Enhancing a peer supporter intervention for young mothers living with HIV in Malawi, Tanzania, Uganda, and Zambia

Adaptation and co-development of a psychosocial component

Dados Bibliográficos

ID15540907
AutoresChristina Laurenzi (0000-0001-9648-4473, Stellenbosch University, autor correspondente), Agnes Ronan, Lynn W Phillips (0000-0003-1524-8036), Sharifah Nalugo, Eugene Mupakile, Don Operario (0000-0003-2467-5048, Brown University), Elona Toska (0000-0002-3800-3173, University of Oxford)
Ano2022
Volume18
Fascículo1
Páginas2081711-2081711
Data de publicação2022-05-29
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoGlobal Public Health (JOURNAL)
Identificadores do periódicoISSN: 1744-1692 • E-ISSN: 1744-1706
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2022.2081711
PMID35634944
OpenAlexW4281655475
IdiomaEN
Citações recebidas6
Referências citadas47

Young mothers living with HIV (YMHIV) experience heightened risks to their mental health, as their transition to adulthood is marked by social stigma, health and socioeconomic challenges. Targeted psychosocial interventions may improve the mental health of YMHIV; however, no evidence-based interventions have been developed for this group. Peer support models, more common for youth living with HIV, show promise as a design to reach YMHIV in a non-stigmatising way. This manuscript describes the process of adapting and co-developing an evidence-based psychosocial component (Boost) of a larger intervention called Ask-Boost-Connect-Discuss . Peer supporters in Malawi, Tanzania, Uganda, and Zambia used ABCD to guide group sessions with YMHIV. The research team partnered with an implementing partner, Paediatric-Adolescent Treatment Africa, to undertake this work in three phases: 1) formative research, 2) content adaptation and development, and 3) consultation, refinement, and modification. YMHIV (n = 4), peer supporters (n = 21), and technical advisors (n = 4) were engaged as co-developers, shaping the resulting Boost intervention component at each phase. Peer support models may effectively reach young mothers, and consultation, co-creation, and integration with existing programming can offer rich insights to inform these models. We discuss the implications and promise of this approach

Mental health · Peer support · Psychiatry · Psychological intervention · Psychosocial · Socioeconomics · Sociology · Stigma (botany · Tanzania · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Nursing · Psychology