Evidence map›Paper›PMID 25186785›Full record

ArticleAIDS and behavior2015

Factors Associated with Adherence and Concordance Between Measurement Strategies in an HIV Daily Oral Tenofovir/Emtricitibine as Pre-exposure Prophylaxis (Prep) Clinical Trial, Botswana, 2007-2010.

Poloko M Kebaabetswe, Michael J Stirratt, Eleanor McLellan-Lemal, Faith L Henderson, Simone C Gray, Charles E Rose, Tiffany Williams, Lynn A Paxton

Registry-linked trialAbstract readControlled Clinical Trial
In one paragraph

Article in AIDS and behavior, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00448669 (Study of the Safety and Efficacy of Daily Oral Antiretroviral Use for the Prevention of HIV Infection in Heterosexually Active Young Adults in Botswana), which is not on this map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 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.

NCT00448669 phase2 / phase3completednot on this map

Study of the Safety and Efficacy of Daily Oral Antiretroviral Use for the Prevention of HIV Infection in Heterosexually Active Young Adults in Botswana

TypeinterventionalSponsorCenters for Disease Control and PreventionRan2007 to 2011Enrolled1,219ConditionsHIV InfectionsArmsTenofovir Disoproxil Fumarate 300 mg + Emtricitabine 200 mg, Placebo Oral Tablet
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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.

Poloko M KebaabetsweHIV Prevention Research Unit, CDC Botswana, Gaborone, Botswana, poloko.kebaabetswe@mopipi.ub.bw.
Michael J Stirratt
Eleanor McLellan-Lemal
Faith L Henderson
Simone C Gray
Charles E Rose
Tiffany Williams
Lynn A Paxton

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

This study examined study product adherence and its determinants in the Botswana oral pre-exposure prophylaxis efficacy trial. Among the 1,219 participants, the mean adherence by pill count and 3-day self-report was 94 % for each. In multivariable models, pill count adherence was significantly associated with adverse events (nausea, dizziness, vomiting) (RR 0.98 95 % CI 0.98-1.00; p = 0.03) and side effect concerns (RR 0.98 95 % CI 0.96-0.99; p = 0.01). Self-reported adherence was significantly associated with having an HIV-positive partner (RR 1.02 95 % CI 1.00-1.04; p = 0.02) and Francistown residence (RR 0.98 95 % CI 0.96, 0.99; p = 0.0001). Detectable drug concentrations showed modest associations with self-report and pill count adherence, and drug levels were higher among those self-reporting 100 % adherence than those reporting <100 %. Most common adherence barriers involved refill delays and other logistic challenges; cellphone alarm reminder use was the most common facilitator.

Indexed as

Drug MonitoringPre-Exposure ProphylaxisAdministration, OralAdultAnti-HIV AgentsBotswanaEmtricitabineFemaleHIV InfectionsHumansLogistic ModelsMaleMultivariate AnalysisSelf ReportSurveys and QuestionnairesTenofovirAnti-HIV AgentsEmtricitabineTenofovir

Identifiers

PMID25186785
PMCPMC4586059

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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.