Evidence map›Paper›PMID 30179528›Full record

Trial reportAIDS patient care and STDs2018

A Pilot, Randomized Controlled Trial of HIV Self-Testing and Real-Time Post-Test Counseling/Referral on Screening and Preventative Care Among Men Who Have Sex with Men.

Tyler B Wray, Philip A Chan, Erik Simpanen, Don Operario

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 35 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 5 pooled it
3.9field-weighted citation impact, top 5% 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, 5 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A Systematic Review and Network Meta-analyses to Assess the Effectiveness of Human Immunodeficiency Virus (HIV) Self-testing Distribution Strategies.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. HIV Self-Test Experiences and Implementation Considerations Among Transgender Women in the Philippines: Getting Ready for Scale-Up.AIDS education and prevention : official publication of the International Society for AIDS Education · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. HIV and STI Testing Preferences for Men Who Have Sex with Men in High-Income Countries: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  20. 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

4 authors at 1 institution in 1 country.

Tyler B Wray1 Center for Alcohol and Addiction Studies, Brown University School of Public Health , Providence, Rhode Island.
Philip A Chan2 Department of Medicine, Brown University , Providence, Rhode Island.
Erik Simpanen1 Center for Alcohol and Addiction Studies, Brown University School of Public Health , Providence, Rhode Island.
Don Operario1 Center for Alcohol and Addiction Studies, Brown University School of Public Health , Providence, Rhode Island.
Brown University · US

Funding

Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Mobile health platform for providing real-time follow-up after home-based HIV self-testing for high-risk men who have sex with menR01MH114891 · NIMH · BROWN UNIVERSITY · PI CHAN, PHILIP ANDREW, WRAY, TYLER BLAKE · 2018 to 2022
$3.5M
Characterizing the HIV pre-exposure prophylaxis care continuum for African American and Hispanic/Latino men who have sex with menR01MH114657 · NIMH · MIRIAM HOSPITAL · PI CHAN, PHILIP ANDREW, NUNN, AMY STEWART · 2017 to 2021
$3.4M
Minority Populations Resource CoreU24AA022000 · NIAAA · BROWN UNIVERSITY · PI OPERARIO, DON · 2012 to 2015
$1.9M
Exploring use of a real-time remote monitoring and follow-up system for home-based, HIV self-testing among high-risk men who have sex with menR21MH109374 · NIMH · BROWN UNIVERSITY · PI WRAY, TYLER BLAKE · 2015 to 2016
$458k
NIAAA NIH HHS L30 AA023336NIAAA NIH HHS U24 AA022000NIMH NIH HHS R01 MH114657NIMH NIH HHS R01 MH114891NIMH NIH HHS R21 MH109374NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

HIV self-testing (HST) could be an effective strategy for helping those at high risk test more regularly. However, concerns about HST's lack of follow-up care and referral have so far limited its use. In a pilot, randomized controlled trial, high-risk HIV-negative, or status unknown men who have sex with men (MSM; N = 65) were recruited from January 2016 to February 2017 and received (1) HST kits by mail, equipped with devices that detected when kits were opened and prompted a follow-up call from a counselor (eTEST); (2) standard HST kits with no follow-up (standard); or (3) informational letters about HIV testing locations (control) at baseline, 3 months, and 6 months. Monthly surveys over 7 months assessed HIV testing, sexually transmitted infection (STI) testing, access to prevention services, and behavioral risk reduction. All participants (100%) in the eTEST and standard HST groups reported HIV testing at least once during the 7-month period compared with 72% of controls. Repeat testing was higher among those in the HST groups versus controls (79% vs. 41%). Participants in the eTEST group were significantly more likely to receive risk reduction counseling, prevention supplies (e.g., condoms and lube), and PrEP referrals during the study period compared with standard HST and controls. No effects on STI testing or PrEP initiation emerged. Delivering HST kits to high-risk MSM at regular intervals could increase HIV testing rates and encourage more regular testing. Providing active post-test referrals alongside HST might also connect high-risk men with some other important services that encourage prevention behaviors.

Indexed as

CounselingAdolescentAdultAgedAIDS SerodiagnosisDelivery of Health CareHealth PromotionHIV InfectionsHomosexuality, MaleHumansMaleMass ScreeningMiddle AgedReferral and ConsultationRisk Reduction BehaviorSelf CarecounselingHIV testingmen who have sex with men

Identifiers

PMID30179528
PMCPMC6121176
OpenAlexW2890985532

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.