Evidence map›Paper›PMID 22272732›Full record

Trial reportAIDS care2012

Impact of adherence counseling dose on antiretroviral adherence and HIV viral load among HIV-infected methadone maintained drug users.

Nina A Cooperman, Moonseong Heo, Karina M Berg, Xuan Li, Alain H Litwin, Shadi Nahvi, Julia H Arnsten

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Review
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

7 authors.

Nina A CoopermanUniversity of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, NJ, USA. cooperna@umdnj.edu
Moonseong Heo
Karina M Berg
Xuan Li
Alain H Litwin
Shadi Nahvi
Julia H Arnsten

Funding

Immunology/Pathology CoreP30AI051519 · NIAID · YESHIVA UNIVERSITY · PI GOLDSTEIN, HARRIS · 2003 to 2013
$18.6M
Efficacy and cost of HAART DOT in methadone clinicsR01DA015302 · NIDA · YESHIVA UNIVERSITY · PI ARNSTEN, JULIA H · 2003 to 2007
$4.8M
HIV and Substance Abuse Clinical Addiction Research and Education (CARE) ProgramR25DA023021 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ARNSTEN, JULIA H. · 2007 to 2014
$2.7M
Varenicline Smoking Cessation Treatment for Methadone Maintenance PatientsK23DA025736 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI NAHVI, SHADI · 2010 to 2014
$903k
Developing a Smoking Cessation Intervention for Methadone Maintained SmokersK23DA025049 · NIDA · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI COOPERMAN, NINA · 2009 to 2013
$807k
NIAID NIH HHS P30 AI051519NIAID NIH HHS P30AI51519NIDA NIH HHS K23 DA025049NIDA NIH HHS K23DA025049NIDA NIH HHS K23 DA025736NIDA NIH HHS R01 DA015302NIDA NIH HHS R01DA015302NIDA NIH HHS R25 DA023021
6 · The paper itself

Abstract

Adherence counseling can improve antiretroviral adherence and related health outcomes in HIV-infected individuals. However, little is known about how much counseling is necessary to achieve clinically significant effects. We investigated antiretroviral adherence and HIV viral load relative to the number of hours of adherence counseling received by 60 HIV-infected drug users participating in a trial of directly observed antiretroviral therapy delivered in methadone clinics. Our adherence counseling intervention combined motivational interviewing and cognitive-behavioral counseling, was designed to include six 30 minute individual counseling sessions with unlimited "booster" sessions, and was offered to all participants in the parent trial. We found that, among those who participated in adherence counseling, dose of counseling had a significant positive relationship with antiretroviral adherence measured after the conclusion of counseling. Specifically, a liner mixed-effects model revealed that each additional hour of counseling was significantly associated with a 20% increase in post-counseling adherence. However, the number of cumulative adherence counseling hours was not significantly associated with HIV viral load, also measured after the conclusion of counseling. Our findings suggest that more intensive adherence counseling interventions may have a greater impact on antiretroviral adherence than less intensive interventions; however, it remains unknown how much counseling is required to impact HIV viral load.

Indexed as

Directly Observed TherapyDrug MonitoringViral LoadAnti-HIV AgentsCognitive Behavioral TherapyDrug UsersFemaleHIV SeropositivityHumansMaleMedication AdherenceMethadoneMiddle AgedOpiate Substitution TreatmentSubstance-Related DisordersTreatment OutcomeAnti-HIV AgentsMethadone

Identifiers

PMID22272732
PMCPMC3380183

What OpenQuestion holds

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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.