and comfort level of the training. Items are rated on a 0-3 scale, and averaged, with lower scores (closer to 0) indicating low acceptability and higher scores (closer to 3) indicating higher acceptability.
Outcome measures
| Measure |
Siyakhana CHW Training
n=27 Participants
The Siyakhana CHW Training is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
Sequence 2: Approximately 2 Months TAU, Siyakhana CHW Training
n=23 Participants
Group 2 was randomized to receive approximately 2-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
Sequence 3: Approximately 3 Months TAU, Siyakhana CHW Training
n=25 Participants
Group 3 was randomized to receive approximately 3-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
|---|---|---|---|
|
Acceptability
|
2.92 units on a scale
Standard Deviation 0.29
|
2.84 units on a scale
Standard Deviation 0.26
|
2.80 units on a scale
Standard Deviation 0.24
|
PRIMARY outcome
Timeframe: 3-months post-trainingPopulation: Note the fidelity measure is a randomly selected 20% of roleplays that were coded by an independent rater across all sessions.
20% of CHW role-plays at the 3-month follow-up assessment (approximately 3-months post-training) randomly selected for rating using the ENhancing Assessment of Common Therapeutic factors (ENACT) tool, a 15-item validated measure of fidelity and clinical competence among non-specialist workers, by two independent bilingual assessors. Ratings were given for 15 clinical competencies, giving scores of 1 (harmful), 2 (some basic skills), 3 (all basic skills), or 4 (advanced skills). CHW fidelity scores were calculated based on ENACT items rated as delivered with competence. A cut-off of ≥2 (some basic skills) was used to define fidelity for each item.
Outcome measures
| Measure |
Siyakhana CHW Training
n=29 Participants
The Siyakhana CHW Training is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
Sequence 2: Approximately 2 Months TAU, Siyakhana CHW Training
n=25 Participants
Group 2 was randomized to receive approximately 2-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
Sequence 3: Approximately 3 Months TAU, Siyakhana CHW Training
n=28 Participants
Group 3 was randomized to receive approximately 3-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
|---|---|---|---|
|
CHW Training Fidelity
|
86.7 % of components delivered competently
Standard Deviation 8.2
|
85.7 % of components delivered competently
Standard Deviation 11.8
|
82.7 % of components delivered competently
Standard Deviation 10.1
|
SECONDARY outcome
Timeframe: Change between baseline assessment and 3-month follow-up (approximately 3-months post-training)CHW stigma towards substance use measured using the Social Distance Scale (SDS). SDS scores range from 6 to 24, with higher scores indicating more desired social distance (more stigma).
Outcome measures
| Measure |
Siyakhana CHW Training
n=77 Participants
The Siyakhana CHW Training is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
Sequence 2: Approximately 2 Months TAU, Siyakhana CHW Training
Group 2 was randomized to receive approximately 2-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
Sequence 3: Approximately 3 Months TAU, Siyakhana CHW Training
Group 3 was randomized to receive approximately 3-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
|---|---|---|---|
|
CHW Stigma Towards Substance Use
|
-1.22 change in units on a scale
Standard Error 0.35
|
—
|
—
|
SECONDARY outcome
Timeframe: Change between baseline assessment and 3-month follow-up (approximately 3-months post-training)CHW stigma towards depression measured using the Social Distance Scale (SDS). SDS scores range from 6 to 24, with higher scores indicating more desired social distance (more stigma).
Outcome measures
| Measure |
Siyakhana CHW Training
n=77 Participants
The Siyakhana CHW Training is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
Siyakhana CHW Training: Please see arm description.
|
Sequence 2: Approximately 2 Months TAU, Siyakhana CHW Training
Group 2 was randomized to receive approximately 2-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
Sequence 3: Approximately 3 Months TAU, Siyakhana CHW Training
Group 3 was randomized to receive approximately 3-months of TAU then the Siyakhana CHW Training, which is a multi-day group training that aims to reduce stigma around mental health and substance use among CHWs. It integrates psychoeducation around TB/HIV, stigma, depression, and substance use, including countering myths and stereotypes around mental health and substance use; skills for CHW self-care; evidence-based skills for working with patients living with depression and substance use, such as components of motivational interviewing and problem-solving therapy; and exposure to individuals with lived experience of mental health and substance use. The training is a combination of informative presentations, discussions, worksheets/activities, and role-plays aimed at increasing awareness of mental health and substance use, reducing stigma, and improving interactions when working with patients with HIV/TB and mental health and substance use concerns.
|
|---|---|---|---|
|
CHW Stigma Towards Depression
|
0.51 change in units on a scale
Standard Error 1.17
|
—
|
—
|
Adverse Events
Sequence 1: Approximately 1 Month TAU, Siyakhana CHW Training
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Sequence 2: Approximately 2 Months TAU, Siyakhana CHW Training
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Sequence 3: Approximately 3 Months TAU, Siyakhana CHW Training
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Dr. Jessica Magidson
University of Maryland, College Park
Phone: 301-405-5095
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place