Evidence map›Paper›PMID 29273945›Full record

SynthesisAIDS and behavior2018

Evaluations of Structural Interventions for HIV Prevention: A Review of Approaches and Methods.

Brittany S Iskarpatyoti, Jill Lebov, Lauren Hart, Jim Thomas, Mahua Mandal

Abstract readSystematic Review
In one paragraph

Synthesis in AIDS and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
  2. Review
  3. An Evaluation of TransLife Care: A Locally Developed Structural HIV Prevention Intervention for Transgender Women in Chicago, Illinois.AIDS education and prevention : official publication of the International Society for AIDS Education · 2024
    Article
  4. Article
  5. Review
  6. Dosage in Implementation of an Effective School-Based Health Program Impacts Youth Health Risk Behaviors and Experiences.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. 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

5 authors.

Brittany S IskarpatyotiMEASURE Evaluation, Carolina Population Center, University of North Carolina, CB 3446, Chapel Hill, NC, 27599, USA.
Jill LebovRTI International, Durham, NC, USA.
Lauren HartMEASURE Evaluation, Carolina Population Center, University of North Carolina, CB 3446, Chapel Hill, NC, 27599, USA.
Jim ThomasMEASURE Evaluation, Carolina Population Center, University of North Carolina, CB 3446, Chapel Hill, NC, 27599, USA.
Mahua MandalMEASURE Evaluation, Carolina Population Center, University of North Carolina, CB 3446, Chapel Hill, NC, 27599, USA. mmandal@email.unc.edu.

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
NICHD NIH HHS P2C HD050924
6 · The paper itself

Abstract

Structural interventions alter the social, economic, legal, political, and built environments that underlie processes affecting population health. We conducted a systematic review of evaluations of structural interventions for HIV prevention in low- and middle-income countries (LMICs) to better understand methodological and other challenges and identify effective evaluation strategies. We included 27 peer-reviewed articles on interventions related to economic empowerment, education, and substance abuse in LMICs. Twenty-one evaluations included clearly articulated theories of change (TOCs); 14 of these assessed the TOC by measuring intermediary variables in the causal pathway between the intervention and HIV outcomes. Although structural interventions address complex interactions, no evaluation included methods designed to evaluate complex systems. To strengthen evaluations of structural interventions, we recommend clearly articulating a TOC and measuring intermediate variables between the predictor and outcome. We additionally recommend adapting study designs and analytic methods outside traditional epidemiology to better capture complex results, influences external to the intervention, and unintended consequences.

Indexed as

PovertyDelivery of Health CareDeveloping CountriesHIV InfectionsHumansPower, PsychologicalEvaluationHIVLow- and middle-income countriesPreventionStructural interventions

Identifiers

PMID29273945
PMCPMC6699616

What OpenQuestion holds

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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.