Department of Psychiatry, University of Oxford, Oxford, UK.
MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
AIDS Care. 2023 Nov;35(11):1796-1814. doi: 10.1080/09540121.2023.2195607. Epub 2023 Apr 11.
AHEAD feasibility trial assessed the feasibility and acceptability of an 8-session group drumming programme aiming to improve executive function, depression and anxiety symptoms, and perceived social support in adolescents living with HIV in a rural low-income South African setting. Sixty-eight 12- to 19-year-old adolescents participated. They were individually randomised. The intervention arm ( = 34) received weekly hour-long group drumming sessions. Controls ( = 34) received no intervention. Feasibility and acceptability were assessed using rates of: enrolment; retention; attendance; logistical problems; adolescent-reported acceptability. Secondary measures included: five Oxford Cognitive Screen-Executive Function (OCS-EF) tasks; two Rapid Assessment of Cognitive and Emotional Regulation (RACER) tasks; the Self-Reporting Questionnaire-20 (SRQ-20) measuring depression and anxiety symptoms; the Multidimensional Scale of Perceived Social Support (MSPSS). All feasibility criteria were within green progression limits. Enrolment, retention, and acceptability were high. There was a positive effect on adolescent depressed mood with signal for a working memory effect. There were no significant effects on executive function or socio-emotional scales. Qualitative findings suggested socio-emotional benefits including: group belonging; decreased internalised stigma; improved mood; decreased anxiety. Group drumming is a feasible and acceptable intervention amongst adolescents living with HIV in rural South Africa. A full-scale trial is recommended.
AHEAD 可行性试验评估了一项 8 节团体击鼓方案的可行性和可接受性，该方案旨在改善农村低收入南非地区艾滋病毒感染者青少年的执行功能、抑郁和焦虑症状以及感知到的社会支持。共有 68 名 12 至 19 岁的青少年参与了该试验。他们被随机分为个体组。干预组（n=34）每周接受一小时的团体击鼓课程。对照组（n=34）未接受任何干预。通过以下指标评估可行性和可接受性：参与率；保留率；出勤率；后勤问题；青少年的可接受性报告。次要指标包括：五个牛津认知测试-执行功能（OCS-EF）任务；两个快速认知和情绪调节评估（RACER）任务；测量抑郁和焦虑症状的自我报告问卷-20（SRQ-20）；多维感知社会支持量表（MSPSS）。所有可行性标准均在绿色进展范围内。参与率、保留率和可接受性都很高。有证据表明，对青少年抑郁情绪产生了积极影响，可能对工作记忆有效果。对执行功能或社会情感量表没有显著影响。定性研究结果表明，团体击鼓具有社会情感方面的益处，包括：群体归属感；减少内化的耻辱感；改善情绪；减少焦虑。团体击鼓是农村南非艾滋病毒感染者青少年中可行且可接受的干预措施。建议进行全面的试验。
