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Community Mental Health Journal

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24.05.2016 | Original Paper

Lay Health Workers’ Experience of Delivering a Problem Solving Therapy Intervention for Common Mental Disorders Among People Living with HIV: A Qualitative Study from Zimbabwe

verfasst von: Dixon Chibanda, Frances Cowan, Ruth Verhey, Debra Machando, Melanie Abas, Crick Lund

Erschienen in: Community Mental Health Journal | Ausgabe 2/2017

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Abstract

There is growing evidence supporting the use of lay health workers (LHWs) to address the treatment gap for common mental disorders (CMD) through task-shifting. This study looks at the experience of LHWs delivering a problem solving therapy (PST) intervention for CMD for people living with HIV (PLWH) in a primary health care setting. Semi-structured interviews of LHWs (n = 7) and PLWH (10) who received PST were carried out using thematic content analysis. Over a 4 year period LHWs developed indigenous concepts of PST which were: Opening the mind (Kuvhura pfungwa), uplifting (kusimudzira), strengthening and strengthening further (kusimbisa and kusimbisisa) respectively. Using terms locally conceived through knowledge sharing amongst LHWs made it acceptable to deliver PST as part of their daily work. Indigenous terms conceived and developed by LWHs to describe components and processes of PST contribute to the therapy’s acceptability and continued use in primary care facilities.

Abas, M., Ali, G., Nakimuli-Mpungu, E., & Chibanda, D. (2014). Depression in people living with HIV in sub-Saharan Africa: Time to act. Tropical Medicine & International Health, 19(12), 1392–1396.CrossRef

Abas, M., Broadhead, J. C., Mbape, P., & Khumalo-Sakatukwa, G. (1994). Defeating depression in the developing world: A Zimbabwean model. The British Journal of Psychiatry, 164(3), 293–296.CrossRefPubMed

Akena, D., Joska, J., Musisi, S., & Stein, D. J. (2012). Sensitivity and specificity of a visual depression screening instrument among HIV-positive individuals in Uganda, an area with low literacy. AIDS and Behavior, 16(8), 2399–2406. doi:10.1007/s10461-012-0267-1.CrossRefPubMed

Andrew, G., Cohen, A., Salgaonkar, S., & Patel, V. (2012). The explanatory models of depression and anxiety in primary care: A qualitative study from India. BMC Research Notes, 5, 499. doi:10.1186/1756-0500-5-499.CrossRefPubMedPubMedCentral

Araya, R., Flynn, T., Rojas, G., Fritsch, R., & Simon, G. (2006). Cost-effectiveness of a primary care treatment program for depression in low-income women in Santiago, Chile. American Journal of Psychiatry, 163(8), 1379–1387.CrossRefPubMed

Araya, R., Rojas, G., Fritsch, R., Gaete, J., Rojas, M., Simon, G., & Peters, T. J. (2003). Treating depression in primary care in low-income women in Santiago, Chile: A randomised controlled trial. Lancet, 361(9362), 995–1000. doi:10.1016/S0140-6736(03)12825-5.CrossRefPubMed

Bell, A. C., & D’Zurilla, T. J. (2009). Problem-solving therapy for depression: A meta-analysis. Clinical Psychology Review, 29(4), 348–353. doi:10.1016/j.cpr.2009.02.003.CrossRefPubMed

Bere, T., Nyamayaro, P., Magidson, J., Chibanda, D., Chingono, A., O’Cleirgh, C., … Abas, M. (2015). Cultural adaptation of life-steps: An intervention to improve adherence to antiretroviral therapy among people living with HIV/AIDS in Zimbabwe. Journal of Health Psychology (in press).

Broadhead, J., & Abas, M. (1998). Life events, difficulties and depression among women in an urban setting in Zimbabwe. Psychological Medicine, 28, 29.CrossRefPubMed

Charlson, F. J., Diminic, S., Lund, C., Degenhardt, L., & Whiteford, H. A. (2014). Mental and substance use disorders in sub-Saharan Africa: Predictions of epidemiological changes and mental health workforce requirements for the next 40 years. PLoS ONE, 9(10), e110208. doi:10.1371/journal.pone.0110208.CrossRefPubMedPubMedCentral

Chibanda, D., Benjamin, L., Weiss, H. A., & Abas, M. (2014). Mental, neurological, and substance use disorders in people living with HIV/AIDS in low- and middle-income countries. Journal of Acquired Immune Deficiency Syndromes, 67 Suppl 1, S54–S67. doi:10.1097/QAI.0000000000000258.CrossRefPubMed

Chibanda, D., Bowers, T., Verhey, R., Rusakaniko, S., Abas, M., Weiss, H. A., & Araya, R. (2015). The Friendship Bench programme: A cluster randomised controlled trial of a brief psychological intervention for common mental disorders delivered by lay health workers in Zimbabwe. International Journal of Mental Health Systems, 9(1), 21. doi:10.1186/s13033-015-0013-y.CrossRefPubMedPubMedCentral

Chibanda, D., Cowan, F. M., Healy, J. L., Abas, M., & Lund, C. (2015). Psychological interventions for common mental disorders for people living with HIV in low and middle income countries: systematic review. Tropical Medicine & International Health: TM & IH. doi:10.1111/tmi.12500.

Chibanda, D., Mesu, P., Kajawu, L., Cowan, F., Araya, R., & Abas, M. (2011). Problem-solving therapy for depression and common mental disorders in Zimbabwe: Piloting a task-shifting primary mental health care intervention in a population with a high prevalence of people living with HIV. BMC Public Health, 11(1), 828.CrossRefPubMedPubMedCentral

Chibanda, D., Shetty, A. K., Tshimanga, M., Woelk, G., Stranix-Chibanda, L., & Rusakaniko, S. (2013). Group problem-solving therapy for postnatal depression among HIV positive and HIV negative mothers in Zimbabwe. Journal of the International Association of Providers of AIDS Care. doi:10.1177/2325957413495564.

Chibanda, D., Verhey, R., Gibson, L. J., Munetsi, E., Machando, D., Rusakaniko, S., … Abas, M. (2016). Validation of screening tools for depression and anxiety disorders in a primary care population with high HIV prevalence in Zimbabwe. Journal of Affective Disorders, 198, 50–55. doi:10.1016/j.jad.2016.03.006.CrossRefPubMed

Cuijpers, P., van Straten, A., & Warmerdam, L. (2007). Problem solving therapies for depression: A meta-analysis. European Psychiatry, 22(1), 9–15. doi:10.1016/j.eurpsy.2006.11.001.CrossRefPubMed

Dua, T., Barbui, C., Clark, N., Fleischmann, A., Poznyak, V., van Ommeren, M., … Drummond, C. (2011). Evidence-based guidelines for mental, neurological, and substance use disorders in low-and middle-income countries: Summary of WHO recommendations. PLoS Medicine, 8(11), e1001122.CrossRefPubMedPubMedCentral

Joshi, R., Alim, M., Kengne, A. P., Jan, S., Maulik, P. K., Peiris, D., & Patel, A. A. (2014). Task shifting for non-communicable disease management in low and middle income countries—a systematic review. PLoS ONE, 9(8), e103754. doi:10.1371/journal.pone.0103754.CrossRefPubMedPubMedCentral

Kidia, K., Machando, D., Bere, T., Macpherson, K., Nyamayaro, P., Potter, L., … Abas, M. (2015). “I was thinking too much”: Experiences of HIV-positive adults with common mental disorders and poor adherence to antiretroviral therapy in Zimbabwe. Tropical Medicine & International Health: TM & IH. doi:10.1111/tmi.12502.

Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2004). The treatment gap in mental health care. Bulletin of the World Health Organization, 82(11), 858–866.PubMedPubMedCentral

Krout, R. E. (2001). The effects of single-session music therapy interventions on the observed and self-reported levels of pain control, physical comfort, and relaxation of hospice patients. The American Journal of Hospice & Palliative Care, 18(6), 383–390.CrossRef

Lamprecht, H., Laydon, C., McQuillan, C., Wiseman, S., Williams, L., Gash, A., & Reilly, J. (2007). Single-session solution-focused brief therapy and self-harm: A pilot study. Journal of Psychiatric and Mental Health Nursing, 14(6), 601–602. doi:10.1111/j.1365-2850.2007.01105.x.CrossRefPubMed

Malouff, J. M., Thorsteinsson, E. B., & Schutte, N. S. (2007). The efficacy of problem solving therapy in reducing mental and physical health problems: A meta-analysis. Clinical Psychology Review, 27(1), 46–57.CrossRefPubMed

Mynors-Wallis, L. (2002). Does problem-solving treatment work through resolving problems? Psychological Medicine, 32(7), 1315–1319.CrossRefPubMed

Mynors-Wallis, L. (2005). Problem-solving treatment for anxiety and depression: A practical guide. Oxford: Oxford University Press.

Naeem, F., Ayub, M., Kingdon, D., & Gobbi, M. (2012). Views of depressed patients in Pakistan concerning their illness, its causes, and treatments. Qualitative Health Research, 22(8), 1083–1093. doi:10.1177/1049732312450212.CrossRefPubMed

Naeem, F., Gobbi, M., Ayub, M., & Kingdon, D. (2009). University students’ views about compatibility of cognitive behaviour therapy (CBT) with their personal, social and religious values (a study from Pakistan). Mental Health, Religion & Culture, 12(8), 847–855.CrossRef

Naeem, F., Gobbi, M., Ayub, M., & Kingdon, D. (2010). Psychologists experience of cognitive behaviour therapy in a developing country: A qualitative study from Pakistan. International Journal of Mental Health Systems, 4(1), 2. doi:10.1186/1752-4458-4-2.CrossRefPubMedPubMedCentral

Nakimuli-Mpungu, E., Wamala, K., Okello, J., Alderman, S., Odokonyero, R., Musisi, S., … Mills, E. J. (2014). Outcomes, feasibility and acceptability of a group support psychotherapeutic intervention for depressed HIV-affected Ugandan adults: A pilot study. Journal of Affective Disorders, 166, 144–150. doi:10.1016/j.jad.2014.05.005.CrossRefPubMed

Nezu, A. M., & Nezu, C. M. (2001). Problem solving therapy. Journal of Psychotherapy Integration, 11(2), 187–205. doi:10.1023/a:1016653407338.CrossRef

Patel, V., Chisholm, D., Rabe-Hesketh, S., as-Saxena, F., Andrew, G., & Mann, A. (2003). Efficacy and cost-effectiveness of drug and psychological treatments for common mental disorders in general health care in Goa, India: A randomised, controlled trial. Lancet, 361(9351), 33.CrossRefPubMed

Patel, V., & Mann, A. (1997). Etic and emic criteria for non-psychotic mental disorder: A study of the CISR and care provider assessment in Harare. Social Psychiatry & Psychiatric Epidemiology, 32(2), 84.CrossRef

Patel, V., Musara, T., Butau, T., Maramba, P., & Fuyane, S. (1995). Concepts of mental illness and medical pluralism in Harare. Psychological Medicine, 25(3), 485–493.CrossRefPubMed

Patel, V., Simunyu, E., Gwanzura, F., Lewis, G., & Mann, A. (1997). The Shona Symptom Questionnaire: The development of an indigenous measure of common mental disorders in Harare. Acta Psychiatrica Scandinavica, 95(6), 469.CrossRefPubMed

Patel, V., Todd, C., Winston, M., Gwanzura, F., Simunyu, E., Acuda, W., & Mann, A. (1997). Common mental disorders in primary care in Harare, Zimbabwe: Associations and risk factors. British Journal of Psychiatry, 171, 60–64.CrossRefPubMed

Patel, V., Weiss, H. A., Chowdhary, N., Naik, S., Pednekar, S., Chatterjee, S., … Kirkwood, B. R. (2010). Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): A cluster randomised controlled trial. Lancet, 376(9758), 2086–2095. doi: 10.1016/S0140-6736(10)61508-5.CrossRefPubMedPubMedCentral

Perkins, R. (2006). The effectiveness of one session of therapy using a single-session therapy approach for children and adolescents with mental health problems. Psychology and Psychotherapy, 79(Pt 2), 215–227. doi:10.1348/147608305X60523.CrossRefPubMed

Petersen, I., Hanass Hancock, J., Bhana, A., & Govender, K. (2014). A group-based counselling intervention for depression comorbid with HIV/AIDS using a task shifting approach in South Africa: A randomized controlled pilot study. Journal of Affective Disorders, 158, 78–84. doi:10.1016/j.jad.2014.02.013.CrossRefPubMed

Petersen, I., Lund, C., Bhana, A., & Flisher, A. J. (2012). A task shifting approach to primary mental health care for adults in South Africa: Human resource requirements and costs for rural settings. Health Policy and Planning, 27(1), 42–51.CrossRefPubMed

Pierce, D., & Gunn, J. (2007). Using problem solving therapy in general practice. Australian Family Physician, 36(4), 230–233.PubMed

Pierce, D., & Gunn, J. (2011). Depression in general practice—consultation duration and problem solving therapy. Australian Family Physician, 40(5), 334–336.PubMed

Rahman, A., Malik, A., Sikander, S., Roberts, C., & Creed, F. (2008). Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: A cluster-randomised controlled trial. Lancet, 372(9642), 902–909. doi:10.1016/S0140-6736(08)61400-2.CrossRefPubMedPubMedCentral

Ruppel, P. S., & Mey, G. (2015). Grounded theory methodology—narrativity revisited. Integrative Psychological and Behavioral Science. doi:10.1007/s12124-015-9301-y.PubMed

Safren, S. A., Hendriksen, E. S., Mayer, K. H., Mimiaga, M. J., Pickard, R., & Otto, M. W. (2004). Cognitive-behavioral therapy for HIV medication adherence and depression. Cognitive and Behavioral Practice, 11(4), 415–424.CrossRef

Shetty, A. K., Marangwanda, C., Stranix-Chibanda, L., Chandisarewa, W., Chirapa, E., Mahomva, A., … Maldonado, Y. (2008). The feasibility of preventing mother-to-child transmission of HIV using peer counselors in Zimbabwe. AIDS Research and Therapy, 5, 17. doi:10.1186/1742-6405-5-17.CrossRefPubMedPubMedCentral

Shinde, S., Andrew, G., Bangash, O., Cohen, A., Kirkwood, B., & Patel, V. (2013). The impact of a lay counselor led collaborative care intervention for common mental disorders in public and private primary care: A qualitative evaluation nested in the MANAS trial in Goa, India. Social Science & Medicine, 88, 48–55. doi:10.1016/j.socscimed.2013.04.002.CrossRef

Slaff, B. (1995). Thoughts on short-term and single-session therapy. Adolescent Psychiatry, 20, 299–306.PubMed

Steel, Z., Marnane, C., Iranpour, C., Chey, T., Jackson, J. W., Patel, V., & Silove, D. (2014). The global prevalence of common mental disorders: A systematic review and meta-analysis 1980–2013. International Journal of Epidemiology, 43(2), 476–493. doi:10.1093/ije/dyu038.CrossRefPubMedPubMedCentral

Stranix-Chibanda, L., Chibanda, D., Chingono, A., Montgomery, E., Wells, J., Maldonado, Y., … Shetty, A. K. (2005). Screening for psychological morbidity in HIV-infected and HIV-uninfected pregnant women using community counselors in Zimbabwe. Journal of the International Association of Physicians in AIDS Care (Chicago, Ill), 4, 83–88.CrossRef

Todd, C., Patel, V., Simunyu, E., Gwanzura, F., Acuda, W., Winston, M., & Mann, A. (1999). The onset of common mental disorders in primary care attenders in Harare, Zimbabwe. Psychological Medicine, 29(1), 97–104.CrossRefPubMed

van Ginneken, N., Tharyan, P., Lewin, S., Rao, G. N., Meera, S. M., Pian, J., … Patel, V. (2013). Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries. Cochrane Database of Systematic Reviews (Online), 11, CD009149. doi:10.1002/14651858.CD009149.pub2.

van’t Hof, E., Stein, D. J., Marks, I., Tomlinson, M., & Cuijpers, P. (2011). The effectiveness of problem solving therapy in deprived South African communities: Results from a pilot study. BMC Psychiatry, 11(1), 156.CrossRef

Walker, J. L. (2012). The use of saturation in qualitative research. Canadian Journal of Cardiovascular Nursing, 22(2), 37–46.PubMed

World Health Organisation. (2007). Treat train retain. Task shifting: Global recommendations and guidelines. Geneva: World Health Organization.

Wray, N., Markovic, M., & Manderson, L. (2007). “Researcher saturation”: The impact of data triangulation and intensive-research practices on the researcher and qualitative research process. Qualitative Health Research, 17(10), 1392–1402. doi:10.1177/1049732307308308.CrossRefPubMed

Titel: Lay Health Workers’ Experience of Delivering a Problem Solving Therapy Intervention for Common Mental Disorders Among People Living with HIV: A Qualitative Study from Zimbabwe
verfasst von: Dixon Chibanda
Frances Cowan
Ruth Verhey
Debra Machando
Melanie Abas
Crick Lund
Publikationsdatum: 24.05.2016
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 2/2017
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-016-0018-2

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Lay Health Workers’ Experience of Delivering a Problem Solving Therapy Intervention for Common Mental Disorders Among People Living with HIV: A Qualitative Study from Zimbabwe

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