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Table 1 Optimizing IPT for HIV+GBV+ women in Kenya with MDD and PTSD

From: Novel implementation research designs for scaling up global mental health care: overcoming translational challenges to address the world’s leading cause of disability

IPT stage Adaptation
Summary of adaptations for meeting, inventory and formulation and termination phases
 Initial meetings (session 1–3) Medical model of depression and PTSD in the setting of HIV, method and goals of IPT, interpersonal inventory including key components for study population: Disclosure of HIV status and its effects on relationships, GBV, housing and social support
 Interpersonal formulation (sessions 4–5) Local examples
  Role conflict GBV, reproduction, condom use, HIV discordance in couple, inheritance
  Role transition HIV diagnosis, polygamy, single parenting, re-marriage, land disinheritance, separation from children
  Loss Family deaths secondary to HIV
 Middle sessions (6–10) Use local resources to advance social support around the identified problem area, including HIV women’s groups, women’s church groups and women’s chamasa
 Concluding (sessions 11–12) Review successes, relapse prevention strategies
  1. a Chama informal cooperative group that pools and loans funds to group members; GBV gender based violence; HIV+ HIV-positive; HIV+GBV+ HIV-positive women affected by gender based violence; IPT interpersonal psychotherapy; PTSD posttraumatic stress disorder