Evidence map›Paper›PMID 27217266›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

A Randomized Trial to Test a Peer Mentor Intervention to Improve Outcomes in Persons Hospitalized With HIV Infection.

Thomas P Giordano, Jeffrey Cully, K Rivet Amico, Jessica A Davila, Michael A Kallen, Christine Hartman, Jackie Wear, April Buscher, Melinda Stanley

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01103856 (Test of an Intervention to Improve HIV Care), which is not on this map. Cited by 40 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 9 pooled it
3.8field-weighted citation impact, top 7% 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.

NCT01103856 nacompletednot on this map

Test of an Intervention to Improve HIV Care

TypeinterventionalSponsorBaylor College of MedicineRan2010 to 2016Enrolled460ConditionsHIV InfectionArmsPatient Mentor Intervention, HIV transmission risk reduction
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 9 syntheses or guidelines pooled it, 51 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 6 institutions in 1 country.

Thomas P GiordanoDepartment of Medicine.
Jeffrey CullyDepartment of Psychiatry, Baylor College of Medicine, and.
K Rivet AmicoDepartment of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor.
Jessica A DavilaDepartment of Medicine.
Michael A KallenDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Christine HartmanDepartment of Medicine.
Jackie WearHarris Health System, Houston, Texas.
April BuscherDepartment of Medicine.
Melinda StanleyDepartment of Psychiatry, Baylor College of Medicine, and.
Center for Innovation · USMichael E. DeBakey VA Medical Center · USBaylor College of Medicine · USHarris Health System · USNorthwestern University · USUniversity of Michigan–Ann Arbor · US

Funding

Virology CoreP30AI036211 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI RICE, ANDREW P · 1994 to 2015
$21.7M
Test of an intervention to improve retention in HIV care after hospitalizationR01MH085527 · NIMH · BAYLOR COLLEGE OF MEDICINE · PI GIORDANO, THOMAS P · 2009 to 2014
$3.4M
TRAINING PROGRAM FOR CLINICAL RESEARCH ON AIDST32AI007456 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI SHEARER, WILLIAM THOMAS · 1992 to 2012
$2.8M
NIAID NIH HHS P30 AI036211NIAID NIH HHS T32 AI007456NIMH NIH HHS R01 MH085527
6 · The paper itself

Abstract

backgroundFew interventions have been shown to improve retention in human immunodeficiency virus (HIV) care, and none have targeted the hospitalized patient. Peer mentoring has not been rigorously tested.

methodsWe conducted a randomized, controlled clinical trial of a peer mentoring intervention. Eligible adults were hospitalized and were either newly diagnosed with HIV infection or out of care. The intervention included 2 in-person sessions with a volunteer peer mentor while hospitalized, followed by 5 phone calls in the 10 weeks after discharge. The control intervention provided didactic sessions on avoiding HIV transmission on the same schedule. The primary outcome was a composite of retention in care (completed HIV primary care visits within 30 days and between 31 and 180 days after discharge) and viral load (VL) improvement (≥1 log10 decline) 6 months after discharge.

resultsWe enrolled 460 participants in 3 years; 417 were in the modified intent-to-treat analysis. The median age was 42 years; 74% were male; and 67% were non-Hispanic black. Baseline characteristics did not differ between the randomized groups. Twenty-eight percent of the participants in both arms met the primary outcome (P = .94). There were no differences in prespecified secondary outcomes, including retention in care and VL change. Post hoc analyses indicated interactions between the intervention and length of hospitalization and between the intervention and receipt of linkage services before discharge.

conclusionsPeer mentoring did not increase reengagement in outpatient HIV care among hospitalized, out-of-care persons. More intense and system-focused interventions warrant further study. CLINICAL TRIALS REGISTRATION: NCT01103856.

Indexed as

Drug MonitoringEarly Medical InterventionPeer GroupAdultFemaleFollow-Up StudiesHIV InfectionsHospitalizationHumansMaleMentorsMiddle AgedTreatment Outcomeadherence to careHIV/AIDSpatient navigationpeerretention in care

Identifiers

PMID27217266
PMCPMC4981755
OpenAlexW2402614742

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.