Evaluation of the impact of a depression treatment program on mental health and HIV care outcomes in Malawi (doi:10.7910/DVN/FRQPFO)

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Part 1: Document Description
Part 2: Study Description
Part 3: Data Files Description
Part 4: Variable Description
Part 5: Other Study-Related Materials
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Document Description

Citation

Title:

Evaluation of the impact of a depression treatment program on mental health and HIV care outcomes in Malawi

Identification Number:

doi:10.7910/DVN/FRQPFO

Distributor:

Harvard Dataverse

Date of Distribution:

2021-01-29

Version:

1

Bibliographic Citation:

Pence, Brian W.; Stockton, Melissa A.; Udedi, Michael; Kulisewa, Kazione; Hosseinipour, Mina C.; Gaynes, Bradley N.; Mphonda, Steven M., 2021, "Evaluation of the impact of a depression treatment program on mental health and HIV care outcomes in Malawi", https://doi.org/10.7910/DVN/FRQPFO, Harvard Dataverse, V1, UNF:6:Ph3iHr3quT6jtRpENSyUUg== [fileUNF]

Study Description

Citation

Title:

Evaluation of the impact of a depression treatment program on mental health and HIV care outcomes in Malawi

Identification Number:

doi:10.7910/DVN/FRQPFO

Authoring Entity:

Pence, Brian W. (University of North Carolina at Chapel Hill Gillings School of Global Public Health)

Stockton, Melissa A. (University of North Carolina at Chapel Hill Gillings School of Global Public Health)

Udedi, Michael (University of Malawi)

Kulisewa, Kazione (University of Malawi)

Hosseinipour, Mina C. (University of North Carolina at Chapel Hill School of Medicine)

Gaynes, Bradley N. (University of North Carolina at Chapel Hill School of Medicine)

Mphonda, Steven M. (Tidziwe Centre)

Grant Number:

AID-OAA-A-14-00060

Distributor:

Harvard Dataverse

Access Authority:

Pence, Brian W.

Depositor:

Pence, Brian

Date of Deposit:

2021-01-27

Study Scope

Keywords:

Social Sciences, Depression, HIV care, Integration, Implementation science

Abstract:

The study employed a pre-post multiple baseline design in two public health clinics in urban Lilongwe. During the screening (“pre“) phase, depression screening was integrated into ART initiation and providers were re-oriented to existing depression treatment options. During the active (“post“) phase, providers were additionally trained in algorithm-guided antidepressant prescription for moderate to severe depression, and lay health workers were trained in Friendship Bench problem-solving therapy for mild depression. All patients starting ART were followed forward until six months after ART initiation for HIV appointment attendance, viral load, and depressive symptom outcomes. Data were collected from clinical records on HIV appointment attendance, viral suppression, and depressive symptoms during the first six months after ART initiation.

Date of Collection:

2017-04-01-2019-09-30

Country:

Malawi

Geographic Coverage:

Lilongwe

Unit of Analysis:

2067 patient participants

Kind of Data:

Quantitative

Methodology and Processing

Sampling Procedure:

All patients starting ART were followed forward until six months after ART initiation for HIV appointment attendance, viral load, and depressive symptom outcomes. Data were collected from clinical records on HIV appointment attendance, viral suppression, and depressive symptoms during the first six months after ART initiation.

Type of Research Instrument:

Survey

Sources Statement

Data Access

Notes:

Data request is required to access the data from this study. CONFIDENTIALITY: You will not attempt to identify individual study participants. You will not report information that could directly or by inference identify individual study participants. ETHICS: You will obtain relevant IRB approval prior to using the data. ACCESS: Access to the data will be limited to the persons requesting data. You will not distribute nor permit others to distribute any of the data to a person who is not listed. SECURITY: You will store and analyze data in a secure computing environment. ACKNOWLEDGMENT: You will cite the dataset as the source in all reports, presentations, and publications based on the data. Citations will appear in footnotes or in the reference section of any manuscripts. See suggested citation. You will cite the funding source. PUBLICATIONS: At the conclusion of the proposed research, you will provide a copy of any publication or report based in whole or in part on the data. LOSS OF PRIVILEGE TO USE DATA: If it is determined that you are in violation of these terms and conditions, you will destroy the data set, and any derivative data files, upon request.

Other Study Description Materials

Related Publications

Citation

Bibliographic Citation:

<p>Stockton, M.A., Minnick, C.E., Kulisewa, K., Mphonda, S., Hosseinipour, M. C., Gaynes, B. N., Maselko, J., Pettifor, A. E., Go, V., & B. W. Pence. Under Review. "A mixed-methods process evaluation: integrating depression treatment into HIV care in Malawi," Global Health: Science and Practice.</p> <p>Stockton, M.A., Gaynes, B. N., Hosseinipour, M. C., Pettifor, A. E., Maselko, J., Mphonda, S., Kulisewa, K., Udedi, M., & B. W. Pence. 2020. "Association between depression and HIV care engagement outcomes among patients newly initiating ART in Lilongwe, Malawi," AIDS & Behavior. DOI 10.1007/s10461-020-03041-7.</p> <p>Stockton, M.A., Udedi, M., Kulisewa, K., M. C. Hosseinipour, Gaynes, B. N., Mphonda, S., Maselko, J., Pettifor, A. E., Verhey R., Chibanda, D., Lapidos-Salaiz, I., & B. W. Pence. 2020. "The impact of an integrated depression and HIV treatment program on mental health and HIV care outcomes among people newly initiating antiretroviral therapy in Malawi," PLOS One. 15(5), e0231872.</p>

File Description--f4330354

File: SOAR MH PHQ_dataset_08jan2021.tab

  • Number of cases: 2067

  • No. of variables per record: 42

  • Type of File: text/tab-separated-values

Notes:

UNF:6:Ph3iHr3quT6jtRpENSyUUg==

Variable Description

List of Variables:

Variables

soar_id

f4330354 Location:

Summary Statistics: Min. 1001.0; StDev 609.5610470155544; Valid 2067.0; Max. 3152.0; Mean 2050.848089017896

Variable Format: numeric

Notes: UNF:6:ZCpwpupxnxCc3NrXrtRz6w==

adequate

f4330354 Location:

Variable Format: character

Notes: UNF:6:OurUM/DuEoSc5tcm4Zl4UQ==

in_care_2

f4330354 Location:

Variable Format: character

Notes: UNF:6:t/e94C/Yajz/KVwwrm/3qA==

health_center

f4330354 Location:

Variable Format: character

Notes: UNF:6:+KqYjfvacyaDnJ6mquS9cQ==

sex

f4330354 Location:

Variable Format: character

Notes: UNF:6:x265iyrRlcURi+mlBQ/P/A==

who_stage_reg

f4330354 Location:

Variable Format: character

Notes: UNF:6:QHSIoj28o1pT4OjIQRCRag==

initiation_day

f4330354 Location:

Summary Statistics: Valid 2063.0; Min. 0.0; Mean 256.97527872031077; Max. 569.0; StDev 162.1951348074173;

Variable Format: numeric

Notes: UNF:6:rLtbv+AkJT/hexUdksrS+Q==

age

f4330354 Location:

Summary Statistics: Max. 74.0; Min. 18.0; Mean 33.788275193798455; Valid 2064.0; StDev 9.312542588976031

Variable Format: numeric

Notes: UNF:6:7iwlGlleRsMWDelIs6BR1g==

intervention_group

f4330354 Location:

Variable Format: character

Notes: UNF:6:xJNhP9hifLEKiN/qEajOGA==

baseline_phq2_positive

f4330354 Location:

Variable Format: character

Notes: UNF:6:uZv17q7Pn5WQMlyI5MfyCw==

baseline_phq9_score

f4330354 Location:

Summary Statistics: StDev 3.80632588386436; Min. 0.0; Mean 2.532258064516151; Max. 23.0; Valid 1984.0

Variable Format: numeric

Notes: UNF:6:gYKKyro1T6U+9qVfv+6Saw==

depression_severity

f4330354 Location:

Variable Format: character

Notes: UNF:6:EH2cYYY1ngrKIV9RytIufg==

baseline_suicidality

f4330354 Location:

Summary Statistics: Valid 850.0; StDev 0.5355006024000221; Max. 3.0; Mean 0.18000000000000022; Min. 0.0;

Variable Format: numeric

Notes: UNF:6:4h0YW5uMAF4UZSHS0aYaxQ==

baseline_srap

f4330354 Location:

Variable Format: character

Notes: UNF:6:5MrR8Q0sywrwX0GG8UGz1w==

suicidal_thoughts

f4330354 Location:

Variable Format: character

Notes: UNF:6:97dscYJQ0cw8RWCVMVhMFA==

med_name_1

f4330354 Location:

Variable Format: character

Notes: UNF:6:ukacvfNIhiQNE2B7iJX7WA==

endline_vl_results

f4330354 Location:

Summary Statistics: Mean 2211.830508474574; StDev 16961.348021480964; Max. 284552.0; Min. 0.0; Valid 649.0

Variable Format: numeric

Notes: UNF:6:5TqJvkK5u8yx+dnqBAS6Vg==

endline_phq9_score

f4330354 Location:

Summary Statistics: StDev 2.4286843069214537; Mean 1.0666666666666664; Min. 0.0; Max. 15.0; Valid 135.0

Variable Format: numeric

Notes: UNF:6:A8HGJp8QC5t6/feuBVScTA==

counsel_6month

f4330354 Location:

Summary Statistics: Mean 2.6732026143790844; Valid 153.0; StDev 1.8382989325069723; Max. 7.0; Min. 1.0

Variable Format: numeric

Notes: UNF:6:3Rzo9Wi3RfQezU9g4cw0eg==

counsel_2month

f4330354 Location:

Summary Statistics: StDev 0.9160214447477217; Mean 1.8496732026143787; Valid 153.0; Max. 5.0; Min. 1.0;

Variable Format: numeric

Notes: UNF:6:eN6T4yMAL0porR0eLKMmZQ==

first_ad

f4330354 Location:

Variable Format: character

Notes: UNF:6:TTdclnuaqT0T1/8lYrGZ3w==

first_dose

f4330354 Location:

Summary Statistics: Mean 38.23943661971831; Valid 71.0; StDev 13.941166982032945; Max. 50.0; Min. 20.0

Variable Format: numeric

Notes: UNF:6:X9LJizAtPMZT2lr3v8TvNg==

ever_change

f4330354 Location:

Variable Format: character

Notes: UNF:6:wYGLXWP77i2Eu/jQtR8ejA==

total_prescribed_6m

f4330354 Location:

Summary Statistics: Mean 0.07595549104983283; Min. 0.0; Valid 2067.0; Max. 7.0; StDev 0.46726065613023426

Variable Format: numeric

Notes: UNF:6:TJA9KF8x+zAxiJuyxNSSQg==

ever_ad

f4330354 Location:

Variable Format: character

Notes: UNF:6:oypawge3SyLJXvSl8h/t5g==

started_treatment

f4330354 Location:

Variable Format: character

Notes: UNF:6:rzYQaXqHIhujoTjcgZ78wA==

adequately_treated

f4330354 Location:

Variable Format: character

Notes: UNF:6:aNTAZGnoWl1dotlZLYYWvQ==

baseline_treatment

f4330354 Location:

Variable Format: character

Notes: UNF:6:1srCOQNeWVBDC1eSKTnYoA==

after_6m_appointment

f4330354 Location:

Variable Format: character

Notes: UNF:6:1hH/BAa183GJE+0oAmV4Ww==

alive_on_art

f4330354 Location:

Variable Format: character

Notes: UNF:6:47uHQsdYDHAuIrSwpgckNw==

prop_art

f4330354 Location:

Variable Format: character

Notes: UNF:6:0e+Um6i9AUCYnUbaYAOtfA==

consistent

f4330354 Location:

Variable Format: character

Notes: UNF:6:n29zIGsHGuB0pQJj83tJkA==

hiv_success

f4330354 Location:

Variable Format: character

Notes: UNF:6:wG6q5usVzRayzJHPhq0S2A==

new_ret

f4330354 Location:

Variable Format: character

Notes: UNF:6:yKOmeC8AuxlgBpEQNT4nsQ==

new_prop_attend

f4330354 Location:

Summary Statistics: StDev 0.3881310490549623; Mean 0.5592296474656818; Max. 1.0; Min. 0.0; Valid 1894.0

Variable Format: numeric

Notes: UNF:6:BBTTo3cRO3eoUToYGSTaGg==

sixm_engagement

f4330354 Location:

Variable Format: character

Notes: UNF:6:y6gGfjtJj4s5fFW4JW4A0w==

new_vl_suppression

f4330354 Location:

Variable Format: character

Notes: UNF:6:T8Jb6HS27z52LB8qcg8TRw==

new_depression_remission

f4330354 Location:

Variable Format: character

Notes: UNF:6:PYHYyWIAhDIl1xoxT+lTow==

vl_day

f4330354 Location:

Summary Statistics: Max. 800.0; Mean 481.72993630573285; StDev 145.1998479686652; Valid 785.0; Min. 176.0;

Variable Format: numeric

Notes: UNF:6:GpkRLZ/xtMssFArMIefGrw==

death_day

f4330354 Location:

Summary Statistics: Max. 614.0; Min. 157.0; Mean 382.1666666666667; Valid 6.0; StDev 161.93136406103258;

Variable Format: numeric

Notes: UNF:6:XTtvYiFEjwZWDJ0Wy/zpcw==

transfer_day

f4330354 Location:

Summary Statistics: StDev 180.85108620064722; Max. 738.0; Valid 223.0; Mean 384.4753363228698; Min. 24.0

Variable Format: numeric

Notes: UNF:6:H017iVO1MwWXvrDhmNq0zw==

endline_phq9_day

f4330354 Location:

Summary Statistics: StDev 135.6160238130808; Max. 743.0; Mean 399.4074074074074; Valid 135.0; Min. 206.0

Variable Format: numeric

Notes: UNF:6:HDy1iGdgNm3rUuG7g1ziCg==

Other Study-Related Materials

Label:

SOAR MH PHQ 9 version 3_24Oct2018.pdf

Notes:

application/pdf

Other Study-Related Materials

Label:

SOAR MH PHQ_Codebook_08Jan2021.xls

Notes:

application/vnd.ms-excel

Other Study-Related Materials

Label:

SOAR MH PHQ_readme_08Jan2021.txt

Notes:

text/plain