Evidence map›Paper›PMID 22845032›Full record

Trial reportJournal of the American Academy of Nurse Practitioners2012

Pilot testing of an HIV medication adherence intervention in a public clinic in the Deep South.

Deborah J Konkle-Parker, Judith A Erlen, Patricia M Dubbert, Warran May

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Nurse Practitioners, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 7 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

23 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Complex solutions for a complex problem: A meta-analysis of the efficacy of multiple-behavior interventions on change in outcomes related to HIV.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
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  7. The State of Adherence to HIV Care in Black Women.The Journal of the Association of Nurses in AIDS Care : JANAC
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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.

Deborah J Konkle-ParkerDivision of Infectious Diseases, University of Mississippi Medical Center, Jackson, Mississippi University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania Department of Mental Health, G.V. (Sonny) Montgomery Veterans Administration Medical Center, Jackson, Mississippi University of Mississippi Medical Center, Jackson, Mississippi.
Judith A Erlen
Patricia M Dubbert
Warran May

Funding

Multidimensional HIV Adherence InterventionK23NR009186 · NINR · UNIVERSITY OF MISSISSIPPI MEDICAL CENTER · PI KONKLE-PARKER, DEBORAH J · 2004 to 2006
$340k
NINR NIH HHS K23 NR009186NINR NIH HHS K23NR09186
6 · The paper itself

Abstract

purposeStrict adherence to HIV medications is critical to ensure long-term disease control, and adherence interventions that are possible in a clinic setting with limited resources are needed. DATA SOURCES: This randomized controlled pilot study tested an adherence intervention guided by the Information-Motivation-Behavioral Skills (IMB) model. The intervention included HIV education, a peer video, motivational interviewing, and attention to behavioral skills including communication with providers and adherence-enhancing devices. Dependent variables included 3-4 week adherence recall, medication refill rate, changes in IMB subscale scores, appointment attendance, and HIV-associated laboratory findings. Seventy-three individuals starting or restarting antiretroviral therapy were enrolled and 56 were randomized.

conclusionsImprovements were seen in most outcomes, with small to moderate effect sizes, but the study was not powered to show statistical significance. Threats to power included a 51% attrition rate, resulting mostly from loss to clinical care or prolonged gaps in care. IMPLICATIONS FOR PRACTICE: A telephone-based intervention to improve HIV medication adherence shows promise. Further study is needed with greater attention to retention in care.

Indexed as

Behavioral MedicineCommunity Health ServicesMedication AdherenceAdultAnalysis of VarianceAnti-HIV AgentsFemaleHealth LiteracyHIV InfectionsHumansInterview, PsychologicalMaleMississippiModels, PsychologicalMotivationPsychometricsAnti-HIV Agents

Identifiers

PMID22845032
PMCPMC3513942

What OpenQuestion holds

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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.