Evidence map›Paper›PMID 24093810›Full record

Trial reportAIDS patient care and STDs2013

Stages of change for adherence to antiretroviral medications.

Becky L Genberg, Yoojin Lee, William H Rogers, Cynthia Willey, Ira B Wilson

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Review
  17. Article
  18. Transtheoretical Model of Health Behavioral Change: A Systematic Review.Iranian journal of nursing and midwifery research
    Review
  19. 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

5 authors at 3 institutions in 1 country.

Becky L Genberg1 Department of Health Services, Policy and Practice; Program in Public Health; Brown University , Providence, Rhode Island.
Yoojin Lee
William H Rogers
Cynthia Willey
Ira B Wilson
Brown University · USTufts Medical Center · USUniversity of Rhode Island · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
Understanding and Improving Adherence in HIV DiseaseR01DA015679 · NIDA · TUFTS MEDICAL CENTER · PI WILSON, IRA B · 2002 to 2005
$3.0M
Improving the diagnosis and treatment of medication adherence problems in HIVK24MH092242 · NIMH · BROWN UNIVERSITY · PI WILSON, IRA B · 2010 to 2014
$937k
Linkage to Care Following Home-Based Counseling and Testing in Western KenyaK01MH099966 · NIMH · JOHNS HOPKINS UNIVERSITY · PI GENBERG, BECKY LYNN · 2013 to 2017
$826k
Coding Audiotapes of Clinic Visits for Adherence ContentR21MH073420 · NIMH · TUFTS MEDICAL CENTER · PI WILSON, IRA B · 2005 to 2006
$427k
NIAID NIH HHS P30 AI042853NIAID NIH HHS P30AI042853NIDA NIH HHS R01DA015679NIMH NIH HHS K01 MH099966NIMH NIH HHS K24 MH092242NIMH NIH HHS K24MH092242NIMH NIH HHS R21MH073420
6 · The paper itself

Abstract

Providers do not predict reliably which of their HIV-positive patients are having difficulty adhering to antiretroviral therapy (ART). The transtheoretical, or stages of change model, may be a useful tool to help providers identify patients who are having difficulty with ART adherence. The objective of the current study was to determine the relationship between stages of change and ART adherence among patients who were actively taking ART. Data from a randomized trial of a provider-focused intervention were used to examine the relationship between the stages of change and adherence, measured using electronic monitoring devices in the 30 days following the stages of change assessment. Individuals were eligible for inclusion if they were taking ART and had detectable plasma viral load (HIV-RNA). Repeated measures analysis of covariance was used to determine the impact of stages of change on adherence after controlling for potential confounders. The sample of 137 participants was 22% female, 48% white, 28% African-American, with a mean age of 42 years. Fifty-eight percent reported sex with a man as an HIV risk factor, while 13% reported sex with a woman, 14% reported injecting drugs and 15% reported other risk factors. In adjusted models, those in earlier stages of change (i.e., contemplation and preparation) had significantly lower adherence (-9.8%, p=0.04) compared to those in the action and maintenance phases. No demographic characteristics predicted adherence. The stages of change model may function as a screening tool for clinicians to discover patients at-risk of lower adherence.

Indexed as

Antiretroviral Therapy, Highly ActiveMedication AdherenceModels, PsychologicalAdultAgedAnti-HIV AgentsFemaleHIV-1HIV InfectionsHumansInterviews as TopicMaleMiddle AgedSexual BehaviorSocioeconomic FactorsViral LoadAnti-HIV Agents

Identifiers

PMID24093810
PMCPMC3791039
OpenAlexW1991168268

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.