Evidence map›Paper›PMID 29519656›Full record

ArticlePatient education and counseling2018

Adaptation and delivery of a motivational interviewing-based counseling program for persons acutely infected with HIV in Malawi: Implementation and lessons learned.

Catherine A Grodensky, Carol E Golin, Allison P Pack, Audrey Pettifor, Michele Demers, Cecelia Massa, Gift Kamanga, Kevin McKenna, Amy Corneli

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04564209 (Information Visualizations to Facilitate Clinician-patient Communication in HIV Care), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 53% 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.

NCT04564209 nacompletednot on this mapstarted 2021, after this paper: background citation

Information Visualizations to Facilitate Clinician-patient Communication in HIV Care (Info Viz: HIV)

TypeinterventionalSponsorUniversity of Colorado, DenverRan2021 to 2023Enrolled164ConditionsHIV, Communication ResearchArmsInfo Viz for Health
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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

9 authors at 3 institutions in 1 country.

Catherine A GrodenskyDepartment of Medicine, Institute of Global Health and Infectious Disease, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Carol E GolinCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Center for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Health Behavior, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States. Electronic address: carol_golin@med.unc.edu.
Allison P PackCenter for AIDS Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Health Behavior, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Audrey PettiforDepartment of Epidemiology, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Michele DemersCenter for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, United States.
Cecelia MassaUNC Project Lilongwe, Lilongwe, Malawi.
Gift KamangaUNC Project Lilongwe, Lilongwe, Malawi.
Kevin McKennaDepartment of Social, Behavioral, and Health Sciences, FHI 360, Durham, NC, United States(1); Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, United States.
Amy CorneliDepartment of Social, Behavioral, and Health Sciences, FHI 360, Durham, NC, United States(1); Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, United States.
University of North Carolina at Chapel Hill · USDuke University · USUniversity of Michigan–Ann Arbor · US

Funding

LOC: HIV Prevention Trials NetworkUM1AI068619 · NIAID · FAMILY HEALTH INTERNATIONAL · PI Sinead Delany-Moretlwe, RAPHAEL J LANDOVITZ · 2011 to 2026
$779.5M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Mentoring Junior Investigators: Comprehensive HIV PreventionK24HD069204 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GOLIN, CAROL E · 2013 to 2017
$789k
NIAID NIH HHS P30 AI050410NIAID NIH HHS UM1 AI068619NICHD NIH HHS K24 HD069204NIH HHS UM1 AI068619
6 · The paper itself

Abstract

objectiveIndividuals diagnosed with acute HIV infection (AHI) are highly infectious and require immediate HIV prevention efforts to minimize their likelihood of transmitting HIV to others. We sought to explore the relevance of Motivational Interviewing (MI), an evidence-based counseling method, for Malawians with AHI.

methodsWe designed a MI-based intervention called "Uphungu Wanga" to support risk reduction efforts immediately after AHI diagnosis. It was adapted from Options and SafeTalk interventions, and refined through formative research and input from Malawian team members and training participants. We conducted qualitative interviews with counselors and participants to explore the relevance of MI in this context.

resultsIntervention adaptation required careful consideration of Malawian cultural context and the needs of people with AHI. Uphungu Wanga's content was relevant and key MI techniques of topic selection and goal setting were viewed positively by counselors and participants. However, rating levels of importance and confidence did not appear to help participants to explore behavior change as intended.

conclusionUphungu Wanga may have provided some added benefits beyond "brief education" standard of care counseling for Malawians with AHI. PRACTICE IMPLICATIONS: MI techniques of topic selection and goal setting may enhance prevention education and counseling for Malawians with AHI.

Indexed as

Program DevelopmentAcute DiseaseAdultCounselingFemaleHIV InfectionsHumansMalawiMaleMiddle AgedMotivational InterviewingProcess Assessment, Health CareProgram EvaluationRisk Reduction BehaviorSexual BehaviorAcute infectionAdaptationCounselingHIVMotivational interviewingSub-Saharan Africa

Identifiers

PMID29519656
PMCPMC6003622
OpenAlexW2791104641

What OpenQuestion holds

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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.