Implementing Depression and Adherence Treatment
NCT07032363 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2026-05-20
Summary
The goal of this clinical trial is to compare a core set and enhanced set of implementation strategies in increasing the reach of evidence-based treatments to patients with HIV and depression. The main questions it aims to answer are:
What proportion of patients start an evidence-based treatment for depression (reach)? What percentage of patients show clinical improvement in depression and what percentage attain viral undetectability within one year (effectiveness)?
Researchers will compare high and low reach clinics to further inform tailored implementation strategies for uptake and maintenance.
Clinics will be randomized into one of two study arms: core versus enhanced strategies. In both arms, core strategies will be utilized. Enhanced clinics will also receive more resource-intensive training.
Conditions
- Depression
- HIV
- Adherence, Treatment
- AIDS
Interventions
- OTHER
-
Core Implementation Strategies
* Task Sharing/Revise Professional Roles * Distribute educational materials/Dynamic Training/Address Stigma * Clinician Implementation Team Meetings * Partner with CoCT DoH * Champion * Audit and Feedback * Stage Scale Up/Tailoring
- OTHER
-
Enhanced Implementation Strategies
* Train the trainer * Ongoing supervision and consultation
Sponsors & Collaborators
-
National Institute of Mental Health (NIMH)
collaborator NIH -
Massachusetts General Hospital
collaborator OTHER -
University of Cape Town
collaborator OTHER -
University of Miami
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-31
- Primary Completion
- 2030-05-31
- Completion
- 2030-05-31
Countries
- United States
- South Africa
Study Locations
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