Evidence map›Paper›PMID 30029598›Full record

ArticleBMC public health2018

Body and mind: retention in antiretroviral treatment care is improved by mental health training of care providers in Ethiopia.

Tezera Moshago Berheto, Sven Gudmund Hinderaker, Mbazi Senkoro, Hannock Tweya, Tekalign Deressa, Yimam Getaneh, Gulilat Gezahegn

Open access · goldAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

7 authors at 4 institutions in 4 countries.

Tezera Moshago BerhetoEthiopian Public Health Institute, HIV/AIDS and TB Research Directorate, P.o.box 138, Wolaita Sodo Addis Ababa, Ethiopia. moshagot1@gmail.com.ORCID 0000-0002-5345-2858
Sven Gudmund HinderakerCentre for international Health, University of Bergen, Bergen, Norway.
Mbazi SenkoroNational Institute for Medical Research, Muhimbili Medical Research Centre, Dare Selam, Tanzania.
Hannock TweyaMedecins Sans Frontieres, Medical Department (Operational Research) Brussels Operational Center, Luxembourg, Luxembourg.
Tekalign DeressaEthiopian Public Health Institute, HIV/AIDS and TB Research Directorate, P.o.box 138, Wolaita Sodo Addis Ababa, Ethiopia.
Yimam GetanehEthiopian Public Health Institute, HIV/AIDS and TB Research Directorate, P.o.box 138, Wolaita Sodo Addis Ababa, Ethiopia.
Gulilat GezahegnGuraghe Zonal Health Department, Disease Prevention and Control Unit, Wolkite, Ethiopia.
Ethiopian Public Health Institute · ETMédecins Sans Frontières · LUNational Institute for Medical Research · TZUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEthiopia has achieved a high coverage of antiretroviral treatment (ART), but maintaining lifelong care is still a great challenge. Mental illnesses often co-exist with HIV/AIDS and may compromise the retention on ART. In order to improve prolonged retention in ART care, basic training in mental health care was introduced for ART providers, but this hasn't been evaluated yet. The aim of this study was to examine if this training has improved patient retention in care.

methodA retrospective cohort study was employed to compare attrition from ART between clients attended by care provider trained with basic mental health service (exposed) and those in the standard ART follow-up care (unexposed) in public health facilities. A routine patient follow-up electronic database enrolled for ART between 2005 and 2017 was abstracted for the study. The Kaplan-Meier plot was used to compare the attrition rates between the two groups. The log-rank test was used to assess differences in the groups. The Cox proportional hazards regression model was used to determine predictors of attrition. We used estimated effect size of hazard ratios (HR) with 95% confidence intervals (CI).

resultDuring the 12 years of observation, 8009 study participants under ART were followed for 33,498 person-years. The incidence of attrition was 6.5 per 100 person-years and 21% higher in the unexposed group (HR 1.21; 95% CI 1.1, 1.3), and retention in care was significantly higher in the mental health exposed group throughout the study period. WHO clinical staging III/IV, tuberculosis coinfection, the male gender, and poor functional status were independent risk factors for attrition.

conclusionWe found that clients in the group exposed to mental health care training tended to have better retention in ART care with some variation according to gender, WHO Clinical stage and functional status. Training of ART providers in mental health may be considered in order to strengthen ART retention in low resource settings.

Indexed as

Drug MonitoringAdultAgedAged, 80 and overAnti-HIV AgentsCohort StudiesEthiopiaFemaleFollow-Up StudiesHealth PersonnelHIV InfectionsHumansIncidenceMaleMedication AdherenceMental HealthAnti-HIV AgentsARTMental health careRetention on care

Identifiers

PMID30029598
PMCPMC6053784
OpenAlexW2883960420

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.