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New program tackles depression and HIV together in rural zimbabwe
NCT ID NCT04018391
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a stepped-care program where trained non-specialists provided mental health support and HIV medication adherence help to 280 people in rural Zimbabwe. Participants had both depression and high HIV viral loads. The goal was to see if this approach could improve viral suppression and reduce depression symptoms.
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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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280 people
The number who actually took part.
- Started
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Jul 2019
- Finished
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May 2024
- 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: * Initiated on ART for at least 6 months * Clinically significant depression symptoms scoring \>/= 10 on the Patient Health Questionnaire-9 * Viral non-suppression in past two months per local clinic standard (VL \> 1000 copies/mL) * Able to provide informed consent * If prescribed antidepressants, on stable regimen for at least 2 months Exclusion Criteria: * Unable to provide informed consent * Active major mental illness (e.g. untreated psychosis or mania, actively suicidal), major untreated or undertreated mental illness or advanced physical disease or severe cognitive impairment assessed using the psychosis module of the MINI, the PHQ-9, and the International HIV dementia Scale which would interfere with engagement in PST-AD * Has ever received PST or CBT for depression * Less than 18 years of age
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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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Marondera Provincial Hospital
Marondera, Mashonaland East Province, Zimbabwe
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Other studies related to the condition(s) this trial covers.
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