Evidence map›Paper›PMID 25730729›Full record

ArticleNeuropsychology2015

Increased neurocognitive intra-individual variability is associated with declines in medication adherence in HIV-infected adults.

Nicholas S Thaler, Philip Sayegh, Alyssa Arentoft, April D Thames, Steven A Castellon, Charlie H Hinkin

Abstract read
In one paragraph

Article in Neuropsychology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed, 1 synthesis or guideline 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

6 authors.

Nicholas S ThalerDepartment of Psychiatry and Biobehavioral Sciences.
Philip SayeghDepartment of Psychiatry and Biobehavioral Sciences.
Alyssa ArentoftDepartment of Psychiatry and Biobehavioral Sciences.ORCID 0000-0002-4235-4638
April D ThamesDepartment of Psychiatry and Biobehavioral Sciences.
Steven A CastellonDepartment of Psychiatry and Biobehavioral Sciences.
Charlie H HinkinDepartment of Psychiatry and Biobehavioral Sciences.

Funding

NEUROSPYCHOLOGY AIDS FELLOWSHIPT32MH019535 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HINKIN, CHARLES H · 1991 to 2017
$2.3M
Predictors: Medication Adherence in HIV+ Cocaine AbusersR01DA013799 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HINKIN, CHARLES H · 2001 to 2004
$2.3M
NIDA NIH HHS R01 DA013799NIDA NIH HHS R01 DA13799NIMH NIH HHS T32 MH019535NIMH NIH HHS T32 MH19535
6 · The paper itself

Abstract

objectiveThere is cross-sectional evidence that neurocognitive intra-individual variability (IIV), or dispersion, is elevated in human immunodeficiency virus (HIV) disease and is associated with declines in activities of daily living, including medication adherence.

methodsThis longitudinal study extends this literature by examining whether increased neurocognitive IIV in HIV-positive persons over time predicts declines in medication adherence above and beyond changes in mean level of performance over a 6-month observation.

resultsAfter controlling for drug use, declines in mean performance, and changes in depressive symptoms, results confirmed that increases in IIV were associated with overall poorer antiretroviral medication adherence. HIV-positive individuals with the greatest increases in dispersion demonstrated marked reductions in adherence by the third month that exceeded what was observed in less variable individuals.

conclusionsOur results indicate that increases in dispersion are associated with poorer declines in medication adherence in HIV disease, which may have implications for the early detection and remediation of suboptimal antiretroviral adherence.

Indexed as

Medication AdherenceAdultCognition DisordersFemaleHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedPsychomotor Performance

Identifiers

PMID25730729
PMCPMC4558415

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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.