Evidence map›Paper›PMID 26575611›Full record

ArticleMedical anthropology

Adherence and the Lie in a HIV Prevention Clinical Trial.

Jonathan Stadler, Fiona Scorgie, Ariane van der Straten, Eirik Saethre

Abstract read
In one paragraph

Article in Medical anthropology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 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

4 authors.

Jonathan Stadlera Wits Reproductive Health and HIV Institute, University of the Witwatersrand , Johannesburg , South Africa.
Fiona Scorgiea Wits Reproductive Health and HIV Institute, University of the Witwatersrand , Johannesburg , South Africa.
Ariane van der Stratenb Department of Medicine , University of California , San Francisco , California , USA.
Eirik Saethrec Department of Anthropology , University of Hawaii , Mānoa , Hawaii.

Funding

Microbicide Trials NetworkUM1AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2011 to 2021
$175.0M
Microbicide Trials NetworkU01AI068633 · NIAID · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HILLIER, SHARON L. · 2006 to 2010
$77.0M
Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
NIAID NIH HHS U01 AI068633NIAID NIH HHS UM1 AI068633NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

The lie has been presented as a performance that protects identities against moral judgment in the context of power imbalances. We explore this assertion from the perspective of a pre-exposure prophylaxis trial to prevent HIV for African women in South Africa, in which context biological evidence of widespread lying about product adherence was produced, resulting in a moral discourse that opposed altruistic and selfish motivations. In this article, we seek to understand the meaning of the lie from the perspective of women trial participants. Seeing the trial as representing a hopeful future, and perfect adherence as sustaining their investment in this, participants recited scripted accounts of adherence and performed the role of the perfect adherer, while identifying other participants as dishonest. Given that clinical trials create moral orders and adherence is key to this, we argue that women embraced the apparatus of the clinical trial to assert their moral subjectivities.

Indexed as

Clinical Trials as TopicDeceptionHIV InfectionsPhysician-Patient RelationsAnthropology, MedicalAnti-HIV AgentsFemaleHumansMaleMedication AdherencePre-Exposure ProphylaxisSouth AfricaAnti-HIV AgentsAdherenceclinical trialslyingmoralitypre-exposure prophylaxis

Identifiers

PMID26575611
PMCPMC4977196

What OpenQuestion holds

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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.