151. Effect of a WeChat-Based Intervention (Run4Love) on Depressive Symptoms Among People Living With HIV in China: A Randomized Controlled Trial
- Author
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Weiping Cai, Yuantao Hao, Yan Guo, Cong Liu, Chengbo Zeng, Mengting Zhu, Linghua Li, Yu Zeng, Jiaying Qiao, Yiran Li, Y Alicia Hong, Zhimeng Xu, Frank J. Penedo, and Hanxi Zhang
- Subjects
Adult ,Male ,China ,medicine.medical_specialty ,020205 medical informatics ,Psychological intervention ,HIV Infections ,Health Informatics ,02 engineering and technology ,lcsh:Computer applications to medicine. Medical informatics ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,WeChat ,Randomized controlled trial ,law ,Informed consent ,Intervention (counseling) ,0202 electrical engineering, electronic engineering, information engineering ,Humans ,Medicine ,Outpatient clinic ,030212 general & internal medicine ,mHealth ,Original Paper ,Depression ,business.industry ,lcsh:Public aspects of medicine ,HIV ,lcsh:RA1-1270 ,Middle Aged ,Mental health ,Telemedicine ,Clinical trial ,Mental Health ,Case-Control Studies ,randomized controlled trial ,Physical therapy ,lcsh:R858-859.7 ,Female ,business - Abstract
Background People living with HIV (PLWH) have high rates of depressive symptoms. However, only a few effective mental health interventions exist for this vulnerable population. Objective The aim of this study was to assess the efficacy of a WeChat-based intervention, Run4Love, with a randomized controlled trial among 300 people living with HIV and depression (PLWHD) in China. Methods We recruited PLWH from the HIV outpatient clinic in South China. Participants were screened based on the Center for Epidemiologic Studies-Depression (CES-D) scale. Those who scored 16 or higher were eligible to participate. A total of 300 eligible patients were enrolled. After obtaining informed consent from the participants, completion of a baseline survey, and collection of participants’ hair samples for measuring cortisol, the participants were randomly assigned to an intervention or a control group in a 1:1 ratio. The intervention group received the Run4Love program, delivered via the popular social media app WeChat. Cognitive behavioral stress management courses and weekly reminders of exercise were delivered in a multimedia format. Participants’ progress was monitored with timely and tailored feedback. The control group received usual care and a brochure on nutrition for PLWH. Data were collected at 3, 6, and 9 months. The primary outcome was depression, which was measured by a validated instrument. Results Participants in the intervention and control groups were comparable at baseline; about 91.3% (139/150), 88.3% (132/150), and 86.7% (130/150) participants completed the 3-, 6-, and 9-month follow-ups, respectively. At the 3-month follow-up, a significant reduction in CES-D score was observed in the intervention group (from 23.9 to 17.7 vs from 24.3 to 23.8; mean difference=−5.77, 95% CI −7.82 to −3.71; P Conclusions The WeChat-based mobile health (mHealth) intervention Run4Love significantly reduced depressive symptoms among PLWHD, and the effect was sustained. An app-based mHealth intervention could provide a feasible therapeutic option for many PLWHD in resource-limited settings. Further research is needed to assess generalizability and cost-effectiveness of this intervention. Trial Registration Chinese Clinical Trial Registry ChiCTR-IPR-17012606; http://www.chictr.org.cn/showproj.aspx?proj=21019 (Archived by WebCite at https://www.webcitation.org/78Bw2vouF)
- Published
- 2020
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