Evidence map›Paper›PMID 27355501›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2016

Mother Infant Retention for Health (MIR4Health): Study Design, Adaptations, and Challenges With PMTCT Implementation Science Research.

Ruby N Fayorsey, Duncan Chege, Chunhui Wang, William Reidy, Zachary Peters, Masila Syengo, Chrisostim Barasa, Samuel O Owino, Martin Sirengo, Mark P Hawken and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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. It is linked to trial NCT01962220 (Mother Infant Retention for Health), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

NCT01962220 nacompletednot on this map

Mother Infant Retention for Health: Evaluation of a Multicomponent Strategy to Link and Retain Newly Identified HIV-infected Pregnant Women and Their Infants Throughout the Antenatal and Post-partum Period

TypeinterventionalSponsorColumbia UniversityRan2013 to 2015Enrolled680ConditionsHIV/AIDSArmsStudy Intervention for Retention (APFU)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Factors Associated With Home Visits in a 5-Year Study of Acute Respiratory Distress Syndrome Survivors.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2020
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
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

11 authors.

Ruby N Fayorsey*ICAP, Mailman School of Public Health, Columbia University, New York, NY; †County Government of Siaya, Siaya County, Kenya; ‡National AIDS and STI Control Program, Nairobi, Kenya; and §College of Physicians and Surgeons, Columbia University, New York, NY.
Duncan Chege
Chunhui Wang
William Reidy
Zachary Peters
Masila Syengo
Chrisostim Barasa
Samuel O Owino
Martin Sirengo
Mark P Hawken
Elaine J Abrams

Funding

Mother and Infant Retention for Health (MIR4Health)R01HD075163 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ABRAMS, ELAINE JANINE · 2012 to 2013
$883k
NICHD NIH HHS R01 HD075163PEPFAR
6 · The paper itself

Abstract

backgroundEffective retention of HIV-infected mothers and their infants is fraught with multiple challenges, resulting in loss across the continuum of prevention of mother-to-child HIV transmission (PMTCT) care and missed opportunities to offer life-saving HIV prevention and treatment.

methodsThe Mother Infant Retention for Health study is an individual-randomized study evaluating the effectiveness of active patient follow-up compared with standard of care on the combined outcome of attrition of HIV-infected women and their infants at 6 months postpartum. Lay counselors administered the active patient follow-up package of interventions, including individualized health education, use of flip charts during clinic visits, and at home, phone and short message service appointment reminders, active phone and physical tracking of patients immediately after missed clinic visits, and individualized retention and adherence support.

resultsUse of study visits to indicate participant progression along the PMTCT cascade highlights the nature of loss among women and infants in PMTCT care because of issues such as pregnancy complications, infant deaths, and transfer out. Delay in implementation of Option B+, unanticipated slow enrollment, a health-care worker strike, rapid HIV test kit shortages, and changes in national PMTCT guidelines necessitated several modifications to the protocol design and implementation to ensure successful completion of the study.

conclusionsFlexibility when operationalizing an implementation science study is critical in the context of the shifting landscape in a noncontrolled "real-world" setting.

trial registrationClinicaltrials.gov NCT01962220.

Indexed as

Anti-HIV AgentsFemaleHIV InfectionsHumansInfant, NewbornInfectious Disease Transmission, VerticalKenyaPregnancyPregnancy Complications, InfectiousAnti-HIV Agents

Identifiers

PMID27355501
PMCPMC5113246

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.