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Phase 3 Completed N=391 Randomized Treatment

Maternal Depression Treatment in HIV

Source: ClinicalTrials.gov NCT03892915 ↗
Enrolled (actual)
391
Serious AEs
7.9%
Results posted
Nov 2024
Primary outcomePrimary: Rate of Maternal HIV Viral Suppression — 128; 132 Participants
◆ Published Evidence
Emerging
10citations · ~3 / year
Effects of M-DEPTH Model of Depression Care on Maternal HIV Viral Suppression and Adherence to the PMTCT Care Continuum Among HIV-Infected Pregnant Women in Uganda: Results from a Cluster Randomized Controlled Trial at Pregnancy Completion.
AIDS and behavior · 2023 · Open access · Likely link

Summary

Cluster randomized controlled trial to compare the effects of task-shifted, evidence-based depression care vs. usual care on adherence to each step of the prevention of mother-to-child-transmission (PMTCT) care cascade at 8 antenatal care (ANC) clinics in Uganda.

Linked Publications (5)

  • Effects of M-DEPTH Model of Depression Care on Maternal HIV Viral Suppression and Adherence to the PMTCT Care Continuum Among HIV-Infected Pregnant Women in Uganda: Results from a Cluster Randomized Controlled Trial at Pregnancy Completion.
    AIDS and behavior · 2023 · 10 citations · Open access · Likely link
  • Stressors and Maladaptive Coping Mechanisms Associated with Elevated Perinatal Depressive Symptoms and Suicidality Among Women Living with HIV in Uganda.
    International journal of behavioral medicine · 2023 · 6 citations · Open access · Likely link
  • Economic evaluation of Maternal Depression Treatment in HIV (M-DEPTH) for perinatal depression among women living with HIV in Uganda: a cost-effectiveness analysis.
    BMJ public health · 2024 · 3 citations · Open access · Likely link
  • Effects of M-DEPTH model of depression care on maternal depression, functioning, and HIV care adherence, and infant developmental over eighteen months post-partum: results from a cluster randomized controlled trial.
    BMC pregnancy and childbirth · 2025 · 1 citation · Open access · Likely link
  • Trajectories of perinatal depression among women living with HIV in Uganda.
    Journal of global health · 2024 · 1 citation · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Rate of Maternal HIV Viral Suppression
128; 132
PRIMARY
Mean Maternal Antiretroviral (ART) Adherence
95.2; 90.8
PRIMARY
Rate of Prevention of Mother-to-child-transmission (PMTCT) Care Retention
184; 185
PRIMARY
Rate of Delivery in Health Facility
171; 165
PRIMARY
Rate of Infant Use of ART
174; 164
SECONDARY
Depression Status
37; 102

Eligibility Criteria

Inclusion Criteria

  • detection of pregnancy through 24 weeks gestation (to ensure at least 12 weeks remaining antenatal period for assessing adherence to all stages of PMTCT care cascade)
  • HIV-positive
  • positive screen for potential depression on 2-item Patient Health Questionnaire (PHQ-2>0)
  • on ART for at least 4 weeks

Exclusion Criteria

  • unstable health (about to start ART or on ART < 4 weeks; active, untreated opportunistic infection)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03892915) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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