Evidence map›Paper›PMID 25555099›Full record

Trial reportAfrican journal of AIDS research : AJAR2014

Mobile health for early retention in HIV care: a qualitative study in Kenya (WelTel Retain).

Kirsten Smillie, Natasha Van Borek, Mia L van der Kop, Abigael Lukhwaro, Neville Li, Sarah Karanja, Anik R Patel, David Ojakaa, Richard T Lester

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in African journal of AIDS research : AJAR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 7% 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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  14. Observational
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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

9 authors at 5 institutions in 2 countries.

Kirsten Smilliea British Columbia Centre for Disease Control , 655 West 12th Avenue, Vancouver , British Columbia , Canada , V5Z 4R4.
Natasha Van Borek
Mia L van der Kop
Abigael Lukhwaro
Neville Li
Sarah Karanja
Anik R Patel
David Ojakaa
Richard T Lester
University of British Columbia · CAAmref Health Africa · KEBC Centre for Disease Control · CAMcMaster University · CAUniversité de Montréal · CA

Funding

WelTel Retain: Promoting Engagement in Pre-ART HIV Care through SMS (Administrative Supplement)R01MH097558 · NIMH · UNIVERSITY OF BRITISH COLUMBIA · PI LESTER, RICHARD T · 2012 to 2015
$689k
NIMH NIH HHS R01 MH097558NIMH NIH HHS R01MH097558-01
6 · The paper itself

Abstract

Many people newly diagnosed with HIV are lost to follow-up before timely initiation of antiretroviral therapy (ART). A randomised controlled trial (RCT), WelTel Kenya1, demonstrated the effectiveness of the WelTel text messaging intervention to improve clinical outcomes among patients initiating ART. In preparation for WelTel Retain, an RCT that will evaluate the effect of the intervention to retain patients in care immediately following HIV diagnosis, we conducted an informative qualitative study with people living with HIV (n = 15) and healthcare providers (HCP) (n = 5) in October 2012. Study objectives included exploring the experiences of people living with HIV who have attempted to engage in HIV care, the use of cell phones in everyday life, and perceptions of communicating via text message with HCP. Participants were recruited through convenience sampling. Semi-structured, qualitative interviews were conducted and recorded, transcribed verbatim and analysed using NVivo software. Analysis was guided by the Theory of Reasoned Action and the Technology Acceptance Model. Results indicate that while individuals have many motivators for engaging in care after diagnosis, structural and individual barriers including poverty, depression and fear of stigma prevent them from doing so. All participants had access to a mobile phone, and most were comfortable communicating through text messages, or were willing to learn. Both people living with HIV and HCP felt that increased communication via the text messaging intervention has the potential to enable early identification of problems, leading to timely problem solving that may improve retention and engagement in care during the first year after diagnosis.

Indexed as

Patient ComplianceTelemedicineAdultCommunicationFemaleFollow-Up StudiesHIV InfectionsHumansKenyaMaleMiddle AgedQualitative ResearchText MessagingYoung Adultengagement in careHIVmobile healthsub-Saharan Africa

Identifiers

PMID25555099
PMCPMC5585007
OpenAlexW2020963687

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.