Alexandra L Rose
Biographic Data
| ID | 669082 |
|---|---|
| NAME | Alexandra L Rose |
| GIVEN NAMES | Alexandra L |
| FAMILY NAME | Rose |
| SIGNATURE | ROSE A L |
| AFFILIATIONS | University of Maryland, College Park |
| ORCID | 0000-0001-9689-0834 |
| VERIFIED | Yes |
| TOTAL WORKS | 15 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 15 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2020 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Assessing the approach to perinatal mental health screening and treatment in maternal-child health clinics in Western Kenya
Integrating mental health care into well-attended health services, such as maternal-child health (MCH), offers a promising approach to increasing access to mental health care. To inform integration, we assessed the current approach to screening and treatment of perinatal mood and anxiety disorders (PMAD) in MCH facilities in Western Kenya. We conducted a cross-sectional survey among the facility managers (“in-charges”) at 20 MCH facilities in Wes…
Perspectives on non-specialist training for mental health care delivery in South Africa
Task-sharing, or the distribution of tasks to non-specialists, is a key strategy for expanding access to mental health services, particularly in low- and lower-middle income countries. However, training practices are not standardized and non-specialist training outcomes in mental health care are variable. A better understanding of current practices and challenges in task-shared mental health care training is much needed to help improve training o…
Cost-effectiveness of a peer-delivered behavioral intervention for adherence to antiretroviral therapy and alcohol and drug use in South African HIV care
Cost-effective approaches for integrating behavioral interventions for problematic alcohol and other drug (AOD) use into HIV care is needed, as problematic AOD is a primary barrier to adherence of antiretroviral therapy (ART). Thus, we investigated the cost-effectiveness of a recently completed pilot trial in South Africa, that showed promising findings in improved adherence of antiretroviral therapy (ART). The trial compared a task-shared, peer-…
Piloting Siyakhana
South Africa has one of the highest rates of HIV/tuberculosis (TB) co-infection, and poor engagement in HIV/TB care contributes to morbidity and mortality. In South Africa, community health workers (CHWs) are tasked with re-engaging patients who have dropped out of HIV/TB care. CHWs have described substantial challenges with substance use (SU) and depression among their patients, while patients have described CHW stigma towards SU and depression …
Development and empirical test of the research‐informed South African Relationship Functioning Assessment ( Sarfa )
Intimate partners play an important role in chronic diseases. Despite the chronic disease burden in sub‐Saharan Africa, very few culturally relevant quantitative measures of intimate relationship functioning are available. We conducted an empirical investigation evaluating the psychometric properties of the South African Relationship Functioning Assessment (SARFA) assessing healthy relationship functioning in N = 150 community members (50% women;…
Early in the morning, there’s tolerance and later in the day it disappears ” – The intersection of resource scarcity, stress and stigma in mental health and substance use care in South Africa
Stress is a challenge among non-specialist health workers worldwide, particularly in low-resource settings. Understanding and targeting stress is critical for supporting non-specialists and their patients, as stress negatively affects patient care. Further, stigma toward mental health and substance use conditions also impacts patient care. However, there is little information on the intersection of these factors. This sub-analysis aims to explore…
Increases in employment over six months following Khanya
A Pilot Study of Training Peer Recovery Specialists in Behavioral Activation in the United States
This study provides preliminary evidence that behavioral activation may be appropriate for dissemination to PRSs through brief trainings, particularly for PRSs with more work experience. However, additional research is needed to examine predictors of competence among PRSs
Applying a mutual capacity building model to inform peer provider programs in South Africa and the United States
Patient and provider perceptions of a peer-delivered intervention (‘ Khanya ’) to improve anti-retroviral adherence and substance use in South Africa
Findings underscore the importance of examining patients' perspectives on specific intervention components within intervention packages. While mindfulness training and peer delivery models were positively perceived by consumers, they are rarely used within task-shared behavioral interventions in low- and middle-income countries
The Relationship Between Harmful Alcohol Use and Antiretroviral Non-adherence in People Accessing HIV Treatment in Cape Town, South Africa
Gender Moderates Results of a Randomized Clinical Trial for the Khanya Intervention for Substance Use and ART Adherence in HIV Care in South Africa
Little is known about gender effects of alcohol and drug use (AOD) among people living with HIV (PLWH) in resource-limited settings. Using multilevel models, we tested whether gender moderated the effect of Khanya, a cognitive-behavioral therapy-based intervention addressing antiretroviral (ART) adherence and AOD reduction. We enrolled 61 participants from HIV care and examined outcomes at 3- and 6-months compared to enhanced treatment as usual (…
A Cross-sectional Comparison of the Mental Health of People Trafficked to the UK for Domestic Servitude, for Sexual Exploitation and for Labor Exploitation
The experiences and needs of trafficking victims have received increasing attention. However, variation in the experiences and needs of people trafficked for different types of labor have been poorly explored. People trafficked for domestic servitude may represent a particularly vulnerable group but are typically subsumed within labor exploitation. Our aim is to describe the characteristics, experiences, and mental health outcomes of a sample of …
Evaluating clinical outcomes of routinely delivered task-shared care for depression in rural Haiti
Our findings support the potential positive impact of scaling up routine mental health services in low- and middle-income countries, despite greater than expected variability in service provision, as well as the importance of understanding potential barriers and facilitators to care as they occur in resource-limited settings
Development of a comprehensive, sustained community mental health system in post-earthquake Haiti, 2010–2019
Between 2010 and 2019 the international health care organization Partners In Health (PIH) and its sister organization Zanmi Lasante (ZL) mounted a long-term response to the 2010 Haiti earthquake, focused on mental health. Over that time, implementing a Theory of Change developed in 2012, the organization successfully developed a comprehensive, sustained community mental health system in Haiti's Central Plateau and Artibonite departments, directly…
No prominent works on this page.
Development of a comprehensive, sustained community mental health system in post-earthquake Haiti, 2010–2019
Between 2010 and 2019 the international health care organization Partners In Health (PIH) and its sister organization Zanmi Lasante (ZL) mounted a long-term response to the 2010 Haiti earthquake, focused on mental health. Over that time, implementing a Theory of Change developed in 2012, the organization successfully developed a comprehensive, sustained community mental health system in Haiti's Central Plateau and Artibonite departments, directly…
A Cross-sectional Comparison of the Mental Health of People Trafficked to the UK for Domestic Servitude, for Sexual Exploitation and for Labor Exploitation
The experiences and needs of trafficking victims have received increasing attention. However, variation in the experiences and needs of people trafficked for different types of labor have been poorly explored. People trafficked for domestic servitude may represent a particularly vulnerable group but are typically subsumed within labor exploitation. Our aim is to describe the characteristics, experiences, and mental health outcomes of a sample of …
Evaluating clinical outcomes of routinely delivered task-shared care for depression in rural Haiti
Our findings support the potential positive impact of scaling up routine mental health services in low- and middle-income countries, despite greater than expected variability in service provision, as well as the importance of understanding potential barriers and facilitators to care as they occur in resource-limited settings
Patient and provider perceptions of a peer-delivered intervention (‘ Khanya ’) to improve anti-retroviral adherence and substance use in South Africa
Findings underscore the importance of examining patients' perspectives on specific intervention components within intervention packages. While mindfulness training and peer delivery models were positively perceived by consumers, they are rarely used within task-shared behavioral interventions in low- and middle-income countries
The Relationship Between Harmful Alcohol Use and Antiretroviral Non-adherence in People Accessing HIV Treatment in Cape Town, South Africa
Gender Moderates Results of a Randomized Clinical Trial for the Khanya Intervention for Substance Use and ART Adherence in HIV Care in South Africa
Little is known about gender effects of alcohol and drug use (AOD) among people living with HIV (PLWH) in resource-limited settings. Using multilevel models, we tested whether gender moderated the effect of Khanya, a cognitive-behavioral therapy-based intervention addressing antiretroviral (ART) adherence and AOD reduction. We enrolled 61 participants from HIV care and examined outcomes at 3- and 6-months compared to enhanced treatment as usual (…
A Pilot Study of Training Peer Recovery Specialists in Behavioral Activation in the United States
This study provides preliminary evidence that behavioral activation may be appropriate for dissemination to PRSs through brief trainings, particularly for PRSs with more work experience. However, additional research is needed to examine predictors of competence among PRSs
Applying a mutual capacity building model to inform peer provider programs in South Africa and the United States
Piloting Siyakhana
South Africa has one of the highest rates of HIV/tuberculosis (TB) co-infection, and poor engagement in HIV/TB care contributes to morbidity and mortality. In South Africa, community health workers (CHWs) are tasked with re-engaging patients who have dropped out of HIV/TB care. CHWs have described substantial challenges with substance use (SU) and depression among their patients, while patients have described CHW stigma towards SU and depression …
Development and empirical test of the research‐informed South African Relationship Functioning Assessment ( Sarfa )
Intimate partners play an important role in chronic diseases. Despite the chronic disease burden in sub‐Saharan Africa, very few culturally relevant quantitative measures of intimate relationship functioning are available. We conducted an empirical investigation evaluating the psychometric properties of the South African Relationship Functioning Assessment (SARFA) assessing healthy relationship functioning in N = 150 community members (50% women;…
Early in the morning, there’s tolerance and later in the day it disappears ” – The intersection of resource scarcity, stress and stigma in mental health and substance use care in South Africa
Stress is a challenge among non-specialist health workers worldwide, particularly in low-resource settings. Understanding and targeting stress is critical for supporting non-specialists and their patients, as stress negatively affects patient care. Further, stigma toward mental health and substance use conditions also impacts patient care. However, there is little information on the intersection of these factors. This sub-analysis aims to explore…
Increases in employment over six months following Khanya
Assessing the approach to perinatal mental health screening and treatment in maternal-child health clinics in Western Kenya
Integrating mental health care into well-attended health services, such as maternal-child health (MCH), offers a promising approach to increasing access to mental health care. To inform integration, we assessed the current approach to screening and treatment of perinatal mood and anxiety disorders (PMAD) in MCH facilities in Western Kenya. We conducted a cross-sectional survey among the facility managers (“in-charges”) at 20 MCH facilities in Wes…
Perspectives on non-specialist training for mental health care delivery in South Africa
Task-sharing, or the distribution of tasks to non-specialists, is a key strategy for expanding access to mental health services, particularly in low- and lower-middle income countries. However, training practices are not standardized and non-specialist training outcomes in mental health care are variable. A better understanding of current practices and challenges in task-shared mental health care training is much needed to help improve training o…
Cost-effectiveness of a peer-delivered behavioral intervention for adherence to antiretroviral therapy and alcohol and drug use in South African HIV care
Cost-effective approaches for integrating behavioral interventions for problematic alcohol and other drug (AOD) use into HIV care is needed, as problematic AOD is a primary barrier to adherence of antiretroviral therapy (ART). Thus, we investigated the cost-effectiveness of a recently completed pilot trial in South Africa, that showed promising findings in improved adherence of antiretroviral therapy (ART). The trial compared a task-shared, peer-…
Medicine (12 works) · Psychology (10 works) · Psychiatry (9 works) · Mental Health Treatment and Access (8 works) · Family medicine (7 works) · Nursing (7 works) · HIV/AIDS Research and Interventions (6 works) · Mental health (6 works) · Clinical Psychology (5 works) · Health care (5 works)