Psychological treatments are widely tested and have been effective in treating depressive symptoms. However, implementation of psychological treatments in the real world and in diverse populations remains difficult due to several interacting barriers. In this study, we assessed the acceptability and feasibility of peer-administered group interpersonal therapy for depressive symptoms among people living with HIV/AIDS in Northwest Ethiopia. We conducted a single-arm, peer-administered, group interpersonal therapy intervention with eight weekly sessions from 15 August to 15 December 2019 among people living with HIV/AIDS in Northwest Ethiopia. Four interpersonal therapy groups were formed for the intervention with a total of 31 participants. Of the 31 recruited participants, 29 completed the intervention providing a retention rate of 93.5%. The process of the intervention and its outcomes were highly acceptable as most participants expressed success in resolving their psychosocial problems, adjusting to life changes and coping with stigma. The intervention was also reported to be feasible despite anticipated barriers such as access to transportation, perceived stigma and confidentiality concerns. The post-intervention assessment revealed significant reduction in depressive symptoms (mean difference (MD) = 9.92; t = − 7.82; 95% CI, − 12.54, − 7.31; p < 0.001), improvement in perceived social support (MD = 0.79; t = 2.84; 95% CI, 0.22, 1.37; p = 0.009) and quality of life (MD = 0.39; t = 4.58; 95% CI, 0.21, 0.56; p < 0.001). Group interpersonal therapy is feasible and acceptable, and people living with HIV/AIDS can benefit from group interpersonal therapy in managing depressive symptoms and in improving perceived social support and quality of life. Future studies should examine the effectiveness of group interpersonal therapy in this setting.

中文翻译：

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对艾滋病毒/艾滋病患者进行同伴管理的团体人际治疗抑郁症的可接受性和可行性——埃塞俄比亚西北部的一项试点研究

心理治疗已被广泛测试，并且对治疗抑郁症状有效。然而，由于存在一些相互作用的障碍，在现实世界和不同人群中实施心理治疗仍然很困难。在这项研究中，我们评估了埃塞俄比亚西北部艾滋病毒/艾滋病感染者抑郁症状的同伴管理团体人际治疗的可接受性和可行性。2019 年 8 月 15 日至 12 月 15 日，我们对埃塞俄比亚西北部的艾滋病毒/艾滋病患者进行了单臂、同伴管理、团体人际治疗干预，每周进行八次治疗。为进行干预，我们成立了四个人际治疗小组，共有 31 名参与者。在 31 名招募的参与者中，29 名完成了干预，保留率为 93.5%。干预的过程及其结果是高度可接受的，因为大多数参与者表示成功解决了他们的心理社会问题，适应了生活变化并应对了耻辱。据报道，尽管存在交通便利、耻辱感和保密问题等预期障碍，但这种干预措施是可行的。干预后评估显示抑郁症状显着减轻（平均差（MD）= 9.92；t = − 7.82；95% CI，− 12.54，− 7.31；p < 0.001），感知社会支持有所改善（MD = 0.79；p < 0.001）。 t = 2.84；95% CI，0.22，1.37；p = 0.009）和生活质量（MD = 0.39；t = 4.58；95% CI，0.21，0.56；p < 0.001）。团体人际治疗是可行且可接受的，艾滋病毒/艾滋病感染者可以从团体人际治疗中受益，以控制抑郁症状并改善感知的社会支持和生活质量。未来的研究应该检验团体人际关系治疗在这种情况下的有效性。