Evidence map›Paper›PMID 29996792›Full record

Trial reportBMC public health2018

The Young Women's Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV.

Wendee M Wechsberg, Felicia A Browne, Tara Carney, Bronwyn Myers, Alexandra Minnis, Robert MacDonald, Jacqueline W Ndirangu, Leslie B Turner, Brittni N Howard, Nathaniel Rodman

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02974998 (Expanding HIV Testing and Prevention to Reach Vulnerable Young Women), which is not on this map. Cited by 13 papers.

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

NCT02974998 nacompletednot on this map

Expanding HIV Testing and Prevention to Reach Vulnerable Young Women

TypeinterventionalSponsorRTI InternationalRan2016 to 2019Enrolled500ConditionsCondomless Sex, Human Immunodeficiency Virus (HIV), Sexually Transmitted Infections (STIs), Alcohol and Drug UseArmsYoung Women's Health CoOp (YWHC), Standard HTC
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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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

10 authors.

Wendee M WechsbergSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA. wmw@rti.org.ORCID 0000-0002-5146-6463
Felicia A BrowneSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA.
Tara CarneyAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Tygerberg, South Africa.
Bronwyn MyersAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Tygerberg, South Africa.
Alexandra MinnisWomen's Global Health Imperative, RTI International, San Francisco, CA, USA.
Robert MacDonaldWestern Cape Social Development, Western Cape Government, Cape Town, South Africa.
Jacqueline W NdiranguSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA.
Leslie B TurnerSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA.
Brittni N HowardSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA.
Nathaniel RodmanResearch Computing Division, RTI International, Research Triangle Park, NC, USA.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Expanding HIV Testing and Prevention to Reach Vulnerable Young WomenR01DA041227 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI WECHSBERG, WENDEE M · 2015 to 2019
$2.0M
NIAID NIH HHS P30 AI050410NIDA NIH HHS R01 DA041227NIDA NIH HHS R01DA041227
6 · The paper itself

Abstract

backgroundSouth Africa remains the global epicentre of HIV infection, and adolescent women have the highest incidence of HIV in the country. South Africa also has high rates of alcohol and other drug (AOD) use, violence, and gender inequality. Violence converges with AOD use, gender inequities and other disparities, such as poverty, to increase sexual risk and poor educational attainment for adolescent women. This study seeks to test the efficacy of peer recruitment and cofacilitation of the Young Women's Health CoOp (YWHC), a comprehensive gender-focused intervention to reduce HIV risk behaviours and increase the uptake of HIV counselling and testing (HCT) among out-of-school, adolescent women who use AODs. The YWHC is facilitated by local research staff and supported by peers.

methodsThis cluster-randomised trial is enrolling participants into two arms: a control arm that receives standard HCT, and an intervention arm that receives the YWHC. Participants are enrolled from 24 economically disadvantaged communities in Cape Town, South Africa. These geographically distinct communities serve as clusters that are the units of randomisation. This study uses adolescent peer role models and research field staff to recruit marginalised adolescent women. At baseline, participants complete a questionnaire and biological testing for HIV, recent AOD use, and pregnancy. The core intervention is delivered in the month following enrollment, with linkages to health services and educational programmes available to participants throughout the follow-up period. Follow-up interviews and biological testing are conducted at 6 and 12 months post enrollment. DISCUSSION: The study findings will increase knowledge of the efficacy of a comprehensive HCT, gender-focused programme in reducing AOD use, victimisation, and sexual risk behaviour and increase uptake services for out-of-school, adolescent women who use AODs. The trial results could lead to wider implementation of the YWHC for vulnerable adolescent women, a key population often neglected in health services.

trial registrationTrial registration no: NCT02974998 , November 29, 2016.

Indexed as

CounselingRisk-TakingAdolescentAdultCluster AnalysisEducational StatusFemaleHIV InfectionsHumansPeer GroupPovertyResearch DesignSouth AfricaVulnerable PopulationsYoung AdultAdolescent womenAlcohol and other drug useGender-based violenceHIV preventionSchool dropoutsSouth Africa

Identifiers

PMID29996792
PMCPMC6042235

What OpenQuestion holds

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LicenceCC BY
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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.