Trial Phase: Syndemic Adapted Medly Uganda

ConditionMental Health
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorYale University

About this trial

The purpose of this study is to evaluate the effectiveness of the Syndemic-Adapted Medly Uganda (SAMU) in improving mental health care among adults living with HIV and hypertension in Uganda. In sub-Saharan Africa (SSA), there is a high prevalence of depression and anxiety among people living with HIV (PLHIV) as well as alcohol use disorder (AUD). PLHIV who experience depression are less likely to link to HIV care, adhere to antiretroviral therapy, and achieve viral suppression. Building on research conducted to adapt Medly Uganda for mental health using a syndemic framework, this study aims to assess the effectiveness of SAMU on mental health screening and diagnosis. This will be accomplished through a two-arm trial in which 1. participants will be enrolled, screened, re-screened, and assessed for diagnosis and linkage to care for depression, anxiety and AUD and 2. evaluate the factors impacting sustained engagement in the SAMU program, through mixed methods.

Eligibility criteria

Qualifiers

Patient at a participating HIV clinic site

Currently living in Uganda with no intention of moving abroad in next 2 years

Access to a mobile phone

Basic reading skills in one or more of the offered languages (English, Luganda) as determined by the Research Assistant.

Disqualifiers

No access to a mobile phone

Inability to provide informed consent based on assessment by the onsite Research Assistant or HCW

Age >=18 years

Healthcare worker at participating site or caregiver for study participant at site

Trial design

Treatments tested in this trial

  • Syndemic-Adapted Medly Uganda (SAMU)

Treatment groups

1,500 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Yale University

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator