Evidence map›Paper›PMID 29688746›Full record

ArticleAIDS patient care and STDs2018

The Clinic Environment as a Form of Social Support for Adolescents and Young Adults Living with HIV.

Suzanne M Grieb, Deanna Kerrigan, Vicki Tepper, Jonathan Ellen, Erica Sibinga

Open access · greenAbstract read
In one paragraph

Article 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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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  16. HIV-Related Stigma Shapes Research Participation for Youth Living With HIV in Kenya.Journal of the International Association of Providers of AIDS Care
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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

5 authors at 2 institutions in 1 country.

Suzanne M Grieb1 Department of Pediatrics, Johns Hopkins School of Medicine , Baltimore, Maryland.
Deanna Kerrigan2 Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland.
Vicki Tepper3 Department of Pediatrics, University of Maryland School of Medicine , Baltimore, Maryland.
Jonathan Ellen4 John Hopkins All Children Hospital , Saint Petersburg, Florida.
Erica Sibinga1 Department of Pediatrics, Johns Hopkins School of Medicine , Baltimore, Maryland.
Johns Hopkins University · USUniversity of Maryland, Baltimore · US

Funding

Improving Treatment Adherence in HIV-Positive Youth Through Mindfulness TrainingR01AT007888 · NCCIH · JOHNS HOPKINS UNIVERSITY · PI SIBINGA, ERICA · 2013 to 2017
$2.2M
NCCIH NIH HHS R01 AT007888
6 · The paper itself

Abstract

Adolescents and young adults living with HIV (YLHIV) face numerous stresses that affect their care and medication adherence. The clinic social environment may play an important supportive role for YLHIV, influencing health outcomes. The aim of this article is to explore how YLHIV in Baltimore, Maryland understand the various forms of social support provided within the social environment of their HIV clinic. We used qualitative research methods including iterative, semi-structured in-depth interviews with 20 YLHIV interviewed up to three times each to explore HIV stressors, support systems, and medication adherence. We employed thematic content analysis to systematically code and synthesize textual interview data. We found that YLHIV experienced social embeddedness with their healthcare teams and through clinic activities. Participants largely perceived these social connections as support, acknowledging that these supports are available to them when needed. Support was enacted through the provision of instrumental support for issues outside of the young person's medical care (i.e., finding a crib for a participant's baby), appraisal (i.e., through respect of the young person's agency and decision making), and information about their HIV care and medication. Support was not always well received, however, as some young people found the support from clinicians demeaning. Limitations of the clinic social support environment included concerns about trust and privacy, and perceiving support as inappropriate or unwanted. Participants identified a number of ways in which the clinic provided meaningful social support. Future research should explore how these supports may improve care and medication adherence of YLHIV.

Indexed as

Social SupportAdolescentAdolescent BehaviorAmbulatory Care FacilitiesBaltimoreDecision MakingFemaleHIV InfectionsHumansInterviews as TopicMaleMedication AdherenceQualitative ResearchSocial EnvironmentYoung AdultHIVmedication adherencesupportyoung adultsyouth

Identifiers

PMID29688746
PMCPMC5953214
OpenAlexW2800741266

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.