Evidence map›Paper›PMID 30033857›Full record

ArticleQualitative health research2018

"Patients Are Not Following the [Adherence] Club Rules Anymore": A Realist Case Study of the Antiretroviral Treatment Adherence Club, South Africa.

Ferdinand C Mukumbang, Bruno Marchal, Sara Van Belle, Brian van Wyk

Abstract read
In one paragraph

Article in Qualitative health research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Alternative mechanisms for delivery of medication in South Africa: A scoping review.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
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  17. 'At this [Southern African journal of HIV medicine · 2019
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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

4 authors.

Ferdinand C Mukumbang1 University of the Western Cape, Bellville, South Africa.ORCID 0000-0003-1441-2172
Bruno Marchal1 University of the Western Cape, Bellville, South Africa.
Sara Van Belle2 The Institute of Tropical Medicine, Antwerp, Belgium.
Brian van Wyk1 University of the Western Cape, Bellville, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is growing evidence that differentiated care models employed to manage treatment-experienced patients on antiretroviral therapy could improve adherence to medication and retention in care. We conducted a realist evaluation to determine how, why, for whom, and under what health system context the adherence club intervention works (or not) in real-life implementation. In the first phase, we developed an initial program theory of the adherence club intervention. In this study, we report on an explanatory theory-testing case study to test the initial theory. We conducted a retrospective cohort analysis and an explanatory qualitative study to gain insights into the important mechanisms activated by the adherence club intervention and the relevant context conditions that trigger the different mechanisms to achieve the observed outcomes. This study identified potential mitigating circumstances under which the adherence club program could be implemented, which could inform the rollout and implementation of the adherence club intervention.

Indexed as

Medication AdherenceAnti-Retroviral AgentsFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleRetrospective StudiesSelf-Help GroupsSocial SupportSouth AfricaAnti-Retroviral Agentsadherenceadherence clubantiretroviral therapyconfigurational mappinggenerative mechanismsintervention-context-actor-mechanism-outcome configurationmixed-methodsprogram theoryrealist evaluationretention in careretroductionSouth Africa

Identifiers

PMID30033857
PMCPMC6154254

What OpenQuestion holds

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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.