Evidence map›Paper›PMID 24225904›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2013

Heterogeneity among studies in rates of decline of antiretroviral therapy adherence over time: results from the multisite adherence collaboration on HIV 14 study.

Ira B Wilson, David R Bangsberg, Jie Shen, Jane M Simoni, Nancy R Reynolds, Kathy Goggin, Robert Gross, Julia H Arnsten, Robert H Remien, Judith A Erlen and 2 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03331978 (A Randomized Controlled Trial of an Antiretroviral Treatment Adherence Intervention for HIV+ African Americans), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 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.

NCT03331978 nacompletednot on this mapstarted 2018, after this paper: background citation

A Randomized Controlled Trial of an Antiretroviral Treatment Adherence Intervention for HIV+ African Americans

TypeinterventionalSponsorRANDRan2018 to 2021Enrolled306ConditionsHIV/AIDSArmsRise - Treatment Education
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. BrainJournal of neuroinflammation · 2018
    Article
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  20. Advancing the Science and Practice of Medication Adherence.Journal of general internal medicine · 2018
    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

12 authors.

Ira B Wilson*Department of Health Services, Policy & Practice, Brown University School of Public Health, Brown University, Providence, RI; †Massachusetts General Hospital, Center for Global Health; Ragon Institute of MGH, MIT, and Harvard; Harvard Medical School, Boston, MA; ‡Division of Public Health & Community Dentistry, University of California at Los Angeles School of Dentistry, University of California at Los Angeles, Los Angeles, CA; §Department of Psychology, University of Washington, Seattle, WA; ‖School of Nursing, Yale University, New Haven, CT; ¶Division of Health Services and Outcomes Research, Children's Mercy Hospital and Clinics, University of Missouri - Kansas City, Kansas City, MO; #Department of Medicine (Infectious Diseases), Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA; **Department of Medicine, Albert Einstein College of Medicine, Montifiore Hospital, Bronx, NY; ††Department of Psychiatry, Columbia University, New York City, NY; and ‡‡Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA.
David R Bangsberg
Jie Shen
Jane M Simoni
Nancy R Reynolds
Kathy Goggin
Robert Gross
Julia H Arnsten
Robert H Remien
Judith A Erlen
Honghu Liu
Multisite Adherence Collaboration on HIV 14 Investigators

Funding

WOMEN'S HEALTH AGENDAU01AI038858 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI BENSON, CONSTANCE ANN · 1996 to 2008
$157.5M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Claude Ann Mellins · 2003 to 2026
$48.2M
Weill Cornell Medicine - Rutgers New Jersey Medical School Clinical Trials UnitUM1AI069419 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROY M. GULICK · 2012 to 2026
$44.6M
TB PREVENTION AND HIV IN THE HOMELESS--AN INTERVENTIONR01MH054907 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 1995 to 2014
$20.7M
ZIDOVUDINE &LAMIVUDINE ALONE OR IN COMBINATION ON BODY COMPOSITIONM01RR000054 · NCRR · TUFTS MEDICAL CENTER · PI WANKE, CHRISTINE A · 1985 to 2005
$12.2M
HIV-1, ETHNICITY, GENDER AND ACUTE STRESS REACTIVITYP01MH049548 · NIMH · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LAI, SHENGHAN · 1993 to 2002
$8.5M
NUTRITION FOR LIFE COHORTP01DK045734 · NIDDK · TUFTS UNIVERSITY BOSTON · PI GORBACH, SHERWOOD · 1994 to 2004
$6.6M
Cornell Clinical Trials UnitU01AI069419 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI GULICK, ROY M. · 2007 to 2011
$6.5M
Improving Adherence to Antiretroviral TherapyR01NR004749 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ERLEN, JUDITH A · 1998 to 2007
$3.6M
ART Adherence: Observed Therapy and Enhanced CounselingR01MH068197 · NIMH · UNIVERSITY OF MISSOURI KANSAS CITY · PI GOGGIN, KATHY J · 2004 to 2008
$3.6M
A TRAINING INTERVENTION TO ENHANCE ADHERENCE TO HAARTR01MH061695 · NIMH · RAND CORPORATION · PI KANOUSE, DAVID E · 2000 to 2004
$3.2M
CDC HHS CC02-SD-003CDC HHS CC99-SD-003FIC NIH HHS D43 TW001277NCRR NIH HHS K24 RR020300NCRR NIH HHS M01 RR000054NIAID NIH HHS AI069419NIAID NIH HHS P30 AI042853NIAID NIH HHS R01 AI41413NIAID NIH HHS U01 AI038858NIAID NIH HHS U01 AI069419NIAID NIH HHS UM1 AI069419NIA NIH HHS RC4 AG039072NIDA NIH HHS K02 DA017277NIDA NIH HHS R01 DA013826NIDA NIH HHS R01 DA015215NIDA NIH HHS R01 DA015679NIDA NIH HHS R01DA015679NIDA NIH HHS R01DA11869NIDA NIH HHS R01 DA13826NIDA NIH HHS R01DA15215NIDDK NIH HHS P01 DK045734NIMH NIH HHS K08 MH001584NIMH NIH HHS K23MH01862NIMH NIH HHS K24 MH092242NIMH NIH HHS MH01584NIMH NIH HHS MH54907NIMH NIH HHS MH58986NIMH NIH HHS P01 MH49548NIMH NIH HHS P30 MH043520NIMH NIH HHS R01 MH054907NIMH NIH HHS R01 MH058986NIMH NIH HHS R01 MH061173NIMH NIH HHS R01 MH061695NIMH NIH HHS R01 MH068197NIMH NIH HHS R01MH068197NIMH NIH HHS R01 MH078773NIMH NIH HHS R01MH078773NIMH NIH HHS R01 MH083595NIMH NIH HHS R01 MH092238NIMH NIH HHS R01 MH61173NIMH NIH HHS R01MH61695NIMH NIH HHS R21 MH073420NINR NIH HHS 2R01NR04749NINR NIH HHS R01 NR004749NINR NIH HHS R01NR04749PHS HHS NIH/NIAID AI38858
6 · The paper itself

Abstract

objectiveTo use electronic drug monitoring to determine if adherence to HIV antiretroviral therapy (ART) changes over time, whether changes are linear, and how the declines vary by study.

designWe conducted a longitudinal study of pooled data from 11 different studies of HIV-infected adults using ART. The main outcome was ART adherence (percent of prescribed doses taken) measured by electronic drug monitoring. We modeled and compared changes in adherence over time using repeated measures linear mixed effects models and generalized additive mixed models (GAMMs). Indicator variables were used to examine the impact of individual studies, and the variation across studies was evaluated using study-specific parameter estimates calculated by using interaction terms of study and time.

resultsThe mean age of the subjects was 41 years, 35% were female, most had high school education or less, and 46% were African American. In GAMMs, adherence declined over time. The GAMMs further suggested that the decline was nonlinear, and in both sets of models, there was considerable study-to-study variability in how adherence changed over time. LIMITATIONS: Findings may not be generalizable to non-US populations or to patients not in clinical studies.

conclusionsAlthough overall ART adherence declined with time, not all studies showed declines, and a number of patterns of change were seen. Studies that identify clinical and organizational factors associated with these different patterns are needed. Models of changes in adherence with time should take account of possible nonlinear effects.

Indexed as

Drug MonitoringAdultAntiretroviral Therapy, Highly ActiveCooperative BehaviorFemaleHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedModels, StatisticalUnited States

Identifiers

PMID24225904
PMCPMC4212649

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Registered trials

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.