Evidence map›Paper›PMID 26588429›Full record

ArticleAIDS patient care and STDs2015

Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers.

Kathy Goggin, Sarah Finocchario-Kessler, Vincent Staggs, Mahlet Atakilt Woldetsadik, Rhoda K Wanyenze, Jolly Beyeza-Kashesya, Deborah Mindry, Sarah Khanakwa, Glenn J Wagner

Open access · hybridAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 12% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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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 7 institutions in 2 countries.

Kathy Goggin1 Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics , Kansas City, Missouri.
Sarah Finocchario-Kessler3 Department of Family Medicine, University of Kansas Medical Center , Kansas City, Missouri.
Vincent Staggs1 Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics , Kansas City, Missouri.
Mahlet Atakilt Woldetsadik5 RAND Corporation , Santa Monica, California.
Rhoda K Wanyenze6 Department of Disease Control and Environmental Health, School of Public Health, Makerere University , Kampala, Uganda .
Jolly Beyeza-Kashesya7 Mulago Hospital Department of Obstetrics and Gynaecology , Kampala, Uganda .
Deborah Mindry9 University of California , Los Angeles Center for Culture and Health, Los Angeles, California.
Sarah Khanakwa10 The AIDS Support Organization , Kampala, Uganda .
Glenn J Wagner5 RAND Corporation , Santa Monica, California.
Children's Mercy Hospital · USRAND Corporation · USMakerere University · UGMulago Hospital · UGThe AIDS Support Organization · UGUniversity of California System · USUniversity of Kansas Medical Center · US

Funding

Determinants of Use of Safer Conception Strategies Among HIV Clients in UgandaR01HD072633 · NICHD · RAND CORPORATION · PI WAGNER, GLENN JOHN · 2012 to 2015
$1.3M
NICHD NIH HHS R01 HD072633
6 · The paper itself

Abstract

High rates of childbearing desires (59%) and serodiscordant partnerships (50%) among people living with HIV (PHLA) in Uganda highlight the need for safer conception counseling (SCC). Provider attitudes about counseling PLHA on the use of safer conception methods (SCM) have been explored in qualitative studies, but published quantitative investigations are scarce. Data from 57 Ugandan providers were collected to examine providers' attitudes about childbearing among PLHA and engagement in discussions about childbearing, as well as their knowledge, interest, self-efficacy, and intentions to provide SCC. Correlates of self-efficacy for the provision of SCC were explored to inform the development of training programs. Providers reported a general awareness of most SCM, especially timed unprotected intercourse (TUI); but just over half felt they knew enough to counsel clients in the future and all wanted more training. Childbearing was discussed with less than a third of reproductive aged patients and was mostly initiated by patients. Most providers saw value in providing SCC and believed that most aspects of SCM would be acceptable to their clients, but numerous barriers were endorsed. Self-efficacy was greatest among providers who had had more childbearing conversations, greater SCM awareness, perceived fewer barriers and greater intentions to counsel on TUI. Providers evidence fewer stigmatizing attitudes than in the past. However, those who endorsed more stigmatizing attitudes evidenced a trend for reporting lower self-efficacy for providing SCC. Training will need to simultaneously focus on increasing providers' SCC knowledge and skills while instilling a more realistic appraisal of the risks of assisting couples to employ SCM versus doing nothing.

Indexed as

Attitude of Health PersonnelCounselingFertilizationHealth Knowledge, Attitudes, PracticeSelf EfficacyBlack PeopleContraceptionDisease Transmission, InfectiousFertilityHealth PersonnelHIV InfectionsHumansIntentionMaleSexual PartnersSurveys and Questionnaires

Identifiers

PMID26588429
PMCPMC4684655
OpenAlexW2175272352

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.