Evidence map›Paper›PMID 29465627›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2018

A Social Network Analysis of HIV Treatment Partners and Patient Viral Suppression in Botswana.

Laura M Bogart, Mosepele Mosepele, Nthabiseng Phaladze, Bright Lekoko, David J Klein, Sarah MacCarthy, Harold D Green

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.4field-weighted citation impact, top 39% 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, 20 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

7 authors at 3 institutions in 2 countries.

Laura M BogartHealth Unit, RAND Corporation, Santa Monica, CA.
Mosepele MosepeleBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
Nthabiseng PhaladzeSchool of Nursing, University of Botswana, Gaborone, Botswana.
Bright LekokoBotswana Harvard AIDS Institute Partnership, Gaborone, Botswana.
David J KleinHealth Unit, RAND Corporation, Santa Monica, CA.
Sarah MacCarthyHealth Unit, RAND Corporation, Santa Monica, CA.
Harold D GreenHealth Unit, RAND Corporation, Santa Monica, CA.
RAND Corporation · USUniversity of Botswana · BWBotswana Harvard AIDS Institute Partnership · BW

Funding

UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
A Social Network Analysis of HIV Treatment Partners in BotswanaR21MH107454 · NIMH · RAND CORPORATION · PI BOGART, LAURA M · 2015 to 2016
$436k
NIMH NIH HHS P30 MH058107NIMH NIH HHS R21 MH107454
6 · The paper itself

Abstract

objectiveMany national HIV guidelines recommend that health care providers encourage patients to identify a treatment partner from their social network to support antiretroviral therapy adherence. This study examined associations of patient and treatment partner characteristics with patient viral suppression in Botswana.

designOne hundred thirty-one patients [67 (51.1%) virally suppressed and 64 (48.9%) not suppressed] and their treatment partners were recruited for cross-sectional interviews from one HIV clinic.

methodsParticipants completed surveys assessing social network, sociodemographic, and psychosocial characteristics. Open-ended questions explored treatment partner relationship quality.

resultsMultivariate logistic regressions indicated a higher likelihood of viral suppression among patients who reported greater average emotional closeness to their network members [odds ratio (95% confidence interval) = 3.8 (1.3 to 11.5), P = 0.02] and whose treatment partners were spouses/partners [odds ratio (95% confidence interval) = 2.6 (1.0 to 6.7), P = 0.04]. Qualitative analyses indicated that treatment partners of suppressed patients provided both medical and nonmedical support, whereas treatment partners of unsuppressed patients focused mainly on adherence reminders and appointment accompaniment. Treatment partners, especially of unsuppressed patients, requested ongoing training and counseling skills.

conclusionsAdditional research is needed to further explore effective characteristics of treatment partners to inform HIV treatment guidelines. Standard training for treatment partners could include medical-related information and counseling education.

Indexed as

Social NetworkingAdultAnti-Retroviral AgentsBotswanaCase-Control StudiesCounselingCross-Sectional StudiesFemaleHealth BehaviorHIVHIV InfectionsHumansLogistic ModelsMaleMedication AdherenceMultivariate AnalysisAnti-Retroviral Agents

Identifiers

PMID29465627
PMCPMC5953800
OpenAlexW2789478758

What OpenQuestion holds

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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.