Evidence map›Paper›PMID 28367106›Full record

ArticleJournal of HIV/AIDS & social services2014

A qualitative assessment of barriers to antiretroviral therapy adherence among adolescents in western Kenya.

Catherine June Kunapareddy, Winstone Nyandiko, Thomas Inui, Samwel Ayaya, David G Marrero, Rachel Vreeman

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of HIV/AIDS & social services, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 31% 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.

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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  13. Validation of an HIV/AIDS Stigma Measure for Children Living with HIV and Their Families.Journal of the International Association of Providers of AIDS Care
    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

6 authors at 3 institutions in 2 countries.

Catherine June KunapareddyIndiana University School of Medicine, Department of Public Health, Indianapolis, IN, USA.
Winstone NyandikoMoi University School of Medicine, Department of Child Health and Pediatrics, Eldoret, Kenya, and USAID, Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Thomas InuiUSAID, Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya, Indian University School of Medicine, Department of Medicine, Indianapolis, IN, USA, and Regenstrief Institute, Inc., Indianapolis, IN, USA.
Samwel AyayaUSAID, Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya and Moi University School of Medicine, Department of Child Health and Pediatrics, Eldoret, Kenya.
David G MarreroIndiana University School of Medicine, Department of Medicine, Indianapolis, United States, and Indiana University School of Medicine, Diabetes Translational Research Center, Indianapolis, IN, USA.
Rachel VreemanUSAID, Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya, Regenstrief Institute, Inc., Indianapolis, IN, USA, and Indiana University School of Medicine, Children Health Services Research, Indianapolis, IN, USA.
Indiana University School of MedicineMoi University · KEAMPATH · KE

Funding

Development of an Antiretroviral Therapy Adherence Measure for PediatricsK23MH087225 · NIMH · INDIANA UNIVERSITY INDIANAPOLIS · PI VREEMAN, RACHEL CHRISTINE · 2009 to 2013
$862k
NIMH NIH HHS K23 MH087225
6 · The paper itself

Abstract

Antiretroviral therapy (ART) requires nearly perfect adherence to be effective. This study aims to identify key factors identified by HIV-infected adolescents on ART as contributing to medication adherence in western Kenya. Using a qualitative study design, three adolescent focus groups discussions were conducted at an urban and rural clinic site in western Kenya. The study population included HIV-infected adolescents receiving ART through the USAID-AMPATH HIV care system. A trained facilitator conducted groups in Kiswahili using a semi-structured interview guide probing multiple aspects of experience of taking medicines. Transcribed focus group dialogues were analyzed using constant comparison, progressive coding, and triangulation. The adolescents described a context of negative societal beliefs about HIV, necessitating a lifestyle of secrecy and minimizing the information shared about HIV or ART. Assessing and addressing adolescents' fears and behaviors regarding medication secrecy and disclosure may enable more accurate monitoring of adherence and development of intervention strategies.

Identifiers

PMID28367106
PMCPMC5374741
OpenAlexW1537126476

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.