Evidence map›Paper›PMID 29620927›Full record

Trial reportAIDS patient care and STDs2018

Development and Piloting of a Home-Based Couples Intervention During Pregnancy and Postpartum in Southwestern Kenya.

Janet M Turan, Lynae A Darbes, Pamela L Musoke, Zachary Kwena, Anna Joy Rogers, Abigail M Hatcher, Jami L Anderson, George Owino, Anna Helova, Elly Weke and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS patient care and STDs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 6 pooled it
4.5field-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

43 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

12 authors at 4 institutions in 3 countries.

Janet M Turan1 Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham , Birmingham, Alabama.
Lynae A Darbes2 Department of Health Behavior and Biological Sciences, Center for Sexuality and Health Disparities, School of Nursing, University of Michigan , Ann Arbor, Michigan.
Pamela L Musoke1 Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham , Birmingham, Alabama.
Zachary Kwena3 Research, Care and Treatment Program, Centre for Microbiology Research, Kenya Medical Research Institute , Nairobi, Kenya .
Anna Joy Rogers1 Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham , Birmingham, Alabama.
Abigail M Hatcher4 School of Public Health, Faculty of Health Sciences, University of Witwatersrand , Johannesburg, South Africa .
Jami L Anderson5 Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham , Birmingham, Alabama.
George Owino3 Research, Care and Treatment Program, Centre for Microbiology Research, Kenya Medical Research Institute , Nairobi, Kenya .
Anna Helova1 Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham , Birmingham, Alabama.
Elly Weke3 Research, Care and Treatment Program, Centre for Microbiology Research, Kenya Medical Research Institute , Nairobi, Kenya .
Patrick Oyaro3 Research, Care and Treatment Program, Centre for Microbiology Research, Kenya Medical Research Institute , Nairobi, Kenya .
Elizabeth A Bukusi3 Research, Care and Treatment Program, Centre for Microbiology Research, Kenya Medical Research Institute , Nairobi, Kenya .
Kenya Medical Research Institute · KEUniversity of Alabama at Birmingham · USMichigan Department of Health and Human Services · USUniversity of the Witwatersrand · ZA

Funding

A Home-Based Couples Intervention to Enhance PMTCT and Family Health in KenyaR34MH102103 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI TURAN, JANET M. · 2014 to 2016
$622k
NIMH NIH HHS R34 MH102103
6 · The paper itself

Abstract

Engaging both partners of a pregnant couple can enhance prevention of mother-to-child transmission of HIV and promote family health. We developed and piloted an intervention to promote couple collaboration in health during pregnancy and postpartum in southwestern Kenya. We utilized formative data and stakeholder input to inform development of a home-based couples intervention. Next, we randomized pregnant women to intervention (n = 64) or standard care (n = 63) arms, subsequently contacting their male partners for enrollment. In the intervention arm, lay health workers conducted couple home visits, including health education, couple relationship and communication skills, and offers of couple HIV testing and counseling (CHTC) services. Follow-up questionnaires were conducted 3 months postpartum (n = 114 women, 86 men). Baseline characteristics and health behaviors were examined by study arm using t-tests, chi-square tests, and regression analyses. Of the 127 women randomized, 96 of their partners participated in the study. Of 52 enrolled couples in the intervention arm, 94% completed at least one couple home visit. Over 93% of participants receiving couple home visits were satisfied and no adverse social consequences were reported. At follow-up, intervention couples had a 2.78 relative risk of having participated in CHTC during the study period compared with standard care couples (95% confidence interval: 1.63-4.75), and significant associations were observed in other key perinatal health behaviors. This pilot study revealed that a home-based couples intervention for pregnant women and male partners is acceptable, feasible, and has the potential to enhance CHTC and perinatal health behaviors, leading to improved health outcomes.

Indexed as

CounselingMass ScreeningAdultFemaleHealth BehaviorHIV InfectionsHome Care ServicesHumansInfectious Disease Transmission, VerticalKenyaMaleOutcome Assessment, Health CarePilot ProjectsPostpartum PeriodPregnancyPregnant PeopleAfricacouple interventionsHIV infectionmale engagementpregnancy

Identifiers

PMID29620927
PMCPMC5865625
OpenAlexW2794911597

What OpenQuestion holds

Textmetadata
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.