ArticleAIDS care2016
Evaluating the effectiveness of patient education and empowerment to improve patient-provider interactions in antiretroviral therapy clinics in Namibia.
Article in AIDS care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
What it found
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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.
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Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Person-centred interventions to improve patient-provider relationships for HIV services in low- and middle-income countries: a systematic review.Journal of the International AIDS Society · 2024Pooled it
- Pooled it
- Interventions to improve participation in health-care decisions in non-Western countries: A systematic review and narrative synthesis.Health expectations : an international journal of public participation in health care and health policy · 2019Pooled it
- Interventions for increasing the use of shared decision making by healthcare professionals.The Cochrane database of systematic reviews · 2018Pooled it
- "We Are Now Free to Speak": Qualitative Evaluation of an Education and Empowerment Training for HIV Patients in Namibia.PloS one · 2016Trial
- When the parts are greater than the whole: how understanding mechanisms can advance implementation research.Implementation science : IS · 2025Article
- Exploring experiences of HIV care to optimize patient-centred care in Conakry, Guinea: a qualitative study.Frontiers in reproductive health · 2024Article
- Provider perspectives on patient-centredness: participatory formative research and rapid analysis methods to inform the design and implementation of a facility-based HIV care improvement intervention in Zambia.Journal of the International AIDS Society · 2023Article
- Patterns of person-centred communications in public HIV clinics: a latent class analysis using the Roter interaction analysis system.Journal of the International AIDS Society · 2023Article
- Conceptualising engagement with HIV care for people on treatment: the Indicators of HIV Care and AntiRetroviral Engagement (InCARE) Framework.BMC health services research · 2023Review
- Measuring patient engagement with HIV care in sub-Saharan Africa: a scoping study.Journal of the International AIDS Society · 2022Review
- "Nothing for Us Without Us": An Evaluation of Patient Engagement in an HIV Care Improvement Collaborative in the Caribbean.Global health, science and practice · 2022Article
- Are shared decision making studies well enough described to be replicated? Secondary analysis of a Cochrane systematic review.PloS one · 2022Article
- Improved Viral Suppression With Streamlined Care in the SEARCH Study.Journal of acquired immune deficiency syndromes (1999) · 2020Article
- Article
- Patient-provider communication styles in HIV treatment programs in Bamako, Mali: A mixed-methods study to define dimensions and measure patient preferences.SSM - population health · 2017Article
- Understanding Sustained Retention in HIV/AIDS Care and Treatment: a Synthetic Review.Current HIV/AIDS reports · 2016Review
- "PHE in Action": Development and Modeling of an Intervention to Improve Patient Engagement among Older Adults.Frontiers in psychology · 2016Article
Corrections and comments
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Authors and funding
12 authors at 4 institutions in 2 countries.
Funding
Abstract
In order to increase patient active engagement during patient-provider interactions, we developed and implemented patient training sessions in four antiretroviral therapy (ART) clinics in Namibia using a "Patient Empowerment" training curriculum. We examined the impact of these trainings on patient-provider interactions after the intervention. We tested the effectiveness of the intervention using a randomized parallel group design, with half of the 589 enrolled patients randomly assigned to receive the training immediately and the remaining randomized to receive the training 6 months later. The effects of the training on patient engagement during medical consultations were measured at each clinic visit for at least 8 months of follow-up. Each consultation was audiotaped and then coded using the Roter Interaction Analysis System (RIAS). RIAS outcomes were compared between study groups at 6 months. Using intention-to-treat analysis, consultations in the intervention group had significantly higher RIAS scores in doctor facilitation and patient activation (adjusted difference in score 1.19, p = .004), doctor information gathering (adjusted difference in score 2.96, p = .000), patient question asking (adjusted difference in score .48, p = .012), and patient positive affect (adjusted difference in score 2.08, p = .002). Other measures were higher in the intervention group but did not reach statistical significance. We have evidence that increased engagement of patients in clinical consultation can be achieved via a targeted training program, although outcome data were not available on all patients. The patient training program was successfully integrated into ART clinics so that the trainings complemented other services being provided.
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Registered trials
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