Development of a brief telehealth-delivered counseling intervention to reduce suicide risk and improve HIV care engagement in Kilimanjaro, Tanzania

IF 1.5 4区社会学 Q2 SOCIAL SCIENCES, INTERDISCIPLINARY

Evaluation and Program Planning Pub Date : 2025-03-08 DOI:10.1016/j.evalprogplan.2025.102583

Brandon A. Knettel , Ismail Amiri , Elizabeth T. Knippler , Kim Madundo , Elizabeth F. Msoka , Clotilda Tarimo , Victor Katiti , Louise Joel , Jackline Rwakilomba , Blandina T. Mmbaga , Michael V. Relf , David B. Goldston

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引用次数: 0

Abstract

Death by suicide is common among people living with HIV (PLWH) in Tanzania, and is strongly influenced by HIV stigma, lack of social support, and HIV-associated stress. Screening and intervention strategies for reducing suicidality, however, are not incorporated into standard HIV care. This study describes the development of a brief, nurse-led telehealth counseling intervention to address suicidal IDeation through HIV Education and counseling, advancing treatment Adherence, and reducing Stigma for renewed Hope (IDEAS for Hope) among PLWH in Tanzania. The three intervention sessions are based on Four Pillars, supported by personal values, to motivate change and build hope for the future: 1) Living healthy with HIV; 2) Managing HIV stigma; 3) Seeking social support; and 4) Active problem-solving to address social determinants of health. The IDEAS for Hope intervention integrates universal suicide screening into routine HIV care; PLWH with recent suicidal ideation are connected by video call to the first IDEAS for Hope session, with two additional sessions offered at two-week intervals. The intervention model is informed by Motivational Interviewing-enhanced safety planning (MI-SafeCope), cognitive-behavioral therapy, and problem-solving therapy frameworks, which are combined to facilitate HIV care engagement, address key contributors to suicidality among PLWH, and build hope for the future.

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在坦桑尼亚乞力马扎罗山开发简短的远程保健咨询干预措施，以降低自杀风险并提高艾滋病毒护理参与度

在坦桑尼亚，自杀死亡在艾滋病毒感染者（PLWH）中很常见，并受到艾滋病毒耻辱、缺乏社会支持和艾滋病毒相关压力的强烈影响。然而，降低自杀率的筛查和干预策略并未纳入标准的艾滋病毒护理。本研究描述了一种简短的、护士主导的远程医疗咨询干预的发展，通过艾滋病毒教育和咨询，提高治疗依从性，并减少对坦桑尼亚PLWH中希望更新（IDEAS for Hope）的耻辱来解决自杀念头。三次干预会议以四个支柱为基础，以个人价值观为支持，以激励变革和建立对未来的希望：1)携带艾滋病毒健康生活；2)管理艾滋病毒污名；3)寻求社会支持；4)积极解决健康问题的社会决定因素。“希望的想法”干预措施将普遍自杀筛查纳入常规艾滋病毒护理；最近有自杀想法的PLWH通过视频电话与第一次“希望的想法”会议联系起来，每隔两周提供两次额外的会议。干预模式由动机性访谈增强安全规划（MI-SafeCope）、认知行为疗法和问题解决疗法框架提供信息，这些框架结合起来促进艾滋病毒护理参与，解决艾滋病毒感染者中自杀的主要因素，并建立对未来的希望。

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来源期刊

Evaluation and Program Planning SOCIAL SCIENCES, INTERDISCIPLINARY-

CiteScore

3.10

自引率

6.20%

发文量

112

期刊介绍： Evaluation and Program Planning is based on the principle that the techniques and methods of evaluation and planning transcend the boundaries of specific fields and that relevant contributions to these areas come from people representing many different positions, intellectual traditions, and interests. In order to further the development of evaluation and planning, we publish articles from the private and public sectors in a wide range of areas: organizational development and behavior, training, planning, human resource development, health and mental, social services, mental retardation, corrections, substance abuse, and education.