Anne Mbwayo
Dados Biográficos
| ID | 4599148 |
|---|---|
| NOME | Anne Mbwayo |
| PRENOMES | Anne |
| SOBRENOME | Mbwayo |
| ASSINATURA | MBWAYO A |
| AFILIAÇÕES | University of Nairobi |
| ORCID | 0000-0003-4888-2375 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 16 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 16 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2012 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
An evaluation of non-specialist training and delivery of a brief cognitive-behavioral therapy-based transdiagnostic intervention for adolescents with depression and anxiety in Nairobi, Kenya
Objective: This study evaluated 1) foundational helping competencies for Non-Specialist Providers (NSPs) trained in a transdiagnostic CBT-based intervention (PRO-ACT) for adolescents with anxiety and depression in Nairobi, Kenya and 2) preliminary clinical outcomes for adolescents receiving PRO-ACT.Method: Seventeen NSPs were trained and assessed using role plays at pre-training, post-training, and post-supervision using the Enhancing Assessment …
Factors associated with fluoxetine adherence among outpatients with common mental disorders in Western Kenya
OBJECTIVE: Non-adherence to antidepressants has been linked to increased symptom severity, relapse and hospitalisation from common mental disorders. However, there is limited knowledge of factors associated with antidepressant adherence in low-income and middle-income countries, especially in public sector, primary care settings. METHODS: We quantified fluoxetine adherence using the medication possession ratio. A limitation of this measure is tha…
Productivity benefits of treatment of depression and post-traumatic stress disorder in Kenya
INTRODUCTION: Depression and post-traumatic stress disorder (PTSD) significantly contribute to the global disease burden, adversely affecting health, medical costs and economic productivity. The SMART-DAPPER project in western Kenya approached this challenge by deploying trained non-specialists to administer proven depression and PTSD treatments. METHODS: Participants were public sector primary care outpatients at Kiumu County Hospital with major…
Cumulative adverse childhood experiences and their association with depression and anxiety
Adverse childhood experiences (ACEs), such as abuse, neglect, and household dysfunction, are linked to adverse mental health outcomes, particularly among adolescents and young adults living in informal urban settlements, where poverty, unemployment, and exposure to violence exacerbate early life adversity. Despite this, research on ACEs and mental health in these contexts remains limited, especially among youth living in informal urban settlement…
A pilot study of alcohol and substance use, mental health symptoms and social vulnerabilities among youth in Nairobi’s informal settlements
Alcohol and Substance Use (ASU) and mental ill-health among youths is today a global public health concern especially among the urban poor. This pilot study examined the prevalence, patterns and mental health associations of ASU among youths in urban slums. Baseline cross-section data were collected from 94 participants aged 15–24 in two informal settlements in Nairobi. Descriptive statistics analyzed demographic, substance use and mental health …
Defining a screening tool for post-traumatic stress disorder in East Africa
Background: Scalable PTSD screening strategies must be brief, accurate and capable of administration by a non-specialized workforce. Methods: We used PTSD as determined by the structured clinical interview as our gold standard and considered predictors sets of (a) Posttraumatic Stress Checklist-5 (PCL-5), (b) Primary Care PTSD Screen for the DSM-5 (PC-PTSD) and, (c) PCL-5 and PC-PTSD questions to identify the optimal items for PTSD screening for …
Gaps and Opportunities for Strengthening In‐School Support for Youth Living With HIV
OBJECTIVES: With optimized antiretroviral treatment youth living with HIV (YLH) now spend most of their time in schools, making schools an important venue to optimize outcomes. We evaluated school support for YLH. METHODS: We conducted surveys with public secondary/high schools in 3 Kenyan counties (Nairobi, Homa Bay, and Kajiado) to determine policies and training related to HIV. Chi-squared tests and Poisson regression were used to compare poli…
“A problem shared is a problem solved
Implementation science and human-centered design (HCD) offer useful frameworks and methods for considering and designing for individuals' needs and preferences when implementing new interventions or technologies in global health. When used in tandem, the two approaches may blend creative and partnered research methods with a focus on the factors necessary to design, implement, and sustain interventions. However, research is needed that describes …
“The peace that I wanted, I got”
SMART DAPPER is an implementation science study responding to mental health treatment gaps for depression and trauma-related disorders in Sub-Saharan Africa (SSA). We report on patient experiences in a study using a Sequential, Multiple Assignment Randomized Trial (SMART) design to test first and second line non-specialist treatment using psychotherapy (Interpersonal Psychotherapy [IPT] or medication (fluoxetine [FLX]), integrated within public s…
Training community health volunteers to use mobile platform during the Covid-19 pandemic
This study describes an alternative to face-to-face training method for community health volunteers (CHVs) as used by a collaborative group from the University of Nairobi, University of Washington and the Nairobi Metropolitan Mental Health Team during the COVID-19 lockdown in Kenya. This qualitative study describes the experiences of 17 CHVs enrolled in a training study, required to utilize different digital platforms (Google Meet or Jitsi) as a …
“We can tell a good teacher who cares, understands, and can be confidential about it”
Introduction: Disclosure of one's HIV status to others is often difficult due to the fear of stigma. However, disclosure may facilitate receiving social support. Many youth living with HIV (YLH) are enrolled in school as better treatments have improved the health and survival of children with HIV. There is no structured process for disclosure at school for YLH and their caregivers. We sought to understand school disclosure experiences among YLH a…
Co-developed implementation guidelines to maximize acceptability, feasibility, and usability of mobile phone supervision in Kenya
Opportunities exist to leverage mobile phones to replace or supplement in-person supervision of lay counselors. However, contextual variables, such as network connectivity and provider preferences, must be considered. Using an iterative and mixed methods approach, we co-developed implementation guidelines to support the implementation of mobile phone supervision with lay counselors and supervisors delivering a culturally adapted trauma-focused co…
Trauma among Kenyan School Children in Urban and Rural Settings
A national population-based assessment of 2007–2008 election-related violence in Kenya
On a national level in Kenya, politically-motivated and opportunistic sexual and physical violations were commonly reported among sampled adults with associated health and mental health outcomes
Knowledge of psychiatric terms and concepts among Kenyan youth
Psychiatric disorders and symptoms are common worldwide. However, cultural differences in symptom manifestation and knowledge of psychiatric terms and concepts represent a challenge to accurate clinical assessment. Our previous youth surveys revealed higher rates of psychotic experiences in Kenya compared to several other countries, suggesting culture may influence psychosis risk assessment survey results. The goal of the present investigation is…
Classes of Psychotic Experiences in Kenyan Children and Adolescents
Sem obras proeminentes nesta página.
Classes of Psychotic Experiences in Kenyan Children and Adolescents
Knowledge of psychiatric terms and concepts among Kenyan youth
Psychiatric disorders and symptoms are common worldwide. However, cultural differences in symptom manifestation and knowledge of psychiatric terms and concepts represent a challenge to accurate clinical assessment. Our previous youth surveys revealed higher rates of psychotic experiences in Kenya compared to several other countries, suggesting culture may influence psychosis risk assessment survey results. The goal of the present investigation is…
A national population-based assessment of 2007–2008 election-related violence in Kenya
On a national level in Kenya, politically-motivated and opportunistic sexual and physical violations were commonly reported among sampled adults with associated health and mental health outcomes
Trauma among Kenyan School Children in Urban and Rural Settings
“We can tell a good teacher who cares, understands, and can be confidential about it”
Introduction: Disclosure of one's HIV status to others is often difficult due to the fear of stigma. However, disclosure may facilitate receiving social support. Many youth living with HIV (YLH) are enrolled in school as better treatments have improved the health and survival of children with HIV. There is no structured process for disclosure at school for YLH and their caregivers. We sought to understand school disclosure experiences among YLH a…
Co-developed implementation guidelines to maximize acceptability, feasibility, and usability of mobile phone supervision in Kenya
Opportunities exist to leverage mobile phones to replace or supplement in-person supervision of lay counselors. However, contextual variables, such as network connectivity and provider preferences, must be considered. Using an iterative and mixed methods approach, we co-developed implementation guidelines to support the implementation of mobile phone supervision with lay counselors and supervisors delivering a culturally adapted trauma-focused co…
Defining a screening tool for post-traumatic stress disorder in East Africa
Background: Scalable PTSD screening strategies must be brief, accurate and capable of administration by a non-specialized workforce. Methods: We used PTSD as determined by the structured clinical interview as our gold standard and considered predictors sets of (a) Posttraumatic Stress Checklist-5 (PCL-5), (b) Primary Care PTSD Screen for the DSM-5 (PC-PTSD) and, (c) PCL-5 and PC-PTSD questions to identify the optimal items for PTSD screening for …
Gaps and Opportunities for Strengthening In‐School Support for Youth Living With HIV
OBJECTIVES: With optimized antiretroviral treatment youth living with HIV (YLH) now spend most of their time in schools, making schools an important venue to optimize outcomes. We evaluated school support for YLH. METHODS: We conducted surveys with public secondary/high schools in 3 Kenyan counties (Nairobi, Homa Bay, and Kajiado) to determine policies and training related to HIV. Chi-squared tests and Poisson regression were used to compare poli…
“A problem shared is a problem solved
Implementation science and human-centered design (HCD) offer useful frameworks and methods for considering and designing for individuals' needs and preferences when implementing new interventions or technologies in global health. When used in tandem, the two approaches may blend creative and partnered research methods with a focus on the factors necessary to design, implement, and sustain interventions. However, research is needed that describes …
“The peace that I wanted, I got”
SMART DAPPER is an implementation science study responding to mental health treatment gaps for depression and trauma-related disorders in Sub-Saharan Africa (SSA). We report on patient experiences in a study using a Sequential, Multiple Assignment Randomized Trial (SMART) design to test first and second line non-specialist treatment using psychotherapy (Interpersonal Psychotherapy [IPT] or medication (fluoxetine [FLX]), integrated within public s…
Training community health volunteers to use mobile platform during the Covid-19 pandemic
This study describes an alternative to face-to-face training method for community health volunteers (CHVs) as used by a collaborative group from the University of Nairobi, University of Washington and the Nairobi Metropolitan Mental Health Team during the COVID-19 lockdown in Kenya. This qualitative study describes the experiences of 17 CHVs enrolled in a training study, required to utilize different digital platforms (Google Meet or Jitsi) as a …
Factors associated with fluoxetine adherence among outpatients with common mental disorders in Western Kenya
OBJECTIVE: Non-adherence to antidepressants has been linked to increased symptom severity, relapse and hospitalisation from common mental disorders. However, there is limited knowledge of factors associated with antidepressant adherence in low-income and middle-income countries, especially in public sector, primary care settings. METHODS: We quantified fluoxetine adherence using the medication possession ratio. A limitation of this measure is tha…
Productivity benefits of treatment of depression and post-traumatic stress disorder in Kenya
INTRODUCTION: Depression and post-traumatic stress disorder (PTSD) significantly contribute to the global disease burden, adversely affecting health, medical costs and economic productivity. The SMART-DAPPER project in western Kenya approached this challenge by deploying trained non-specialists to administer proven depression and PTSD treatments. METHODS: Participants were public sector primary care outpatients at Kiumu County Hospital with major…
Cumulative adverse childhood experiences and their association with depression and anxiety
Adverse childhood experiences (ACEs), such as abuse, neglect, and household dysfunction, are linked to adverse mental health outcomes, particularly among adolescents and young adults living in informal urban settlements, where poverty, unemployment, and exposure to violence exacerbate early life adversity. Despite this, research on ACEs and mental health in these contexts remains limited, especially among youth living in informal urban settlement…
A pilot study of alcohol and substance use, mental health symptoms and social vulnerabilities among youth in Nairobi’s informal settlements
Alcohol and Substance Use (ASU) and mental ill-health among youths is today a global public health concern especially among the urban poor. This pilot study examined the prevalence, patterns and mental health associations of ASU among youths in urban slums. Baseline cross-section data were collected from 94 participants aged 15–24 in two informal settlements in Nairobi. Descriptive statistics analyzed demographic, substance use and mental health …
An evaluation of non-specialist training and delivery of a brief cognitive-behavioral therapy-based transdiagnostic intervention for adolescents with depression and anxiety in Nairobi, Kenya
Objective: This study evaluated 1) foundational helping competencies for Non-Specialist Providers (NSPs) trained in a transdiagnostic CBT-based intervention (PRO-ACT) for adolescents with anxiety and depression in Nairobi, Kenya and 2) preliminary clinical outcomes for adolescents receiving PRO-ACT.Method: Seventeen NSPs were trained and assessed using role plays at pre-training, post-training, and post-supervision using the Enhancing Assessment …
Medicine (10 obras) · Psychiatry (9 obras) · Psychology (8 obras) · Mental health (7 obras) · Mental Health Treatment and Access (6 obras) · Public health (6 obras) · Computer Science (5 obras) · Kenya (5 obras) · Child and Adolescent Psychosocial and Emotional Development (4 obras) · Clinical Psychology (4 obras)