Evidence map›Paper›PMID 27438460›Full record

Trial reportAIDS and behavior2017

Effects of Depression Alleviation on ART Adherence and HIV Clinic Attendance in Uganda, and the Mediating Roles of Self-Efficacy and Motivation.

Glenn J Wagner, Bonnie Ghosh-Dastidar, Eric Robinson, Victoria K Ngo, Peter Glick, Barbara Mukasa, Seggane Musisi, Dickens Akena

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–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.

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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Patient Engagement With an Automated Telephone Symptom Management Intervention: Predictors and Outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020
    Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

8 authors.

Glenn J WagnerRAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA. gwagner@rand.org.ORCID http://orcid.org/0000-0001-9081-3299
Bonnie Ghosh-DastidarRAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA.
Eric RobinsonRAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA.
Victoria K NgoRAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA.
Peter GlickRAND Corporation, 1776 Main St., Santa Monica, CA, 90407, USA.
Barbara MukasaMildmay Uganda, Kampala, Uganda.
Seggane MusisiDepartment of Psychiatry, Makerere University, Kampala, Uganda.
Dickens AkenaDepartment of Psychiatry, Makerere University, Kampala, Uganda.

Funding

Task Shifting Model of Depression Treatment to Unleash HIV Public Health BenefitsR01MH098996 · NIMH · RAND CORPORATION · PI WAGNER, GLENN JOHN · 2012 to 2014
$1.3M
NIMH NIH HHS R01 MH098996
6 · The paper itself

Abstract

With depression known to impede HIV care adherence and retention, we examined whether depression alleviation improves these disease management behaviors. A sample of 1028 depressed HIV clients in Uganda enrolled in a cluster randomized controlled trial of two depression care models, and were surveyed over 12 months. Serial regression analyses examined whether depression alleviation was associated with self-reported antiretroviral therapy (ART) adherence and clinic attendance at month 12, and whether these relationships were mediated by self-efficacy and motivation. Among those with major depression, depression alleviation was associated with better ART adherence and clinic attendance at month 12; these relationships were fully mediated by self-efficacy at month 12, while adherence motivation partially mediated the relationship between depression alleviation and ART adherence. When both mediators were entered simultaneously, only self-efficacy was a significant predictor and still fully mediated the relationship between depression alleviation and adherence. These findings suggest that depression alleviation benefits both ART adherence and clinic attendance, in large part through improved confidence and motivation to engage in these disease management behaviors.

Indexed as

Drug MonitoringMotivationSelf EfficacyAdultAnti-HIV AgentsCounselingDepressionFemaleHIV InfectionsHumansMajor Depressive DisorderMaleMedication AdherenceOffice VisitsSelf ReportSocial SupportAnti-HIV AgentsAdherenceClinic attendanceDepressionHIVMotivationSelf-efficacyUganda

Identifiers

PMID27438460
PMCPMC5250618

What OpenQuestion holds

Textmetadata
LicenceTDM
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.