Evidence map›Paper›PMID 29601591›Full record

Trial reportPloS one2018

Jail, an unappreciated medical home: Assessing the feasibility of a strengths-based case management intervention to improve the care retention of HIV-infected persons once released from jail.

Anne C Spaulding, Ana Drobeniuc, Paula M Frew, Tiffany L Lemon, Emeli J Anderson, Colin Cerwonka, Chava Bowden, John Freshley, Carlos Del Rio

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02185742 (Planning for Sustained, Unbroken Connections to Care, Entry Services, and Suppression), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT02185742 nacompletednot on this map

Planning for Sustained, Unbroken Connections to Care, Entry Services, and Suppression (SUCCESS)-- A Project to Improve the Connection to Community Care for HIV Infected Persons Leaving Jail in Atlanta

TypeinterventionalSponsorEmory UniversityRan2014 to 2016Enrolled113ConditionsHIVArmsStrength Based Case Management
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  7. Review
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  12. Observational
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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.

Anne C SpauldingDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, United States of America.ORCID 0000-0002-0281-0248
Ana DrobeniucDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Paula M FrewDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Tiffany L LemonDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Emeli J AndersonDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Colin CerwonkaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Chava BowdenDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
John FreshleyDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Carlos Del RioDepartment of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, Georgia, United States of America.

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
Planning For SUCCESSR34DA035728 · NIDA · EMORY UNIVERSITY · PI SPAULDING, ANNE C · 2014 to 2016
$682k
NIAID NIH HHS P30 AI050409NIDA NIH HHS R34 DA035728NIH HHS DA035728
6 · The paper itself

Abstract

backgroundLinkage to and retention in care for US persons living with HIV (PLWH) after release from jail usually declines. We know of no rigorously evaluated behavioral interventions that can improve this. We hypothesized that a strengths-based case management intervention that we developed for PLWH leaving jail would increase linkage/retention in care (indicated by receipt of laboratory draws) and a suppressed HIV viral load (VL) in the year following release. METHODS AND

findingsWe conducted a quasi-experimental feasibility study of our intervention for PLWH jailed in Atlanta. We recruited 113 PLWH in jail starting in 2014. "SUCCESS" (Sustained, Unbroken Connection to Care, Entry Services, and Suppression) began in jail and continued post-release. Subjects who started the intervention but subsequently began long-term incarcerations were excluded from further analysis. Persons who were retained in the intervention group were compared to contemporaneously incarcerated PLWH who did not receive the intervention. Identities were submitted to an enhanced HIV/AIDS reporting system (eHARS) at the state health department to capture all laboratories drawn. Both community engagement and care upon jail return were assessed equally. For 44 intervention participants released to Atlanta, 50% of care occurred on subsequent jail stays, as documented with EventFlow software. Forty-five receiving usual services only were recruited for comparison. By examining records of jail reentries, half of participants and 60% of controls recidivated (range: 1-8 returns). All but 6 participants in the intervention and 9 subjects in the comparison arm had ≥1 laboratory recorded in eHARS post-release. Among the intervention group, 52% were retained in care (i.e., had two laboratory studies, > = 3 months apart), versus 40% among the comparison group (OR = 1.60, 95% CI (0.71, 3.81)). Both arms showed improved viral load suppression.

conclusionsThere was a trend towards increased retention for PLWH released from jail after SUCCESS, compared to usual services. Measuring linkage at all venues, including jail-based clinics, fully captured engagement for this frequently recidivating population.

trial registrationClinicalTrials.gov NCT02185742.

Indexed as

Case ManagementPatient-Centered CarePrisonersPrisonsAdultFeasibility StudiesFemaleFollow-Up StudiesHIV InfectionsHumansMaleOdds RatioPatient DropoutsRecidivismRisk FactorsViral Load

Identifiers

PMID29601591
PMCPMC5877830

What OpenQuestion holds

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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.