Evidence map›Paper›PMID 23515640›Full record

Trial reportAIDS and behavior2013

Using community health workers to improve clinical outcomes among people living with HIV: a randomized controlled trial.

Sonjia Kenya, Jamal Jones, Kristopher Arheart, Erin Kobetz, Natasha Chida, Shelly Baer, Alexis Powell, Stephen Symes, Tai Hunte, Anne Monroe and 1 more

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Untold Risk: HIV Transmission Behaviors in Miami's Historically Black Communities.Journal of racial and ethnic health disparities · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Association between social support and viral load in adults on highly active antiretroviral therapy - Witbank, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020
    Article
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

11 authors.

Sonjia KenyaDivision of General Medicine, Jay Weiss Center Social Medicine and Health Equity, University of Miami Miller School of Medicine, 1400 NW 10th Avenue, Suite 801, Miami, FL, 33136, USA, skenya@med.miami.edu.
Jamal Jones
Kristopher Arheart
Erin Kobetz
Natasha Chida
Shelly Baer
Alexis Powell
Stephen Symes
Tai Hunte
Anne Monroe
Olveen Carrasquillo

Funding

University of Miami Developmental Center for AIDS Research (D-CFAR)P30AI073961 · NIAID · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Rana Chakraborty · 2007 to 2026
$33.8M
Miami Clinical and Translational Science InstituteUL1TR000460 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SACCO, RALPH L. · 2012 to 2016
$16.9M
Training ProgramU54CA153705 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI CARRASQUILLO, OLVEEN, COOK, NICOLE JILL · 2010 to 2015
$4.4M
NCATS NIH HHS UL1 TR000460NCI NIH HHS U54 CA153705NIAID NIH HHS P30 AI073961
6 · The paper itself

Abstract

AIDS-related mortality remains a leading cause of preventable death among African-Americans. We sought to determine if community health workers could improve clinical outcomes among vulnerable African-Americans living with HIV in Miami, Florida. We recruited 91 medically indigent persons with HIV viral loads ≥1,000 and/or a CD4 cell count ≤350. Patients were randomized to a community health worker (CHW) intervention or control group. Viral load and CD4 cell count data were abstracted from electronic medical records. At 12 months, the mean VL in the intervention group was log 0.9 copies/μL lower than the control group. The CD4 counts were not significantly different among the groups. Compared to the control group, patients randomized to CHWs experienced statistically significant improvements in HIV viral load. Larger multi-site studies of longer duration are needed to determine whether CHWs should be incorporated into standard treatment models for vulnerable populations living with HIV.

Indexed as

Antiretroviral Therapy, Highly ActiveBlack or African AmericanDrug MonitoringHome Care ServicesAdolescentAdultCD4 Lymphocyte CountCommunity Health WorkersFemaleFloridaFollow-Up StudiesHIV InfectionsHumansMaleMedication AdherenceMiddle Aged

Identifiers

PMID23515640
PMCPMC4184095

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.