Evidence map›Paper›PMID 29688139›Full record

ArticleHIV clinical trials2018

A multi-site community randomized trial of community health workers to provide counseling and support for patients newly entering HIV care in rural Ethiopia: study design and baseline implementation.

Alan R Lifson, Sale Workneh, Abera Hailemichael, Richard F MacLehose, Keith J Horvath, Rose Hilk, Lindsey Fabian, Anne Sites, Tibebe Shenie

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in HIV clinical trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Advanced HIV Disease among Males and Females Initiating HIV Care in Rural Ethiopia.Journal of the International Association of Providers of AIDS Care
    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.

Alan R Lifsona Division of Epidemiology and Community Health , University of Minnesota , Minneapolis , MN , USA.
Sale Worknehb Ethiopian Office , National Alliance of State and Territorial AIDS Directors , Addis Ababa , Ethiopia.
Abera Hailemichaelb Ethiopian Office , National Alliance of State and Territorial AIDS Directors , Addis Ababa , Ethiopia.
Richard F MacLehosea Division of Epidemiology and Community Health , University of Minnesota , Minneapolis , MN , USA.
Keith J Horvatha Division of Epidemiology and Community Health , University of Minnesota , Minneapolis , MN , USA.
Rose Hilka Division of Epidemiology and Community Health , University of Minnesota , Minneapolis , MN , USA.
Lindsey Fabiana Division of Epidemiology and Community Health , University of Minnesota , Minneapolis , MN , USA.
Anne Sitesc Global Program , National Alliance of State and Territorial AIDS Directors , Washington , DC , USA.
Tibebe Shenieb Ethiopian Office , National Alliance of State and Territorial AIDS Directors , Addis Ababa , Ethiopia.

Funding

Assessment of a Community Support Worker Intervention for PLWH in Rural EthiopiaR01MH105290 · NIMH · UNIVERSITY OF MINNESOTA · PI LIFSON, ALAN R, SHENIE, TIBEBE · 2015 to 2019
$2.7M
NIMH NIH HHS R01 MH105290
6 · The paper itself

Abstract

backgroundAlthough HIV therapy is delivered to millions globally, treatment default (especially soon after entering care) remains a challenge. Community health workers (CHWs) can provide many services for people with HIV, including in rural and resource-limited settings.

objectivesWe designed and implemented a 32 site community randomized trial throughout southern Ethiopia to assess an intervention using CHWs to improve retention in HIV care.

methodsSixteen district hospital and 16 local health center HIV clinics were randomized 1:1 to be intervention or control sites. From each site, we enrolled adults newly entering HIV care. Participants at intervention sites were assigned a CHW who provided: HIV and health education; counseling and social support; and facilitated communication with HIV clinics. All participants are followed through three years with annual health surveys, plus HIV clinic record abstraction including clinic visit dates. CHWs record operational data about their client contacts.

results1799 HIV patients meeting inclusion criteria were enrolled and randomized: 59% were female, median age = 32 years, median CD4 + count = 263 cells/mm

conclusionsThis randomized community HIV trial using CHWs in a resource-limited setting was successfully launched, but required flexibility to adapt to unforeseen challenges.

Indexed as

Community Health WorkersAdolescentAdultCounselingEthiopiaFemaleFollow-Up StudiesHIV InfectionsHumansMaleMedication AdherenceMiddle AgedMulticenter Studies as TopicRandomized Controlled Trials as TopicRural PopulationYoung Adultcommunity health workerscommunity randomized trialsEthiopiahuman immunodeficiency virusretention in carerural caresub-Saharan Africa

Identifiers

PMID29688139
PMCPMC6082124

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Registered trials

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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.