Top

Published in:

01-01-2007 | Original Paper

A Randomized Clinical Trial of Two Telephone-Delivered, Mental Health Interventions for HIV-Infected Persons in Rural Areas of the United States

Authors: Timothy G. Heckman, Bruce Carlson

Published in: AIDS and Behavior | Issue 1/2007

Abstract

Through December 2003, more than 55,300 persons were living in small towns and rural areas of the United States at the time of their AIDS diagnosis. Many HIV-infected rural persons experience elevated levels of depression, suicidal ideation, and anxiety. This research tested if two telephone-delivered, mental health interventions could facilitate the adjustment efforts of persons living with HIV/AIDS in rural areas of the United States. Participants (N=299) were recruited through AIDS service organizations in 13 states and assigned to a Usual Care Condition (n=107), an 8-session Information Support Group Intervention (n=84), or an 8-session Coping Improvement Group Intervention (n=108). Participants completed self-administered surveys at pre-intervention, post-intervention, and 4- and 8-month follow-ups. ANCOVA revealed that no treatment condition produced reductions in the main outcome measures of depressive and psychological symptoms; however, Information Support participants received significantly more support from friends at 4- and 8-month follow-ups and reported fewer barriers to health care and social services at 4-month follow-up compared to participants in the other two conditions. Telephone-delivered, information-support groups have potential to increase perceptions of support and reduce barriers to health care and social services in this population, but the practical significance of these intervention-related changes is limited.

Beck, A. T., & Steer, R. A. (1993). In BDI: beck depression inventory manual. New York: Psychological Corporation.

Cella, D. F., McCain, N. L., Peterman, A. H., Mo, F., & Wolen, D. (1996). Development and validation of the Functional Assessment of Human Immunodeficiency Virus Infection (FAHI) quality of life instrument. Quality of Life Research, 5, 450–463.PubMedCrossRef

Centers for Disease Control and Prevention (2004). HIV/AIDS Surveillance Report,2003 (Vol. 15). Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention. 15: 30.

Cherry, R., & Rubinstein, A. (1995). The long-term effect of early telephone intervention on hearing aid success. Scandanavian Audiology, 24, 243–246.

Chesney, M., Folkman, S., & Chambers, D. (1996). Coping effectiveness training for men living with HIV: Preliminary findings. International Journal of STD & AIDS, (Suppl. 2), S75–S82.

Crane, L. A., Leakey, B. A., Rimer, B. K., Wolfe, P., Woodworth, M. A., & Warnecke, R. B. (1998). Effectiveness of telephone outcall intervention to promote screening mammography among low-income women. Preventive Medicine, 27, S39–S49.PubMedCrossRef

Derogatis, L. R. (1983). In SCL-90-R, administration, scoring and procedures manual-II. Towson, MD: Clinical Psychometric Research.

Evans, R. L., Halar, E. M., & Smith, K. M. (1985). Cognitive therapy to achieve personal goals: Results of telephone group counseling with disabled adults. Archives of Physical and Medical Rehabilitation, 66, 693–696.

Folkman, S., Chesney, M., McKusick, L., Ironson, G., Johnson, D. S., & Coates, T. J. (1991). Translating coping theory into intervention. In J. Eckenrode (Ed.), The social context of coping (pp. 239–259). New York: Plenum.

Friedman, R. H., Kazis, L. E., Jette, A., Smith, M. B., Stollerman, J. E., Torgerson, J., et al. (1996). A telecommunications system for monitoring and counseling patients with hypertension: Impact on medication adherence and blood pressure control. American Journal of Hypertension, 9, 285–292.PubMedCrossRef

Greineder, D. K., Loane, K. C., & Parks, P. (1995). Reduction in resource utilization by an asthma outreach program. Archives of Pediatric and Adolescent Medicine, 149, 415–420.

Glueckauf, R. L., & Ketterson, T. U. (2004). Telehealth interventions for individuals with chronic illness: Research review and implications for practice. Professional Psychology: Research and Practice, 35, 615–627.CrossRef

Heckman, T. G., Somlai, A. M., Kalichman, S. C., Franzoi, S., & Kelly, J. A. (1998). Psychosocial differences between urban and rural people living with HIV/AIDS. Journal of Rural Health, 14, 138–145.PubMedCrossRef

Heckman, T. G., Somlai, A. M., Otto−Salaj, L., Peters, J., Walker, J., Galdabini, C. A., & Kelly J. A. (1998). Barriers to care among persons living with HIV/AIDS in urban and rural areas. AIDS Care, 10, 365–75.PubMedCrossRef

Heckman, T. G., Miller, J. G., Kochman, A., Kalichman, S. C., Carlson, B., & Silverthorn, M. (2002). Thoughts of suicide among HIV-infected rural persons enrolled in a telephone-delivered mental health intervention. Annals of Behavioral Medicine, 24, 141–148.PubMedCrossRef

Heckman, T. G., Anderson, E., Sikkema, K. J., Kochman, A., Kalichman, S. C., & Anderson, T. (2004). Depressive symptoms in non-metropolitan persons living with HIV disease enrolled in a telephone-delivered mental health intervention. Health Psychology, 23, 94–100.PubMedCrossRef

Kelly, J. A., Murphy, D. A., Bahr, G. R., Kalichman, S. C., Morgan, M. G., Stevenson, L. Y., et al. (1993). Outcome of cognitive-behavioral and support group brief therapies for depressed, HIV-infected persons. American Journal of Psychiatry, 150, 1679–1686.PubMed

Lazarus, R. S., & Folkman, S. (1984). In Stress, appraisal, and coping. New York, NY: Springer Publishing Company.

Lerman, C., Hanjani, P., Caputo, C., Miller, S., Delmoor, E., Nolte, S., et al. (1992). Telephone counseling improves adherence to colposcopy among lower-income minority women. Journal of Clinical Oncology, 10, 330–333.PubMed

Martin, D. J., Riopelle, D., Steckart, M. J., Geshke, N., & Lin, S. (2001). Support group participation, HIV viral load, and sexual risk behavior. American Journal of Health Behavior, 25, 513–527.PubMed

McBride, C. M., & Rimer, B. K. (1999). Using the telephone to improve health behavior and health service delivery. Patient Education and Counseling, 37, 3–18.PubMedCrossRef

Mohr, D. C., Likosky, W., Bertagnolli, A., Goodkin, D. E., Van Der Wende, J., & Dwyer, P., et al. (2000). Telephone-administered cognitive-behavioral therapy for the treatment of depressive symptoms in multiple sclerosis. Journal of Counseling and Clinical Psychology, 68, 356–362.CrossRef

Monnier, J., Knapp, R. G., & Frueh, B. C. (2003). Recent advances in telepsychiatry: An updated review. Psychiatric Services, 54, 1604–1609.PubMedCrossRef

Paykel, E. S., Abbott, R., Jenkins, R., Brugha, T. S., & Meltzer, H. (2000). Urban-rural differences in Great Britain: Findings from the National Morbidity Study. Psychological Medicine, 30, 269–280.PubMedCrossRef

Sandgren, A. K., & McCaul, K. D. (2003). Short-term effects of telephone therapy for breast cancer patients. Health Psychology, 22, 310–315.PubMedCrossRef

Sikkema, K. J., Kalichman, S. C., Hoffmann, R., Koob, J. J., Kelly, J. A., & Heckman, T. G. (2000). Coping strategies and emotional well-being among HIV-infected men and women experiencing AIDS-related bereavement. AIDS Care, 12, 613–624.PubMedCrossRef

Stoddard, A. M., Fox, S. A., Costanza, M. E., Lane, D. S., Anderson, A. R., Urban, N., et al. (2002). Effectiveness of telephone counseling for mammography: Results from five randomized trials. Preventive Medicine, 34, 90–99.PubMedCrossRef

Turner, R. J., Frankel, B. G., & Levin, D. M. (1983). Social support: Conceptualization, measurement, and implications for mental health. Research in Community and Mental Health, 3, 67–111.

Ullrich, P. M., Lutgendorf, S. K., & Stapleton, J. T. (2002). Social constraints and depression in HIV-infection: Effects of sexual orientation and area of residence. Journal of Clinical and Social Psychology, 21, 46–66.CrossRef

Title: A Randomized Clinical Trial of Two Telephone-Delivered, Mental Health Interventions for HIV-Infected Persons in Rural Areas of the United States
Authors: Timothy G. Heckman
Bruce Carlson
Publication date: 01-01-2007
Publisher: Springer US
Published in: AIDS and Behavior / Issue 1/2007
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-006-9111-9

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2007

Is the Web the culprit? Cognitive escape and Internet sexual risk among gay and bisexual men

Sexual risk-taking and HIV testing among health workers in Zambia

A Telephone-Based Intervention for Depression in HIV Patients: Negative Results from a Randomized Clinical Trial

Severe Anxiety Symptomatology and HIV Risk Behavior Among Hispanic Injection Drug Users in Puerto Rico

Outcomes from a Group Intervention for Coping with HIV/AIDS and Childhood Sexual Abuse: Reductions in Traumatic Stress

Risky sexual behavior among women with protective orders against violent male partners

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials