Evidence map›Paper›PMID 28120257›Full record

SynthesisAIDS and behavior2017

Challenges in the Evaluation of Interventions to Improve Engagement Along the HIV Care Continuum in the United States: A Systematic Review.

Kathryn A Risher, Sunaina Kapoor, Alice Moji Daramola, Gabriela Paz-Bailey, Jacek Skarbinski, Kate Doyle, Kate Shearer, David Dowdy, Eli Rosenberg, Patrick Sullivan and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis 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 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing 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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. The HIV Treat Pillar: An Update and Summary of Promising Approaches.American journal of preventive medicine · 2021
    Article
  14. Observational
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review
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.

Kathryn A RisherDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615N. Wolfe St, W6604, Baltimore, MD, 20205, USA. krisher1@jhu.edu.
Sunaina KapoorDivision of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Alice Moji DaramolaDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Gabriela Paz-BaileyDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jacek SkarbinskiDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Kate DoyleDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Kate ShearerDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615N. Wolfe St, W6604, Baltimore, MD, 20205, USA.
David DowdyDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615N. Wolfe St, W6604, Baltimore, MD, 20205, USA.
Eli RosenbergDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Patrick SullivanDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Maunank ShahDivision of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

ENHANCING MODELS OF HIV, VIRAL HEPATITIS, STIs, AND TUBERCULOSIS TO INFORM AND IMPROVE PUBLIC HEALTH IMPACTU38PS004646 · PS · EMORY UNIVERSITY · PI SULLIVAN, PATRICK · 2014 to 2015
$2.9M
Intramural CDC HHS CC999999NCHHSTP CDC HHS U38 PS004646
6 · The paper itself

Abstract

In the United States (US), there are high levels of disengagement along the HIV care continuum. We sought to characterize the heterogeneity in research studies and interventions to improve care engagement among people living with diagnosed HIV infection. We performed a systematic literature search for interventions to improve HIV linkage to care, retention in care, reengagement in care and adherence to antiretroviral therapy (ART) in the US published from 2007-mid 2015. Study designs and outcomes were allowed to vary in included studies. We grouped interventions into categories, target populations, and whether results were significantly improved. We identified 152 studies, 7 (5%) linkage studies, 33 (22%) retention studies, 4 (3%) reengagement studies, and 117 (77%) adherence studies. 'Linkage' studies utilized 11 different outcome definitions, while 'retention' studies utilized 39, with very little consistency in effect measurements. The majority (59%) of studies reported significantly improved outcomes, but this proportion and corresponding effect sizes varied substantially across study categories. This review highlights a paucity of assessments of linkage and reengagement interventions; limited generalizability of results; and substantial heterogeneity in intervention types, outcome definitions, and effect measures. In order to make strides against the HIV epidemic in the US, care continuum research must be improved and benchmarked against an integrated, comprehensive framework.

Indexed as

Continuity of Patient CarePatient ParticipationAnti-HIV AgentsBenchmarkingEpidemicsHealth Services Needs and DemandHIV InfectionsHumansMedication AdherencePatient DropoutsResearch DesignUnited StatesAnti-HIV AgentsHIV adherenceHIV care continuumHIV linkage to careHIV reengagementHIV retention in care

Identifiers

PMID28120257
PMCPMC5843766

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.