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dc.contributor.authorContreras, Carmen
dc.contributor.authorCruz, Janeth Santa
dc.contributor.authorGalea, Jerome T.
dc.contributor.authorChu, Alexander L.
dc.contributor.authorPuma, Daniela
dc.contributor.authorRamos, Lourdes
dc.contributor.authorTovar, Marco
dc.contributor.authorPeinado, Jesús
dc.contributor.authorLecca, Leonid
dc.contributor.authorKeshavjee, Salmaan
dc.contributor.authorYuen, Courtney M.
dc.contributor.authorRaviola, Giuseppe
dc.date.accessioned2024-06-09T19:34:15Z
dc.date.available2024-06-09T19:34:15Z
dc.date.issued2024-04-04
dc.identifier.doi10.1017/gmh.2024.21
dc.identifier.urihttp://hdl.handle.net/10757/673725
dc.description.abstractBackground: Few studies have explored a stepped care model for delivering mental health care to persons with tuberculosis (TB). Here, we evaluated depression screening and remote lowintensity mental health interventions for persons initiating TB treatment in Lima, Peru during the COVID-19 pandemic. Methods: We used the Patient Health Questionnaire 9 (PHQ-9) to screen participants for depressive symptoms (PHQ-9 ≥ 5). Participants with PHQ-9, 5–14 received remote Psychological First Aid (PFA) or Problem Management Plus (PM+). Participants were reevaluated 6 months after intervention completion. Wethen compared the change in median PHQ-9 scores before and after intervention completion. Those with PHQ-9 ≥ 15 were referred to higherlevel care. Findings: We found that 62 (45.9%) of the 135 participants had PHQ-9 ≥ 5 at baseline. Then, 54 individuals with PHQ-9, 5–9 received PFA, of which 44 (81.5%) were reevaluated. We observed significant reductions in median PHQ-9 scores from 6 to 2 (r = 0.98; p < 0.001). Four participants with PHQ-9, 10–14 received PM+ but were unable to be reevaluated. Four participants with PHQ-9 ≥ 15 were referred to higher-level care. Conclusions: Depressive symptoms were common among persons recently diagnosed with TB. We observed improvements in depressive symptoms 6 months later for most participants who received remote sessions of PFA.es_PE
dc.formatapplication/pdfes_PE
dc.language.isoenges_PE
dc.publisherCambridge University Press (CUP)es_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Academico - UPCes_PE
dc.subjectDepressiones_PE
dc.subjectMental healthes_PE
dc.subjectTuberculosises_PE
dc.subjectPsychological first aides_PE
dc.subjectPerues_PE
dc.titleProgrammatic implementation of depression screening and remote mental health support sessions for persons recently diagnosed with TB in Lima, Peru during the COVID-19 pandemices_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.identifier.eissn2054-4251
dc.description.peerreviewRevisión por pareses_PE
dc.identifier.piiS2054425124000219
dc.source.journaltitleCambridge Prisms: Global Mental Health
dc.source.volume11
refterms.dateFOA2024-06-09T19:34:30Z
dc.identifier.isni0000 0001 2196 144X
dc.identifier.ror047xrr705
dc.description.odsODS 3: Salud y Bienestar
dc.description.odsODS 13: Acción por el Clima
dc.description.odsODS 17: Alianzas para lograr los Objetivos


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