Evidence map›Paper›PMID 23802144›Full record

ArticleAIDS patient care and STDs2013

Counseling to reduce high-risk sexual behavior in HIV care: a multi-center, direct observation study.

Tabor E Flickinger, Stephen Berry, P Todd Korthuis, Somnath Saha, M Barton Laws, Victoria Sharp, Richard D Moore, Mary Catherine Beach

Open access · greenAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  7. A mixed methods study of HIV-related services in buprenorphine treatment.Substance abuse treatment, prevention, and policy · 2017
    Article
  8. Article
  9. Delivery of HIV Transmission Risk-Reduction Services by HIV Care Providers in the United States-2013.Journal of the International Association of Providers of AIDS Care · 2016
    Article
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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

8 authors at 5 institutions in 1 country.

Tabor E FlickingerDepartment of Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. tflicki1@jhmi.edu
Stephen Berry
P Todd Korthuis
Somnath Saha
M Barton Laws
Victoria Sharp
Richard D Moore
Mary Catherine Beach
Johns Hopkins Medicine · USOregon Health & Science University · USBrown University · USJohns Hopkins University · USSt. Luke's-Roosevelt Hospital Center · US

Funding

BEHAVIORAL RESEARCH IN HEART &VASCULAR DISEASET32HL007180 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MARUTHUR, NISA M · 1985 to 2020
$11.4M
Quality Outcomes for Patients with Drug Abuse and HIVK23DA019809 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KORTHUIS, PHILIP TODD · 2007 to 2011
$892k
Universal Screening of HIV-Infected Persons for Gonorrhea and ChlamydiaK23AI084854 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BERRY, STEPHEN ARTHUR · 2010 to 2014
$671k
Patient-Centeredness in Care of Vulnerable PopulationsK08HS013903 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2003 to 2007
$245k
AHRQ HHS K08 HS013903-05NHLBI NIH HHS 5 T32 HL007180-35NIAID NIH HHS K23 AI084854NIDA NIH HHS K23 DA019809PHS HHS 290-01-0012
6 · The paper itself

Abstract

A key opportunity to reduce HIV transmission lies with healthcare providers counseling HIV-infected patients about safer sex. We audio-recorded and transcribed clinical encounters between 45 healthcare providers and 417 of their HIV-infected patients at four outpatient sites in the United States. We used logistic regressions to evaluate associations between patient and provider characteristics, and the occurrence of discussion (any talk about sex) and counseling (advice about safer sex). Of the 417 encounters, discussion of sex occurred in 187 (45% of encounters, 95% CI: 40-50%). Counseling occurred for 49% (95% CI: 35-63%) of patients reporting unsafe sex. Discussion of sex was more likely with younger or less-educated patients and with less cultural difference between patient and provider, while counseling was associated with greater provider mindfulness and lower provider empathy. These findings suggest targets to improve communication regarding sexual risk reduction in HIV care.

Indexed as

CommunicationPhysician-Patient RelationsRisk Reduction BehaviorAdultAge DistributionCounselingCross-Sectional StudiesFemaleHealth PersonnelHIV InfectionsHumansInterviews as TopicLogistic ModelsMaleMiddle AgedReferral and Consultation

Identifiers

PMID23802144
PMCPMC3704109
OpenAlexW1981351067

What OpenQuestion holds

Textmetadata
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.