Evidence map›Paper›PMID 27824882›Full record

Trial reportPLoS medicine2016

Promoting Partner Testing and Couples Testing through Secondary Distribution of HIV Self-Tests: A Randomized Clinical Trial.

Samuel H Masters, Kawango Agot, Beatrice Obonyo, Sue Napierala Mavedzenge, Suzanne Maman, Harsha Thirumurthy

4 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PLoS medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 197 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
197citing papers in PubMed, 11 pooled it
16.7field-weighted citation impact, top 1% 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.

NCT02386215 nacompletednot on this map

The Use of HIV Self-tests to Promote Partner and Couples Testing: a Randomized Trial

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2015 to 2015Enrolled600ConditionsHIVArmsHIV self-test
NCT03135067 nacompletednot on this mapstarted 2017, after this paper: background citation

Secondary Distribution of HIV Self-tests: an Innovative Strategy for Promoting Partner Testing and Reducing HIV Risk

TypeinterventionalSponsorUniversity of PennsylvaniaRan2017 to 2020Enrolled2,102ConditionsHuman Immunodeficiency VirusArmsProvision of multiple self-tests
NCT04772469 nacompletednot on this mapstarted 2021, after this paper: background citation

Self-Test Strategies and Linkage Incentives to Improve ART and PrEP Uptake in Men

TypeinterventionalSponsorUniversity of California, San FranciscoRan2021 to 2023Enrolled934ConditionsHuman Immunodeficiency Virus, Acquired Immunodeficiency Syndrome, HIV Infections, Sexually Transmitted Diseases, ViralArmsProvision of multiple self-tests, Small monetary incentives, Use of SMS/text reminders to motivate adherence to ART or PrEP
NCT05882916 narecruitingnot on this mapstarted 2024, after this paper: background citation

Reaching the Last 20%: a Targeted HIV Self-test Secondary Distribution Intervention to Engage High-risk Men in Kenya

TypeinterventionalSponsorSue NapieralaRan2024 to 2026Enrolled5,000ConditionsHIVArmsHIV self-testing, Behavioral economic 'nudges'
3 · Its place in the literature

Who cites it

197 citing papers in PubMed, 11 syntheses or guidelines pooled it, 308 citations in OpenAlex.

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  6. Acceptability and uptake of HIV self-testing in emergency care settings: A systematic review and meta-analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
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  7. A Systematic Review and Network Meta-analyses to Assess the Effectiveness of Human Immunodeficiency Virus (HIV) Self-testing Distribution Strategies.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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137 more citing papers are in PubMed but not listed here.

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

6 authors at 3 institutions in 2 countries.

Samuel H MastersDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID http://orcid.org/0000-0001-7581-8219
Kawango AgotImpact Research and Development Organization, Kisumu, Kenya.ORCID http://orcid.org/0000-0002-0475-6951
Beatrice ObonyoImpact Research and Development Organization, Kisumu, Kenya.ORCID http://orcid.org/1234-5678-0000-0002
Sue Napierala MavedzengeRTI International, San Francisco, California, United States of America.
Suzanne MamanDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.ORCID http://orcid.org/0000-0003-4048-1585
Harsha ThirumurthyDepartment of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
University of North Carolina at Chapel Hill · USImpact Research and Development Organization · KERTI International · US

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
HIV Prevention among Young Female Sex Workers: an Implementation Research ApproachK01MH110316 · NIMH · RESEARCH TRIANGLE INSTITUTE · PI NAPIERALA, SUE · 2016 to 2019
$753k
Preferences, expectations, and the prediction of health and economic behaviorK01HD061605 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI THIRUMURTHY, HARSHA · 2011 to 2015
$638k
NICHD NIH HHS K01 HD061605NICHD NIH HHS P2C HD050924NIMH NIH HHS K01 MH110316
6 · The paper itself

Abstract

backgroundAchieving higher rates of partner HIV testing and couples testing among pregnant and postpartum women in sub-Saharan Africa is essential for the success of combination HIV prevention, including the prevention of mother-to-child transmission. We aimed to determine whether providing multiple HIV self-tests to pregnant and postpartum women for secondary distribution is more effective at promoting partner testing and couples testing than conventional strategies based on invitations to clinic-based testing. METHODS AND

findingsWe conducted a randomized trial in Kisumu, Kenya, between June 11, 2015, and January 15, 2016. Six hundred antenatal and postpartum women aged 18-39 y were randomized to an HIV self-testing (HIVST) group or a comparison group. Participants in the HIVST group were given two oral-fluid-based HIV test kits, instructed on how to use them, and encouraged to distribute a test kit to their male partner or use both kits for testing as a couple. Participants in the comparison group were given an invitation card for clinic-based HIV testing and encouraged to distribute the card to their male partner, a routine practice in many health clinics. The primary outcome was partner testing within 3 mo of enrollment. Among 570 participants analyzed, partner HIV testing was more likely in the HIVST group (90.8%, 258/284) than the comparison group (51.7%, 148/286; difference = 39.1%, 95% CI 32.4% to 45.8%, p < 0.001). Couples testing was also more likely in the HIVST group than the comparison group (75.4% versus 33.2%, difference = 42.1%, 95% CI 34.7% to 49.6%, p < 0.001). No participants reported intimate partner violence due to HIV testing. This study was limited by self-reported outcomes, a common limitation in many studies involving HIVST due to the private manner in which self-tests are meant to be used.

conclusionsProvision of multiple HIV self-tests to women seeking antenatal and postpartum care was successful in promoting partner testing and couples testing. This approach warrants further consideration as countries develop HIVST policies and seek new ways to increase awareness of HIV status among men and promote couples testing.

trial registrationClinicalTrials.gov NCT02386215.

Indexed as

Family CharacteristicsSexual PartnersAdolescentAdultFemaleHIV InfectionsHumansKenyaMaleMass ScreeningSerologic TestsYoung Adult

Identifiers

PMID27824882
PMCPMC5100966
OpenAlexW2556949014

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.