Evidence map›Paper›PMID 30024903›Full record

ArticlePloS one2018

To switch or not to switch: Intentions to switch to injectable PrEP among gay and bisexual men with at least twelve months oral PrEP experience.

Kathrine Meyers, Yumeng Wu, Atrina Brill, Theodorus Sandfort, Sarit A Golub

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 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

5 authors at 4 institutions in 1 country.

Kathrine MeyersAaron Diamond AIDS Research Center, The Rockefeller University, New York, New York, United States of America.
Yumeng WuAaron Diamond AIDS Research Center, The Rockefeller University, New York, New York, United States of America.
Atrina BrillDepartment of Psychology, Hunter College of the City University of New York, New York, New York, United States of America.
Theodorus SandfortHIV Center for Clinical and Behavioral Studies, Columbia University, New York, New York, United States of America.ORCID 0000-0002-4986-1739
Sarit A GolubDepartment of Psychology, Hunter College of the City University of New York, New York, New York, United States of America.
Aaron Diamond AIDS Research Center · USCity University of New York · USNew York Psychoanalytic Society and Institute · USThe Graduate Center, CUNY · US

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2003 to 2026
$48.2M
Understanding Implementation of HIV Prevention Navigation in STD ClinicsR01MH106380 · NIMH · HUNTER COLLEGE · PI GOLUB, SARIT A · 2015 to 2019
$4.0M
NIMH NIH HHS P30 MH043520NIMH NIH HHS R01 MH106380
6 · The paper itself

Abstract

backgroundPhase III trials of long-acting injectable (LAI) PrEP, currently underway, have great potential for expanding the menu of HIV prevention options. Imagining a future in which multiple PrEP modalities are available to potential users of biomedical HIV prevention, we investigated which factors might help direct a patient-physician shared-decision making process to optimize the choice of biomedical HIV prevention method.

methodsParticipants (n = 105; ages 19-63; 46.7% men of color) were former participants in a PrEP demonstration project and had taken daily oral PrEP for ≥ 12 months. Participants were given information about LAI PrEP and asked whether they would be interested in switching from oral to LAI PrEP. Participants were also asked about specific pros/cons of LAI PrEP, PrEP attitudes and experiences, and personality factors.

resultsTwo-thirds (66.7%) of current oral PrEP users would switch to LAI PrEP. Intention to switch was associated with product-level and psychosocial factors. Attitudes towards logistical factors (i.e. getting to regular clinic visits for recurring shots) featured more prominently than factors related to the physical experience of PrEP modality (i.e., concerns about injection pain) as motivators for switching. In a multivariate regression model, psychosocial factors including the emotional burden of daily pill taking, deriving a sense of responsibility from PrEP use, and self-identifying as an early adopter, were the strongest predictors of switching.

conclusionsThese data underscore the importance of attending not only to product-level factors, but also to the logistical and psychological experience of prevention methods for users. Findings have significant implications for the development of patient education materials and patient-provider shared decision aids.

Indexed as

Administration, OralAdultAnti-HIV AgentsDecision MakingDelayed-Action PreparationsDrug SubstitutionHIV InfectionsHomosexuality, MaleHumansInjections, IntramuscularIntentionMaleMiddle AgedPre-Exposure ProphylaxisSexual and Gender MinoritiesYoung AdultAnti-HIV AgentsDelayed-Action Preparations

Identifiers

PMID30024903
PMCPMC6053164
OpenAlexW2883407343

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.