Evidence map›Paper›PMID 26959189›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2016

Implementation and Operational Research: Effectiveness and Patient Acceptability of a Sexually Transmitted Infection Self-Testing Program in an HIV Care Setting.

Lindley A Barbee, Susana Tat, Shireesha Dhanireddy, Jeanne M Marrazzo

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  6. Patients May Accurately Self-collect Pharyngeal and Rectal Specimens for Neisseria gonorrhoeae and Chlamydia trachomatis Infection: But Is There Benefit?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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  19. The Evidence That Increased Syphilis Testing Controls Syphilis Is Compelling: What Is Needed to Act?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
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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 at 2 institutions in 1 country.

Lindley A Barbee*Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA;†HIV/STD Program, Public Health-Seattle & King County, Seattle, WA; and‡University of Washington STD Prevention Training Center, Seattle, WA.
Susana Tat
Shireesha Dhanireddy
Jeanne M Marrazzo
Public Health – Seattle & King County · USUniversity of Washington · US

Funding

VENEREAL DISEASET32AI007140 · NIAID · UNIVERSITY OF WASHINGTON · PI Julia Cook Dombrowski · 1985 to 2026
$19.4M
Characterizing Extragenital Gonorrhea and Chlamydia: Natural History & HIV ImpactK23AI113185 · NIAID · UNIVERSITY OF WASHINGTON · PI BARBEE, LINDLEY · 2014 to 2018
$903k
NIAID NIH HHS K23 AI113185NIAID NIH HHS T32 AI007140
6 · The paper itself

Abstract

backgroundRates of screening for bacterial sexually transmitted infections (STI) among men who have sex with men in HIV care settings remain low despite high prevalence of these infections. STI self-testing may help increase screening rates in clinical settings.

methodsWe implemented an STI self-testing program at a large, urban HIV care clinic and evaluated its effectiveness and acceptability. We compared measures obtained during the first year of the STI self-testing program (Intervention Year, April 1, 2013-March 31, 2014) to Baseline Year (January 1, 2012-December 31, 2012) to determine: (1) overall clinic change in STI testing coverage and diagnostic yield and; (2) program-specific outcomes including appropriate anatomic site screening and patient-reported acceptability.

resultsOverall, testing for gonorrhea and chlamydia increased significantly between Baseline and Intervention Year, and 50% more gonococcal and 47% more chlamydial infections were detected. Syphilis testing coverage remained unchanged. Nearly 95% of 350 men who participated in the STI self-testing program completed site-specific testing appropriately based on self-reported exposures, and 92% rated their self-testing experience as "good" or "very good."

conclusionsSTI self-testing in HIV care settings significantly increases testing coverage and detection of gonorrhea and chlamydia, and the program is acceptable to patients. Additional interventions to increase syphilis screening rates are needed.

Indexed as

Operations ResearchAmbulatory Care FacilitiesChlamydia InfectionsGonorrheaHIV InfectionsHomosexuality, MaleHumansMaleMass ScreeningNucleic Acid Amplification TechniquesPatient Acceptance of Health CarePrevalenceProgram EvaluationSelf CareSexual BehaviorSexual Partners

Identifiers

PMID26959189
PMCPMC4868654
OpenAlexW2313524695

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.