Evidence map›Paper›PMID 30259235›Full record

ArticlePrevention science : the official journal of the Society for Prevention Research2019

Using mHealth to Deliver a Home-Based Testing and Counseling Program to Improve Linkage to Care and ART Adherence in Rural South Africa.

W Scott Comulada, Adriane Wynn, Heidi van Rooyen, Ruanne V Barnabas, Rajeev Eashwari, Alastair van Heerden

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Prevention science : the official journal of the Society for Prevention Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

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

14 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

6 authors.

W Scott ComuladaDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 10920 Wilshire Blvd. Suite 350, Los Angeles, CA, 90024, USA. wcomulada@mednet.ucla.edu.
Adriane WynnDepartment of Health Policy Management, University of California, Los Angeles, CA, USA.
Heidi van RooyenHuman and Social Development Research Programme, Human Sciences Research Council, Pretoria, South Africa.
Ruanne V BarnabasGlobal Health and Medicine, University of Washington, Seattle, WA, USA.
Rajeev EashwarieHealth Directorate, KwaZulu-Natal Provincial Department of Health, Durban, South Africa.
Alastair van HeerdenHuman and Social Development Research Programme, Human Sciences Research Council, Pretoria, South Africa.

Funding

UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Nina Thawata Harawa · 1997 to 2026
$53.5M
University of California Launching Future Leaders in Global Health Research Training ProgramD43TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRAIG R COHEN, Sung-Jae Lee · 2017 to 2026
$14.7M
An mHealth platform for health care workers to link South Africans to HIV careR21MH106351 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI COMULADA, WARREN SCOTT, VAN HEERDEN, ALASTAIR · 2015 to 2016
$385k
FIC NIH HHS D43 TW009343NIMH NIH HHS P30 MH058107NIMH NIH HHS P30MH58107NIMH NIH HHS R21 MH106351NIMH NIH HHS R21MH106351
6 · The paper itself

Abstract

Community-based HIV testing and counseling (HTC) programs have become an important part of the healthcare system in South Africa and other low- and middle-income countries with a high HIV prevalence and strained primary healthcare system. Current HTC programs excel at identifying people living with HIV (PLH) but leave gaps in linkage to care and antiretroviral therapy (ART) as most HTC programs do not have the capacity to ensure that linkage has occurred. This article presents the protocol for an mHealth study, that is, pilot testing a mobile platform in KwaZulu-Natal (KZN), South Africa, to improve linkage to care and ART adherence after home-based HTC. Testing data are shared with designated clinics. PLH are identified using fingerprint scans, mobile numbers, or South African IDs. If PLH do not present at a designated clinic after testing HIV positive, study field staff are sent SMS alerts to prompt follow-up visits. Similarly, if PLH do not refill ART prescriptions after their initial 1-month dose runs out, SMS alerts that are sent to field staff. This paper presents the mHealth study protocol and baseline sample characteristics (N = 101 PLH). Analyses will summarize rates of linkage to care and ART prescription refills. Cost-effectiveness analyses will examine the costs and benefits of linkage and ART adherence using our mHealth system. Linkage to care rates will be compared between our study and a historical control, that is, provided by a prior HTC program that was conducted in KZN without our mHealth system (n = 615).

Indexed as

Health Services AccessibilityHouse CallsPatient ComplianceRural PopulationTelemedicineAdolescentAdultAgedAnti-Retroviral AgentsCell PhoneFemaleHealth Care SurveysHIV InfectionsHumansMaleMiddle AgedAnti-Retroviral AgentsART adherenceHIVHome visitingLinkage to caremHealth

Identifiers

PMID30259235
PMCPMC6358509

What OpenQuestion holds

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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.