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ArticleJMIR research protocols2017

Home-Based HIV Testing and Counseling for Male Couples (Project Nexus): A Protocol for a Randomized Controlled Trial.

Rob Stephenson, Ryan Freeland, Stephen P Sullivan, Erin Riley, Brent A Johnson, Jason Mitchell, Deborah McFarland, Patrick S Sullivan

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02335138 (Project Nexus), which is not on this map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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.

NCT02335138 nacompletednot on this map

Project Nexus: Providing Online Counseling for Home-Based HIV Testing

TypeinterventionalSponsorUniversity of MichiganRan2016 to 2019Enrolled800ConditionsCouplesArmsCouples HIV Testing and Counseling (CHTC, CVCT), at-home test kit
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 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

8 authors at 4 institutions in 1 country.

Rob StephensonSchool of Nursing, Department of Health Behavior and Biological Sciences, University of Michigan, Ann Arbor, MI, United States.ORCID http://orcid.org/0000-0002-9239-2640
Ryan FreelandThe Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, United States.ORCID http://orcid.org/0000-0001-9745-8939
Stephen P SullivanSchool of Nursing, Department of Health Behavior and Biological Sciences, University of Michigan, Ann Arbor, MI, United States.ORCID http://orcid.org/0000-0003-4812-2579
Erin RileySchool of Nursing, Department of Health Behavior and Biological Sciences, University of Michigan, Ann Arbor, MI, United States.ORCID http://orcid.org/0000-0003-2730-5130
Brent A JohnsonUniversity of Rochester Medical Center, Department of Biostatistics and Computational Biology, University of Rochester, Rochester, NY, United States.ORCID http://orcid.org/0000-0001-5665-8598
Jason MitchellOffice of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, HI, United States.ORCID http://orcid.org/0000-0002-0840-9404
Deborah McFarlandRollins School of Public Health, Hubert Department of Global Health, Emory University, Atlanta, GA, United States.ORCID http://orcid.org/0000-0002-0019-5165
Patrick S SullivanRollins School of Public Health, Department of Epidemiology, Emory University, Atlanta, GA, United States.ORCID http://orcid.org/0000-0002-7728-0587
University of Michigan · USEmory University · USUniversity of Hawaiʻi at Mānoa · USUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHIV prevalence remains high among men who have sex with men (MSM) in the United States, yet the majority of research has focused on MSM as individuals, not as dyads, and has discussed HIV risks primarily in the context of casual sex. Nexus is an online prevention program that combines home-based HIV testing and couples HIV testing and counseling (CHTC). It allows partners in dyadic MSM relationships to receive HIV testing and care in the comfort of their designated residence, via video-based chat. By using video-based technologies (eg, VSee video chat), male couples receive counseling and support from a remote online counselor, while testing for HIV at home.

objectiveThis randomized control trial (RCT) aims to examine the effects of video-based counseling combined with home-based HIV testing on couples' management of HIV risk, formation and adherence to explicit sexual agreements, and sexual risk-taking.

methodsThe research implements a prospective RCT of 400 online-recruited male couples: 200 self-reported concordant-negative couples and 200 self-reported discordant couples. Couples in the control arm will receive one or two home-based HIV self-testing kits and will be asked to report their results via the study's website. Couples in the experimental arm will receive one or two home-based HIV self-testing kits and will conduct these tests together under the facilitation of a remotely located counselor during a prescheduled VSee-based video CHTC session. Study assessments are taken at baseline, as well as at 3- and 6-month follow-up sessions.

resultsProject Nexus was launched in April 2016 and is ongoing. To date, 219 eligible couples have been enrolled and randomized.

conclusionsCombining home-based HIV testing with video-based counseling creates an opportunity to expand CHTC to male couples who (1) live outside metro areas, (2) live in rural areas without access to testing services or LGBTQ resources, or (3) feel that current clinic-based testing is not for them (eg, due to fears of discrimination associated with HIV and/or sexuality).

trial registrationClinicalTrials.gov NCT02335138; https://clinicaltrials.gov/ct2/show/NCT02335138 (Archived by WebCite at http://www.webcitation.org/6qHxtNIdW).

Indexed as

HIVmale couplestelemedicine

Identifiers

PMID28559225
PMCPMC5470011
OpenAlexW2620473287

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.