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
Sponsors and collaborators
Emory University
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator