Evidence map›Paper›PMID 25566763›Full record

Trial reportAIDS and behavior2015

Enhancing Lay Counselor Capacity to Improve Patient Outcomes with Multimedia Technology.

Reuben N Robbins, Claude A Mellins, Cheng-Shiun Leu, Jessica Rowe, Patricia Warne, Elaine J Abrams, Susan Witte, Dan J Stein, Robert H Remien

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 6 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

23 citing papers in PubMed, 6 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

9 authors.

Reuben N RobbinsHIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, 1051 Riverside Drive #15, New York, NY, 10032, USA, rnr2110@columbia.edu.
Claude A Mellins
Cheng-Shiun Leu
Jessica Rowe
Patricia Warne
Elaine J Abrams
Susan Witte
Dan J Stein
Robert H Remien

Funding

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
Masivukeni: A Multimedia ART Adherence Intervention for Resource-Limited SettingsR01MH095576 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI REMIEN, ROBERT H · 2011 to 2015
$3.1M
The Mount Sinai Institute for NeuroAIDS DisparitiesR25MH080663 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MORGELLO, SUSAN · 2007 to 2015
$2.1M
A Multimedia Social Support Intervention: Adherence to HIV Care in South AfricaR34MH082654 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI REMIEN, ROBERT H · 2007 to 2008
$614k
NIMH NIH HHS P30 MH043520NIMH NIH HHS R01 MH095576NIMH NIH HHS R25 MH080663NIMH NIH HHS R34 MH082654
6 · The paper itself

Abstract

Multimedia technologies offer powerful tools to increase capacity of health workers to deliver standardized, effective, and engaging antiretroviral medication adherence counseling. Masivukeni-is an innovative multimedia-based, computer-driven, lay counselor-delivered intervention designed to help people living with HIV in resource-limited settings achieve optimal adherence. This pilot study examined medication adherence and key psychosocial outcomes among 55 non-adherent South African HIV+ patients, on antiretroviral therapy (ART) for at least 6 months, who were randomized to receive either Masivukeni or standard of care (SOC) counseling for ART non-adherence. At baseline, there were no significant differences between the SOC and Masivukeni groups on any outcome variables. At post-intervention (approximately 5-6 weeks after baseline), -clinic-based pill count adherence data available for 20 participants (10 per intervention arm) showed a 10 % improvement for-participants and a decrease of 8 % for SOC participants. Masivukeni participants reported significantly more positive attitudes towards disclosure and medication social support, less social rejection, and better clinic-patient relationships than did SOC participants. Masivukeni shows promise to promote optimal adherence and provides preliminary evidence that multimedia, computer-based technology can help lay counselors offer better adherence counseling than standard approaches.

Indexed as

Community Health WorkersMedication AdherenceMultimediaAdultAnti-Retroviral AgentsCD4 Lymphocyte CountCounselingFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleMiddle AgedPatient Education as TopicPilot ProjectsProgram EvaluationAnti-Retroviral Agents

Identifiers

PMID25566763
PMCPMC4537057

What OpenQuestion holds

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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.