Evidence map›Paper›PMID 25548659›Full record

ArticleAIDS research and treatment2014

Adapting and Implementing a Community Program to Improve Retention in Care among Patients with HIV in Southern Haiti: "Group of 6".

John A Naslund, Jodie Dionne-Odom, Cléonas Junior Destiné, Kristen M Jogerst, Redouin Renold Sénécharles, Michelande Jean Louis, Jasmin Desir, Yvette Néptune Ledan, Jude Ronald Beauséjour, Roland Charles and 5 more

Abstract read
In one paragraph

Article in AIDS research and treatment, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

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

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

  1. Pooled it
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  11. Application of a Multistate Model to Evaluate Visit Burden and Patient Stability to Improve Sustainability of Human Immunodeficiency Virus Treatment in Zambia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  12. Article
  13. Evidence for scale up: the differentiated care research agenda.Journal of the International AIDS Society · 2017
    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

15 authors.

John A NaslundThe Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth College, Lebanon, NH, USA.ORCID 0000-0001-6777-0104
Jodie Dionne-OdomDivision of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0002-3625-5174
Cléonas Junior DestinéCentres GHESKIO, Port-au-Prince, Haiti ; Hôpital Immaculée Conception, Les Cayes, Southern Department, Haiti.
Kristen M JogerstGeisel School of Medicine at Dartmouth, Hanover, NH, USA.
Redouin Renold SénécharlesHôpital Immaculée Conception, Les Cayes, Southern Department, Haiti.
Michelande Jean LouisHôpital Immaculée Conception, Les Cayes, Southern Department, Haiti.
Jasmin DesirHôpital Immaculée Conception, Les Cayes, Southern Department, Haiti.
Yvette Néptune LedanHôpital Immaculée Conception, Les Cayes, Southern Department, Haiti.
Jude Ronald BeauséjourCentres GHESKIO, Port-au-Prince, Haiti ; Hôpital Immaculée Conception, Les Cayes, Southern Department, Haiti.
Roland CharlesUnited States Centers for Disease Control and Prevention, Les Cayes, Southern Department, Haiti.
Alice WerbelDartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Elizabeth A TalbotDivision of Infectious Disease and International Health, Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Patrice JosephCentres GHESKIO, Port-au-Prince, Haiti.
Jean William PapeCentres GHESKIO, Port-au-Prince, Haiti ; Center for Global Health, Division of Infectious Diseases, Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
Peter F WrightDivision of Infectious Disease and International Health, Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.

Funding

GHESKIO HIV Clinical Trial UnitUM1AI069421 · NIAID · GHESKIO CENTER · PI JEAN WILLIAM PAPE · 2012 to 2026
$23.6M
GHESKIO HIV Clinical Trial UnitU01AI069421 · NIAID · GHESKIO CENTER · PI PAPE, JEAN WILLIAM · 2007 to 2011
$8.4M
TRANSLATIONAL RESEARCH COREP30GM106394 · NIGMS · DARTMOUTH COLLEGE · PI MADDEN, DEAN R · 2013 to 2017
$6.1M
CGH CDC HHS U2G GH000541NIAID NIH HHS UM1 AI069421NIGMS NIH HHS P30 GM106394
6 · The paper itself

Abstract

Objective. In Mozambique, a patient-led Community ART Group model developed by Médecins Sans Frontières improved retention in care and adherence to antiretroviral therapy (ART) among persons with HIV. We describe the adaptation and implementation of this model within the HIV clinic located in the largest public hospital in Haiti's Southern Department. Methods. Our adapted model was named Group of 6. Hospital staff enabled stable patients with HIV receiving ART to form community groups with 4-6 members to facilitate monthly ART distribution, track progress and adherence, and provide support. Implementation outcomes included recruitment success, participant retention, group completion of monthly monitoring forms, and satisfaction surveys. Results. Over one year, 80 patients from nine communities enrolled into 15 groups. Six participants left to receive HIV care elsewhere, two moved away, and one died of a non-HIV condition. Group members successfully completed monthly ART distribution and returned 85.6% of the monthly monitoring forms. Members reported that Group of 6 made their HIV management easier and hospital staff reported that it reduced their workload. Conclusions. We report successful adaptation and implementation of a validated community HIV-care model in Southern Haiti. Group of 6 can reduce barriers to ART adherence, and will be integrated as a routine care option.

Identifiers

PMID25548659
PMCPMC4274858

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Registered trials

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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.