Evidence map›Paper›PMID 21054614›Full record

Trial reportAddiction (Abingdon, England)2011

The STEP into Action study: a peer-based, personal risk network-focused HIV prevention intervention with injection drug users in Baltimore, Maryland.

Karin Elizabeth Tobin, Satoko Janet Kuramoto, Melissa Ann Davey-Rothwell, Carl Asher Latkin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 4 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 4 syntheses or guidelines pooled it, 124 citations in OpenAlex.

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  9. Increasing the Repertoire for Depression Care: Methods and Challenges of a Randomized Controlled Trial of Peer Support for Vulnerable Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
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24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Karin Elizabeth TobinDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA. ktobin@jhsph.edu
Satoko Janet Kuramoto
Melissa Ann Davey-Rothwell
Carl Asher Latkin
Johns Hopkins University · US

Funding

A Network & Dyad HIV Prevention Intervention for Intravenous Drug UserR01DA016555 · NIDA · JOHNS HOPKINS UNIVERSITY · PI LATKIN, CARL A · 2003 to 2007
$3.3M
NIDA NIH HHS R01 DA016555
6 · The paper itself

Abstract

aimsTo assess the effectiveness of a peer-based, personal risk network-focused HIV prevention intervention to (i) train injection drug users (IDUs) to reduce injection and sex risk behaviors, (ii) conduct outreach to behaviorally risky individuals in their personal social networks [called risk network members (RNM)], and (iii) reduce RNM HIV risk behaviors.

designRandomized controlled trial with prospective data collection at 6, 12 and 18 months. Intervention condition consisted of five group sessions, one individual session and one session with Index and the RNM.

settingThis study was conducted in Baltimore, Maryland from March 2004 to March 2006.

participants(i) Index participants were aged ≥ 18 years and self-reported injection drug use in the prior 6 months and (ii) their RNM who were aged ≥ 18 years and drug users or sex partners of Index. MEASUREMENTS: Outcomes included: (i) injection risk based on sharing needles, cookers and cotton for injection and drug splitting, (ii) sex risk based on number of sex partners, condom use and exchanging sex and (iii) Index HIV outreach behaviors.

findingsA total of 227 Index participants recruited 336 RNM. Retention of Index at 18-month follow-up exceeded 85%. Findings suggest that the experimental condition was efficacious at 18 months in reducing Index participant injection risk [odds ratio (OR) = 0.38; 95% confidence interval (CI) = 0.18-0.77), drug-splitting risk (OR = 0.46; 95% CI = 0.25-0.88) and sex risk among Index (OR = 0.53; 95% CI = 0.34-0.86). Significant intervention effect on increased condom use among female RNM was observed (OR = 0.34; 95% CI = 0.18-0.62).

conclusionsTraining active IDU to promote HIV prevention with behaviorally risky individuals in their networks is feasible, efficacious and sustainable.

Indexed as

Community NetworksHealth Knowledge, Attitudes, PracticeAdolescentAdultBaltimoreFemaleHealth EducationHIV InfectionsHumansInterpersonal RelationsMalePeer GroupProgram EvaluationRisk Reduction BehaviorRisk-TakingSexual Partners

Identifiers

PMID21054614
PMCPMC3049994
OpenAlexW1539219958

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.