Evidence map›Paper›PMID 30379839›Full record

ArticlePloS one2018

Perceptions of the "Fabric" - An exploratory study of a novel multi-purpose technology among women in Sub Saharan Africa.

Nicole D Laborde, Jonah Leslie, Emily Krogstad, Neetha Morar, Prisca Mutero, Juliane Etima, Kim Woodrow, Ariane van der Straten

Abstract 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Nicole D LabordeWomen's Global Health Imperative, RTI International, San Francisco, CA, United States of America.
Jonah LeslieWomen's Global Health Imperative, RTI International, San Francisco, CA, United States of America.ORCID 0000-0003-2208-4658
Emily KrogstadWomen's Global Health Imperative, RTI International, San Francisco, CA, United States of America.
Neetha MorarSouth Africa Medical Research Council, Durban, South Africa.
Prisca MuteroUZ-UCSF Collaborative Research Programme, Harare, Zimbabwe.
Juliane EtimaMakerere University-Johns Hopkins University Research Unit, Kampala, Uganda.
Kim WoodrowDepartment of Bioengineering, University of Washington, Seattle, WA, United States of America.
Ariane van der StratenWomen's Global Health Imperative, RTI International, San Francisco, CA, United States of America.

Funding

Ujima Mentoring ProgramP30MH062246 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Sheri Ann Lippman · 2001 to 2026
$57.4M
NIMH NIH HHS P30 MH062246
6 · The paper itself

Abstract

backgroundHIV and pregnancy prevention are dual health priorities for women, and particularly in sub-Saharan Africa. Drug-eluting fibers offer a dosage form that combines HIV prevention and contraception, but early understanding of end-user perspectives is critical to avoid misalignment between products being developed and preferred product attributes.

methodsFocus group discussions (FGDs) were conducted in South Africa, Uganda and Zimbabwe, among 55 women who had used vaginal products in previous trials. Participants were given the opportunity to feel a sample of electrospun nanofiber (the fabric), see how it dissolves, and give feedback on shape, size and other attributes. Women were also asked to compare the fabric to vaginal gel and film.

resultsThree key themes regarding the acceptability of the fabric emerged: 1) look and feel of the product undissolved vs. undissolved, 2) expected effect on sex, and 3) convenience and ease of use. Upon being presented with the fabric, women were initially distrustful, seeing it as undesirable for vaginal insertion. Women generally approved of the product once they saw it dissolve. However, they stressed the importance of the product not interfering with sex by altering the vaginal environment. Women also reacted favorably to the perceived convenience of the fabric, particularly with regards to storage and transport, perceived ease of insertion and use, and dosing regimen.

conclusionMultipurpose prevention technologies, and nanofibers in particular, should be developed with an eye to minimizing impact on sex while maximizing convenience, and presented in such a way as to emphasize non-abrasiveness and ease of dissolution.

Indexed as

AdultContraceptionFemaleFocus GroupsHIV InfectionsHumansNanofibersPatient Acceptance of Health CarePatient PreferencePilot ProjectsQualitative ResearchSouth AfricaUgandaVaginal Creams, Foams, and JelliesZimbabweVaginal Creams, Foams, and Jellies

Identifiers

PMID30379839
PMCPMC6209182

What OpenQuestion holds

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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.