{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:52:08Z","timestamp":1791442328090,"version":"4.3.3"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":279,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000683","name":"Royal Society of Tropical Medicine and Hygiene","doi-asserted-by":"publisher","award":["nihr24156"],"award-info":[{"award-number":["nihr24156"]}],"id":[{"id":"10.13039\/501100000683","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["D43TW009608"],"award-info":[{"award-number":["D43TW009608"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AIDS Research and Treatment"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depression is common among older adults living with HIV (OLHIV) and is associated with poor antiretroviral adherence and higher viral load. Despite the importance of addressing psychological health issues in older people living with HIV, there is a paucity of tailored depression interventions for low\u2010resource settings. Although the stepped\u2010care task\u2010sharing (SCT) intervention model is effective for depression in low\u2010resource settings, it has not been applied to this population. This study examined preimplementation requirements for piloting a SCT model for depression among OLHIV in a government\u2010funded clinic in Southwest Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a qualitative preimplementation study, guided by the Consolidated Framework for Implementation Research (CFIR), to assess the contextual fit and feasibility of integrating a SCT intervention for depression into routine HIV services. In\u2010depth interviews were conducted with healthcare providers and older adults with HIV at the Infectious Disease Institute, Ibadan, Nigeria. Data were analyzed using rapid qualitative methods to identify CFIR\u2010informed barriers, facilitators, and adaptation needs to guide intervention refinement prior to pilot testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010two interviews were conducted with healthcare providers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911) and OLHIV (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), each lasting 30\u201345\u2009min. Findings indicated that the SCT intervention was perceived as feasible, supported by staff willingness and existing clinic structures that could be leveraged during pilot testing. Key barriers to implementation included high workload, limited provider training, stigma, discontinuity of care, and financial constraints. Facilitators included organizational readiness and high acceptability among service users.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The SCT model is perceived as acceptable and potentially feasible for integrating depression care into HIV services for OLHIV. However, it requires adaptation into existing workflows, provider capacity, and patient follow\u2010up routines. Findings provide insights to refine the intervention processes in preparation for pilot testing and integration of psychological healthcare into HIV services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/arat\/9573277","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:19:30Z","timestamp":1791440370000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rapid Qualitative Analysis to Inform Preimplementation of a Stepped\u2010Care Model for Depression Care Among Older People Living With HIV in Ibadan, Nigeria"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3221-1323","authenticated-orcid":false,"given":"Olufisayo Oluyinka","family":"Elugbadebo","sequence":"first","affiliation":[{"name":"Department of Psychiatry College of Medicine University of Ibadan  Ibadan Nigeria  ui.edu.ng"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8810-579X","authenticated-orcid":false,"given":"Faithful Moposi","family":"Akintade","sequence":"additional","affiliation":[{"name":"Institute of Child Health College of Medicine University of Ibadan  Ibadan Oyo Nigeria  ui.edu.ng"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3302-5047","authenticated-orcid":false,"given":"Lauren B.","family":"Beach","sequence":"additional","affiliation":[{"name":"Department of Medicine Social Sciences and Department of Preventive Medicine Northwestern University Feinberg School of Medicine  Chicago Illinois USA  northwestern.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5856-2100","authenticated-orcid":false,"given":"Bibilola D.","family":"Oladeji","sequence":"additional","affiliation":[{"name":"Department of Psychiatry College of Medicine University of Ibadan  Ibadan Nigeria  ui.edu.ng"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8294-7801","authenticated-orcid":false,"given":"Lisa M.","family":"Kuhns","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Adolescent and Young Adult Medicine Feinberg School of Medicine &amp; Ann &amp; Robert H. Lurie Children\u2019s Hospital of Chicago Northwestern University  Chicago Illinois 60611 USA  northwestern.edu"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1665666"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare13010085"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-024-00595-7"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.71184"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-025-07345-7"},{"key":"e_1_2_11_6_2","doi-asserted-by":"crossref","unstructured":"aidsmap.com HIV Mental Health and Emotional Wellbeing 2022 https:\/\/www.aidsmap.com\/about-hiv\/hiv-mental-health-emotional-wellbeing-page.","DOI":"10.22233\/20412495.0522.10"},{"key":"e_1_2_11_7_2","unstructured":"Differentiated Service Delivery 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