Evidence map›Paper›PMID 24452632›Full record

Trial reportArchives of sexual behavior2014

User-identified gel characteristics: a qualitative exploration of perceived product efficacy of topical vaginal microbicides.

Kathleen M Morrow, Kristen Underhill, Jacob J van den Berg, Sara Vargas, Rochelle K Rosen, David F Katz

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of sexual behavior, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. On-demand microbicide products: design matters.Drug delivery and translational research · 2017
    Review
  12. Article
  13. Review
  14. Achieving the optimal vaginal state: using vaginal products and study gels in Uganda, Zimbabwe, and South Africa.International journal of sexual health : official journal of the World Association for Sexual Health · 2017
    Article
  15. Article
  16. Drug delivery strategies and systems for HIV/AIDS pre-exposure prophylaxis and treatment.Journal of controlled release : official journal of the Controlled Release Society · 2015
    Review
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 4 institutions in 1 country.

Kathleen M MorrowCenters for Behavioral and Preventive Medicine, Department of Psychiatry and Human Behavior, The Miriam Hospital and Warren Alpert Medical School of Brown University, Coro West, Suite 309, 164 Summit Ave., Providence, RI, 02906, USA, kmorrow@lifespan.org.
Kristen Underhill
Jacob J van den Berg
Sara Vargas
Rochelle K Rosen
David F Katz
Brown University · USDuke University · USMiriam Hospital · USYale University · US

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
Linking Biophysical Functions of Microbicides to User Perception & AcceptabilityR33MH080591 · NIMH · MIRIAM HOSPITAL · PI GUTHRIE, KATE M · 2008 to 2010
$1.4M
Advancing Reproductive Health: Qualitative Methods & Interdisciplinary MentorshipK24HD062645 · NICHD · MIRIAM HOSPITAL · PI GUTHRIE, KATE M · 2012 to 2016
$689k
Linking Biophysical Functions of Microbicides to User Perception & AcceptabilityR21MH080591 · NIMH · MIRIAM HOSPITAL · PI MORROW, KATHLEEN M · 2006 to 2007
$384k
NICHD NIH HHS K24 HD062645NIMH NIH HHS P30 MH062294NIMH NIH HHS R21 MH080591NIMH NIH HHS R21/R33 MH080591NIMH NIH HHS R33 MH080591
6 · The paper itself

Abstract

Research has demonstrated that certain vaginal gel products--microbicides containing antiretroviral drugs--may reduce HIV infection risk among women. But for vaginal gels to avert HIV and other sexually transmitted infections (STIs), at-risk women must be willing to use them as directed. These products must therefore be "acceptable" to women and an important component of acceptability is users' perception that the product will work to prevent infection. We sought to understand how women's perceptions of vaginal gel properties may shape their understanding of product efficacy for HIV and STI prevention. Sixteen women completed two in-depth qualitative interviews (k = 32) to identify the range and types of sensory perceptions they experienced when using two vaginal gels. We identified emergent themes and linkages between users' sensory perceptions and their beliefs about product efficacy. Users' predictions about product efficacy for preventing infection corresponded to measurable physical properties, including gel volume, location in the vagina, coating behavior, sensation of the gel in the vagina, leakage, and gel changes during coital acts. Although the women described similar sensory experiences (e.g., gel leaked from the vagina), they interpreted these experiences to have varying implications for product efficacy (e.g., leakage was predicted to increase or decrease efficacy). To improve microbicide acceptability, gel developers should investigate and deliberately incorporate properties that influence users' perceptions of efficacy. When a microbicide is approved for use, providers should educate users to anticipate and understand their sensory experiences; improving users' experience can maximize adherence and product effectiveness.

Indexed as

Administration, IntravaginalAdolescentAdultAnti-Infective Agents, LocalConsumer BehaviorFemaleHIV InfectionsHumansMiddle AgedPatient Acceptance of Health CareSexually Transmitted DiseasesVaginal Creams, Foams, and JelliesVaginal DiseasesYoung AdultAnti-Infective Agents, LocalVaginal Creams, Foams, and Jellies

Identifiers

PMID24452632
PMCPMC4327860
OpenAlexW2078035283

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.