HIV Infections Clinical Trial
Official title:
Effects of a Nurse-delivered Cognitive Behaviour Therapy on Adherence and Depressive Symptoms in HIV Infected Persons of South Korea
Cognitive behaviour therapy (CBT) has repeatedly been found to effectively treat depression
in adult populations, and CBT for adherence and depression (CBT-AD) is an effective treatment
for improving depressive symptoms and medication adherence in the context of various chronic
health conditions, including HIV-infection. However, the effects of CBT have not been
evaluated in South Korea. Even though HIV infection is currently a controllable disease for
patients on successful antiretroviral therapy, people living with HIV (PLWH) are still
suffering from internal and external stigmatization in many Asian countries, including South
Korea. It is not clear whether CBP-AD would be successful intervention among Asian countries
with cultural background of strong stigmatization on HIV/AIDS. We plan to do survey on
facilitators or barriers to patients and providers to identify significant contextual factors
in South Korea. Demographic data and clinical data including CD4+ T cell counts, viral loads,
and antiretroviral therapy regimens will be collected, as well.
Specialists such as psychiatrist or clinical psychologist would be the best provider for CBT
intervention. However, an effective and feasible therapy model should be integrated into
primary HIV care in South Korea. Medical personnel within most HIV clinics in South Korea
include infectious diseases doctors, clinical nurses, and counselling nurses, but CBT
services from psychiatrist or clinical psychologist are not routinely available in many
hospitals. Hospital-based counselling services with experienced nurses have been provided in
many HIV clinics in South Korea, and the counselling nurses would be feasible providers for
CBT intervention of this study. So, we plan to investigate the effects of a nurse-delivered
cognitive behaviour therapy.
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