Evidence map›Paper›PMID 28826229›Full record

Trial reportAIDS care2018

Offering self-administered oral HIV testing to truck drivers in Kenya to increase testing: a randomized controlled trial.

Elizabeth A Kelvin, Gavin George, Eva Mwai, Eston Nyaga, Joanne E Mantell, Matthew L Romo, Jacob O Odhiambo, Lila Starbuck, Kaymarlin Govender

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 6 pooled it
4.7field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 6 syntheses or guidelines pooled it, 56 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

9 authors at 3 institutions in 2 countries.

Elizabeth A Kelvina Department of Epidemiology and Biostatistics & Institute for Implementation Science in Population Health , CUNY Graduate School of Public Health and Health Policy, City University of New York , New York , NY , USA.
Gavin Georgeb Health Economics and HIV and AIDS Research Division , University of KwaZulu-Natal , Durban , South Africa.
Eva Mwaic North Star Alliance , Nairobi , Kenya.
Eston Nyagac North Star Alliance , Nairobi , Kenya.
Joanne E Mantelld HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, Division of Gender, Sexuality and Health , New York State Psychiatric Institute & Columbia University , New York , NY , USA.
Matthew L Romoa Department of Epidemiology and Biostatistics & Institute for Implementation Science in Population Health , CUNY Graduate School of Public Health and Health Policy, City University of New York , New York , NY , USA.
Jacob O Odhiamboc North Star Alliance , Nairobi , Kenya.
Lila Starbucka Department of Epidemiology and Biostatistics & Institute for Implementation Science in Population Health , CUNY Graduate School of Public Health and Health Policy, City University of New York , New York , NY , USA.
Kaymarlin Govenderb Health Economics and HIV and AIDS Research Division , University of KwaZulu-Natal , Durban , South Africa.
City University of New York · USUniversity of KwaZulu-Natal · ZANew York Psychoanalytic Society and Institute · US

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2003 to 2026
$48.2M
NIMH NIH HHS P30 MH043520
6 · The paper itself

Abstract

We conducted a randomized controlled trial among 305 truck drivers from two North Star Alliance roadside wellness clinics in Kenya to see if offering HIV testing choices would increase HIV testing uptake. Participants were randomized to be offered (1) a provider-administered rapid blood (finger-prick) HIV test (i.e., standard of care [SOC]) or (2) a Choice between SOC or a self-administered oral rapid HIV test with provider supervision in the clinic. Participants in the Choice arm who refused HIV testing in the clinic were offered a test kit for home use with phone-based posttest counseling. We compared HIV test uptake using the Mantel Haenszel odds ratio (OR) adjusting for clinic. Those in the Choice arm had higher odds of HIV test uptake than those in the SOC arm (OR = 1.5), but the difference was not statistically significant (p = 0.189). When adding the option to take an HIV test kit for home use, the Choice arm had significantly greater odds of testing uptake (OR = 2.8, p = 0.002). Of those in the Choice arm who tested, 26.9% selected the SOC test, 64.6% chose supervised self-testing in the clinic, and 8.5% took a test kit for home use. Participants varied in the HIV test they selected when given choices. Importantly, when participants who refused HIV testing in the clinic were offered a test kit for home use, an additional 8.5% tested. Offering truck drivers a variety of HIV testing choices may increase HIV testing uptake in this key population.

Indexed as

Choice BehaviorSelf AdministrationAdministration, OralAdultAIDS SerodiagnosisAutomobile DrivingCounselingFemaleHIV InfectionsHumansKenyaMaleMass ScreeningMiddle AgedMotor VehiclesOutcome and Process Assessment, Health CareDiagnostic testsHIVHIV testingKenya

Identifiers

PMID28826229
PMCPMC5901679
OpenAlexW2748987171

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.