Testing the WeCare Intervention to Address Mental Health and Medication Adherence Challenges Among MSM in South Africa

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age18+
SponsorEmory University

About this trial

The goal of this clinical trial is to learn if the WeCare intervention-an adapted Friendship Bench program that integrates problem-solving therapy, minority-stress-informed content, and explicit PrEP/ART adherence skills-improves mental health and HIV medication adherence among men who have sex with men (MSM). It will also assess the safety, acceptability, and feasibility of delivering WeCare through trained lay coaches in community clinics.

Main questions the trial aims to answer:

* Does WeCare reduce symptoms of depression and anxiety among MSM? * Does WeCare improve PrEP and ART adherence and increase rates of viral suppression among participants on ART? * Is WeCare acceptable, feasible, and safe when delivered by lay coaches in POP INN clinics compared with usual care?

Eligibility criteria

Qualifiers

Male

reports sexual intercourse with a man in the past 6 months

reside in the Johannesburg metropolitan area with no plans to relocate during the next 6 months

ability to communicate in English

Disqualifiers

Presently engaged in mental health therapy.

Participated in qualitative phase of WeCare study (AUR2-18-419) or open-pilot (present study).

Refuses audio recording of the in-person or online individual counselling session

Trial design

Treatments tested in this trial

  • WeCare
  • Standard of Care

Treatment groups

60 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Emory University

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator