Evidence map›Paper›PMID 28426834›Full record

Trial reportPloS one2017

Acceptability of an open-label wait-listed trial design: Experiences from the PROUD PrEP study.

Mitzy Gafos, Elizabeth Brodnicki, Monica Desai, Sheena McCormack, Will Nutland, Sonali Wayal, Ellen White, Gemma Wood, Tristan Barber, Gill Bell and 20 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

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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

30 authors at 16 institutions in 1 country.

Mitzy GafosMedical Research Council Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, United Kingdom.ORCID http://orcid.org/0000-0002-7894-1498
Elizabeth BrodnickiMedical Research Council Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, United Kingdom.
Monica DesaiHIV/STI Department, Public Health England, London, United Kingdom.
Sheena McCormackMedical Research Council Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, United Kingdom.
Will NutlandSigma research, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Sonali WayalCentre for Sexual Health and HIV Research, Mortimer Market Centre, London, United Kingdom.
Ellen WhiteMedical Research Council Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, United Kingdom.
Gemma WoodMedical Research Council Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, United Kingdom.
Tristan BarberDirectorate of HIV and GU medicine, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.
Gill BellSheffield Health, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Amanda ClarkeClaude Nichol Centre, Royal Sussex County Hospital, Brighton, United Kingdom.
David DollingMedical Research Council Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, United Kingdom.
David DunnMedical Research Council Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, United Kingdom.
Julie FoxGuy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Lewis HaddowCentre for Sexual Health and HIV Research, Mortimer Market Centre, London, United Kingdom.
Charles LaceyYork Hospitals NHS Foundation Trust, York, United Kingdom.
Anthony NardoneHIV/STI Department, Public Health England, London, United Kingdom.
Killian QuinnKing's College Hospital NHS Foundation Trust, London, United Kingdom.
Caroline RaeDirectorate of HIV and GU medicine, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.
Iain ReevesDepartment of Sexual Health, Homerton University Hospital NHS Foundation Trust, London, United Kingdom.
Michael RaymentDirectorate of HIV and GU medicine, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.
David WhiteHeart of England NHS Foundation Trust, Birmingham, United Kingdom.
Vanessa ApeaAmbrose King Centre, Barts Health NHS Trust, London, United Kingdom.
Wilbert AyapSt Mary's Hospital, Imperial College NHS Foundation Trust, London, United Kingdom.
Claire DewsnapSheffield Health, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Yolanda Collaco-MoraesMedical Research Council Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, United Kingdom.
Gabriel SchembriManchester Centre for Sexual Health, Central Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
Yinka SowunmiMedical Research Council Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, United Kingdom.
Rob HorneSchool of Pharmacy, University College London, London, United Kingdom.
PROUD Study Team
MRC Clinical Trials Unit at UCL · GBChelsea and Westminster Hospital NHS Foundation Trust · GBMortimer Market Centre · GBPublic Health England · GBSheffield Teaching Hospitals NHS Foundation Trust · GBBarts Health NHS Trust · GBGuy's and St Thomas' NHS Foundation Trust · GBHeart of England NHS Foundation Trust · GBHomerton University Hospital NHS Foundation Trust · GBKing's College Hospital NHS Foundation Trust · GBLondon School of Hygiene & Tropical Medicine · GBManchester University NHS Foundation Trust · GBRoyal Sussex County Hospital · GBSt Mary's Hospital · GBUniversity College London · GBYork Teaching Hospital NHS Foundation Trust · GB

Funding

Medical Research Council MC_UU_12023/1Medical Research Council MC_UU_12023/23
6 · The paper itself

Abstract

backgroundPROUD participants were randomly assigned to receive pre-exposure prophylaxis (PrEP) immediately or after a deferred period of one-year. We report on the acceptability of this open-label wait-listed trial design.

methodsParticipants completed an acceptability questionnaire, which included categorical study acceptability data and free-text data on most and least liked aspects of the study. We also conducted in-depth interviews (IDI) with a purposely selected sub-sample of participants.

resultsAcceptability questionnaires were completed by 76% (415/544) of participants. After controlling for age, immediate-group participants were almost twice as likely as deferred-group participants to complete the questionnaire (AOR:1.86;95%CI:1.24,2.81). In quantitative data, the majority of participants in both groups found the wait-listed design acceptable when measured by satisfaction of joining the study, intention to remain in the study, and interest in joining a subsequent study. However, three-quarters thought that the chance of being in the deferred-group might put other volunteers off joining the study. In free-text responses, data collection tools were the most frequently reported least liked aspect of the study. A fifth of deferred participants reported 'being deferred' as the thing they least liked about the study. However, more deferred participants disliked the data collection tools than the fact that they had to wait a year to access PrEP. Participants in the IDIs had a good understanding of the rationale for the open-label wait-listed study design. Most accepted the design but acknowledged they were, or would have been, disappointed to be randomised to the deferred group. Five of the 25 participants interviewed reported some objection to the wait-listed design.

conclusionThe quantitative and qualitative findings suggest that in an environment where PrEP was not available, the rationale for the wait-listed trial design was well understood and generally acceptable to most participants in this study.

Indexed as

Pre-Exposure ProphylaxisWaiting ListsAdultFemaleHIV InfectionsHumansMaleMiddle AgedYoung Adult

Identifiers

PMID28426834
PMCPMC5398545
OpenAlexW2605756613

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.