Sign in

NCT06152003Not yet recruiting

Intervention Development for Syndemics Among PWH in SA

Developing and Piloting a Multilevel Intervention to Address Psychosocial and Structural Syndemics in People With HIV in South Africa

Source: ClinicalTrials.gov · Last updated 9 Sept 2026

Brief summary (registry, in English)

In South Africa, the country with the highest HIV prevalence (19%), co-occurring problems such as depression, post-traumatic stress, and food insecurity interact to enhance one another (i.e., syndemic problems) and are associated with worse HIV outcomes such as worse antiretroviral therapy (ART) adherence and worse viral load. This study proposes to: 1) explore how syndemic problems work together to make health worse for people with HIV (PWH) and explore what people think about a potential treatment; 2) develop a treatment to address syndemic problems and improve ART adherence (CBT-SA); 3a) assess whether people are willing to receive the CBT-SA we it can actually be done; and 3b) identify factors that make it easier or more difficult to receive CBT-SA.

Status (registry)
Not yet recruiting
Study type
Interventional
Enrollment
60 (estimated)
First submitted
16 Nov 2023
Start date
15 Sept 2026
Primary completion date
31 Dec 2027
Lead sponsor
Massachusetts General Hospital
Diseases
HIV
NCT number
NCT06152003

What you commit to

  • Study type: Interventional
  • Planned participants: 60
  • From 15 Sept 2026 to the primary completion date, 31 Dec 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • In the past year: received CBT for depression or PTSD, or received supplemental food parcels or nutritional counseling

Other

  • Unable or unwilling to provide informed consent
  • Current untreated or undertreated serious mental health issue that would interfere with participation

Who the study is looking for

  • Patient receiving HIV care in Khayelitsha (confirmed by medical record)
  • Currently prescribed TDF-based ART, with recent difficulties with ART adherence (self-reported in past 30 days / confirmed by pharmacy refill data)
  • Mild, moderate, or severe food insecurity (measured by HFIAS categories) AND ≥1 of the following:
    • Clinically significant depressive symptoms (CES-D ≥ 16)
    • Clinically significant post-traumatic stress symptoms (SPAN ≥ 5)
  • 18 years of age or older

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
University of Cape Town
Coordinator of this site? Confirm its status
Cape TownSouth AfricaUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.