Informing the measurement of wellbeing among young people living with HIV in sub-Saharan Africa for policy evaluations: a mixed-methods systematic review

Govindasamy, Darshini; Seeley, Janet; Olaru, Ioana D.; Wiyeh, Alison B.; Mathews, Catherine; Ferrari, Giulia

doi:10.1186/s12955-020-01352-w

Cited by 12 publications

(13 citation statements)

References 136 publications

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“…The evidence confirms that individual coping skills, trusting relationship with caregivers and social support protected HIV-affected children against negative mental health effects, with some evidence that these were most impactful among those most stressed ( 23 ). Adaptive coping and social support were considered critical to overcome the structural and economic barriers associated with poverty that led to mental ill-health ( 19 ) and would be relevant for children experiencing poverty and economic stress as a result of financial crises borne of the COVID-19 pandemic.…”

Section: Resultsmentioning

confidence: 99%

Addressing the Mental and Emotional Health Impacts of COVID-19 on Children and Adolescents: Lessons From HIV/AIDS

Banati

Idele²

2021

Front. Psychiatry

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The COVID-19 pandemic has led to lasting mental health and psychosocial consequences just as were experienced with the HIV epidemic. A rapid review of published systematic reviews on HIV/AIDS and mental health outcomes and responses among children and adolescents was used to identify lessons for the COVID-19 pandemic response. The review found that HIV/AIDS responses to promote mental health, prevent ill-health and treat mental health conditions included diverse interventions at the structural or national, community, household and individual levels. Some of these responses can be easily replicated, others require substantial adaptation, and some can inform development of new innovative offline and online responses to mitigate impact of COVID-19 on mental health of children and adolescents. Programs that mitigate economic impacts including child grants, income generating activities for caregivers, food distribution, health care vouchers, and other economic empowerment interventions can be replicated with minor adjustments. Helplines for vulnerable or abused children and shelters for victims of gender-based violence can be scaled up to respond to the COVID pandemic, with minimal adaptation to adhere to prevention of contagion. Mass media campaigns to combat stigma and discrimination were successfully employed in the HIV response, and similar interventions could be developed and applied in the COVID context. Some programs will need more substantial adjustments. In health facilities, mainstreaming child-sensitive mental health training of frontline workers and task sharing/shifting to community volunteers and social workers as was done for HIV with community health workers, could advance mental illness detection, particularly among abuse victims, but requires adaptation of protocols. At the community and household levels, expansion of parenting programs can help caregivers navigate negative mental health effects on children, however, these are not often operating at scale, nor well-linked to services. Programs requiring innovation include converting adolescent and youth safe physical spaces into virtual spaces particularly for at-risk girls and young women; organizing virtual community support groups, conversations, and developing online resources. Re-opening of schools and introduction of health and hygiene policies, provides another opportunity for innovation - to provide mental health and psychosocial support to all children as a standard package of care and practice.

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Section: Resultsmentioning

confidence: 99%

Addressing the Mental and Emotional Health Impacts of COVID-19 on Children and Adolescents: Lessons From HIV/AIDS

Banati

Idele²

2021

Front. Psychiatry

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“…Some of the available generic outcomes may not comprehensively reflect the nuances of living with HIV. 13 This mixed review, therefore, seeks to: 1. Identify positive psychological outcomes and corresponding outcome measures used in AYALHIV in SSA.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Govindasamy et al (2021) performed a mixed-methods systematic review to explore correlates of well-being among AYALHIV in SSA to inform econometric evaluations. 13 The review showed that social support, belonging, purpose in life and self-acceptance optimise well-being in AYALHIV. 13 Although the review provides essential insights, the sole focus on well-being limits our comprehensive understanding of the spectrum of positive psychological constructs in AYALHIV residing in SSA.…”

Section: Introductionmentioning

confidence: 99%

“… 13 The review showed that social support, belonging, purpose in life and self-acceptance optimise well-being in AYALHIV. 13 Although the review provides essential insights, the sole focus on well-being limits our comprehensive understanding of the spectrum of positive psychological constructs in AYALHIV residing in SSA. There is a need to build on Govindasamy et al .’s work to understand positive psychological constructs in HIV care for AYALHIV aged 10–24 years, holistically.…”

Section: Introductionmentioning

confidence: 99%

“…Some of the available generic outcomes may not comprehensively reflect the nuances of living with HIV. 13 This mixed review, therefore, seeks to:…”

Section: Introductionmentioning

confidence: 99%

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Conceptualisation and psychometric evaluation of positive psychological outcome measures used in adolescents and young adults living with HIV: a mixed scoping and systematic review protocol

et al. 2022

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IntroductionSub-Saharan Africa bears the greatest burden of HIV. Concomitant mental disorders are common, necessitating the integration of mental healthcare into routine HIV care. Consequently, it is necessary to holistically evaluate the mental health of adolescents and young adults living with HIV (AYALHIV, 10–24 years old) by measuring negative and positive psychological constructs (eg, anxiety and self-acceptance, respectively). There has been a proliferation of positive psychological outcome measures, but the evidence of their psychometric robustness is fragmented. This review, therefore, seeks to (1) identify positive psychological outcomes used in AYALHIV in sub-Saharan Africa and map the constructs onto corresponding measures and (2) critically appraise the psychometrics of the identified outcomesMethods and analysisThis mixed review will be done in two parts. First, a scoping review will identify positive psychological outcomes and map them onto corresponding outcome measures. Subsequently, we will systematically evaluate the psychometric properties of the outcomes identified from the scoping review. Independent and blinded reviewers will search articles in PubMed, Scopus, Web of Science, Africa-Wide Information, CINAHL, PsychINFO and Google Scholar from inception through 30 September 2022. Thereafter, separate independent reviewers will screen the retrieved articles. We will apply a narrative synthesis to map the key constructs emerging from the scoping review. For the systematic review, the risk of bias across studies will be evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. The quality of the psychometric properties will be rated using the COSMIN checklist and qualitatively synthesised using the modified Grading of Recommendations Assessment, Development and Evaluation checklist.Ethics and disseminationNo ethical approvals are needed. The mixed-review outputs will collectively inform the development, implementation and evaluation of bespoke interventions for AYALHIV. Review outcomes will be disseminated in a peer-reviewed journal, on social media and through policy briefs.PROSPERO registrationCRD42022325172.

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Psychological Well-Being Among Young People Living with HIV: Role of Social Support, Self-Esteem and Socio-Demographic Variables

Muwonge,

Kembabazi,

Nakalema

et al. 2022

Cross-Cultural Advancements in Positive Psychology

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Informing the measurement of wellbeing among young people living with HIV in sub-Saharan Africa for policy evaluations: a mixed-methods systematic review

Cited by 12 publications

References 136 publications

Addressing the Mental and Emotional Health Impacts of COVID-19 on Children and Adolescents: Lessons From HIV/AIDS

Addressing the Mental and Emotional Health Impacts of COVID-19 on Children and Adolescents: Lessons From HIV/AIDS

Conceptualisation and psychometric evaluation of positive psychological outcome measures used in adolescents and young adults living with HIV: a mixed scoping and systematic review protocol

Psychological Well-Being Among Young People Living with HIV: Role of Social Support, Self-Esteem and Socio-Demographic Variables

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