Evidence map›Paper›PMID 26021185›Full record

ArticlePatient education and counseling2015

Impact of a brief patient and provider intervention to improve the quality of communication about medication adherence among HIV patients.

Mary Catherine Beach, Debra L Roter, Somnath Saha, P Todd Korthuis, Susan Eggly, Jonathan Cohn, Victoria Sharp, Richard D Moore, Ira B Wilson

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  5. Parent Satisfaction With Communication Is Associated With Physician's Patient-Centered Communication Patterns During Family Conferences.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2016
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  17. Engaging an Asian Immigrant Older Adult in Depression Care: Collaborative Care, Patient-Provider Communication and Ethnic Identity.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021
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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 1 country.

Mary Catherine BeachBerman Institute of Bioethics, Johns Hopkins University, Baltimore, USA; Department of Medicine, Johns Hopkins School of Medicine, Baltimore, USA; Department of Health, Behavior & Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA; Welch Center for Prevention, Epidemiology and Clinical Research, USA. Electronic address: mcbeach@jhmi.edu.
Debra L RoterDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, USA; Department of Health, Behavior & Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
Somnath SahaPortland VA Medical Center, Portland, USA; Department of Medicine, Oregon Health Sciences University, Portland, USA.
P Todd KorthuisDepartment of Medicine, Oregon Health Sciences University, Portland, USA.
Susan EgglyDepartment of Medicine, Wayne State University, Detroit, USA.
Jonathan CohnDepartment of Medicine, Wayne State University, Detroit, USA.
Victoria Sharp
Richard D MooreDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, USA; Department of Health, Behavior & Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
Ira B WilsonDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Providence, USA.
Johns Hopkins University · USWayne State University · USBrown University · USOregon Health & Science University · USPortland VA Medical Center · US

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
Improving the diagnosis and treatment of medication adherence problems in HIVK24MH092242 · NIMH · BROWN UNIVERSITY · PI WILSON, IRA B · 2010 to 2014
$937k
Communication Quality and Patient Outcomes in HIV/AIDS and Substance AbuseK24DA037804 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2015 to 2019
$923k
Quality Outcomes for Patients with Drug Abuse and HIVK23DA019809 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KORTHUIS, PHILIP TODD · 2007 to 2011
$892k
Patient-Centeredness in Care of Vulnerable PopulationsK08HS013903 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2003 to 2007
$245k
AHRQ HHS K08 HS013903AHRQ HHS K08HS013903-05NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI094189NIDA NIH HHS K23 DA019809NIDA NIH HHS K24 DA037804NIMH NIH HHS K24 MH092242PHS HHS 290-01-0012
6 · The paper itself

Abstract

introductionMedication adherence is essential in HIV care, yet provider communication about adherence is often suboptimal. We designed this study to improve patient-provider communication about HIV medication adherence.

methodsWe randomized 26 providers at three HIV care sites to receive or not receive a one-hour communication skills training based on motivational interviewing principles applied to medication adherence. Prior to routine office visits, non-adherent patients of providers who received the training were coached to discuss adherence with their providers. Patients of providers who did not receive the training providers were not coached. We audio-recorded and coded patient-provider interactions using the roter interaction analysis system (RIAS).

resultsThere was more dialogue about therapeutic regimen in visits with intervention patients and providers (167 vs 128, respectively, p=.004), with the majority of statements coming from providers. These visits also included more brainstorming solutions to nonadherence (41% vs. 22%, p=0.026). Intervention compared with control visit providers engaged in more positive talk (44 vs. 38 statements, p=0.039), emotional talk (26 vs. 18 statements, p<0.001), and probing of patient opinion (3 vs. 2 statements, p=0.009).

conclusionA brief provider training combined with patient coaching sessions, improved provider communication behaviors and increased dialogue regarding medication adherence.

Indexed as

Attitude of Health PersonnelCommunicationPhysician-Patient RelationsDrug MonitoringFemaleHIV InfectionsHumansMaleMedication AdherenceMiddle AgedMotivational InterviewingOffice VisitsCommunication skills trainingHIV/AIDSMedication adherence

Identifiers

PMID26021185
PMCPMC4546873
OpenAlexW1772076553

What OpenQuestion holds

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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.