Effectiveness of an online intervention for people with HIV and depressive symptoms: a pilot study

Abstract

Background: Many people with HIV suffer from depressive symptoms. We developed an online self-help program for people with HIV and depressive symptoms, based on previous research. This pilot study investigated the effectiveness of the program on depressive symptoms in people with HIV. Methods: The effectiveness of the program was examined in a one-group experimental design. The self-help program contains four main components: activation, relaxation, changing maladaptive cognitions, and goal attainment. Twenty participants worked on the program for six to eight weeks. A coach provided motivational support by telephone once a week. Depressive symptoms were assessed with the PHQ-9 and the CES-D at baseline and after completing the program. Findings: We found that participants significantly improved on depressive symptoms from pretest to posttest. Furthermore, participants evaluated the program as easy to use and very helpful to them. Discussion: Next, a RCT regarding the effectiveness of the program will be conducted. If the intervention shows to be effective, the program will be implemented. Many patients with HIV could then be reached and psychological care may be improved.