Evidence map›Paper›PMID 27930611›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2017

Community Mobilization for HIV Testing Uptake: Results From a Community Randomized Trial of a Theory-Based Intervention in Rural South Africa.

Sheri A Lippman, Torsten B Neilands, Catherine MacPhail, Dean Peacock, Suzanne Maman, Dumisani Rebombo, Rhian Twine, Amanda Selin, Hannah H Leslie, Kathleen Kahn and 1 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  11. Uptake and factors associated with HIV self-testing among women in South Africa.Journal of the colleges of medicine of South Africa · 2024
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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

11 authors.

Sheri A Lippman*Department of Medicine, Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA; †MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; ‡School of Health, University of New England, Armidale, New South Wales, Australia; §Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa; ‖Sonke Gender Justice, Cape Town, South Africa; ¶School of Public Health, University of Cape Town, South Africa; #Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC; **Division of Epidemiology, School of Public Health, University of California, Berkeley, Berkeley, CA; and ††Umeå Centre for Global Health Research, Division of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Torsten B Neilands
Catherine MacPhail
Dean Peacock
Suzanne Maman
Dumisani Rebombo
Rhian Twine
Amanda Selin
Hannah H Leslie
Kathleen Kahn
Audrey Pettifor

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 2001 to 2026
$57.4M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Activating Treatment as Prevention through Community Mobilization in South AfricaR01MH103198 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LIPPMAN, SHERI ANN, PETTIFOR, AUDREY · 2014 to 2018
$3.1M
Effects of Cash Transfer and Community Mobilization in Young South African WomenR01MH087118 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PETTIFOR, AUDREY · 2009 to 2013
$2.5M
Toward Understanding Community Mobilization for HIV Prevention in the African ConR21MH090887 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LIPPMAN, SHERI ANN · 2010 to 2011
$301k
NICHD NIH HHS P2C HD050924NIMH NIH HHS P30 MH062246NIMH NIH HHS R01 MH087118NIMH NIH HHS R01 MH103198NIMH NIH HHS R21 MH090887
6 · The paper itself

Abstract

backgroundHIV testing uptake in South Africa is below optimal levels. Community mobilization (CM) may increase and sustain demand for HIV testing, however, little rigorous evidence exists regarding the effect of CM interventions on HIV testing and the mechanisms of action.

methodsWe implemented a theory-driven CM intervention in 11 of 22 randomly-selected villages in rural Mpumalanga Province. Cross-sectional surveys including a community mobilization measure were conducted before (n = 1181) and after (n = 1175) a 2-year intervention (2012-2014). We assessed community-level intervention effects on reported HIV testing using multilevel logistic models. We used structural equation models to explore individual-level effects, specifically whether intervention assignment and individual intervention exposure were associated with HIV testing through community mobilization.

resultsReported testing increased equally in both control and intervention sites: the intervention effect was null in primary analyses. However, the hypothesized pathway, CM, was associated with higher HIV testing in the intervention communities. Every standard deviation increase in village CM score was associated with increased odds of reported HIV testing in intervention village participants (odds ratio: 2.6, P = <0.001) but not control village participants (odds ratio: 1.2, P = 0.53). Structural equation models demonstrate that the intervention affected HIV testing uptake through the individual intervention exposure received and higher personal mobilization scores.

conclusionsThere was no evidence of community-wide gains in HIV testing due to the intervention. However, a significant intervention effect on HIV testing was noted in residents who were personally exposed to the intervention and who evidenced higher community mobilization. Research is needed to understand whether CM interventions can be diffused within communities over time.

Indexed as

Community Health ServicesCommunity NetworksHealth PromotionAdultCross-Sectional StudiesFemaleHIV InfectionsHumansMalePatient Acceptance of Health CareRural PopulationSouth AfricaSurveys and QuestionnairesYoung Adult

Identifiers

PMID27930611
PMCPMC5147031

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.