Bringing mental health care to the doorstep: a new approach for HIV patients
NCT ID NCT06985641
First seen Aug 18, 2026 · Last updated Sep 01, 2026 · Updated 3 times
Summary
This trial tests a home-based intervention called Khanya-Ekhaya, delivered by community health workers, to support the mental health of people living with HIV in South Africa. The intervention combines counseling techniques like motivational interviewing and problem-solving therapy to address depression, anxiety, and harmful alcohol use that often hinder HIV care engagement. The study will assess whether this approach is feasible and acceptable, and also examine its potential to reduce burnout among the community health workers themselves.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Khanya-Ekhaya, a behavioral intervention combining motivational interviewing, problem-solving therapy, behavioral activation, and mindfulness strategies delivered by community health workers during home visits
- What this could lead to
- If successful, this could point toward a scalable, home-based model for integrating mental health care into HIV services, potentially improving treatment engagement and reducing burnout among community health workers.
- What could go wrong
- This is an early feasibility and acceptability study with a small sample, so results may not generalize. The intervention's length and components are still being adapted, and its impact on mental health outcomes is not yet established.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 119 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * at least 18 years old * must be a CHW who conducts home visits for people with HIV newly initiating or re-initiating ART at the approved clinic site Exclusion Criteria: -Unable or unwilling to complete informed consent and study procedures in English, isiXhosa, or Afrikaans
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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South African Medical Research Council - Delft Office
Cape Town, Western Cape, 7580, South Africa
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