Evidence map›Paper›PMID 30443806›Full record

SynthesisAIDS and behavior2019

A Systematic Review and Meta-analysis of Antiretroviral Therapy (ART) Adherence Interventions for Women Living with HIV.

Jennifer A Pellowski, Devon M Price, Abigail D Harrison, Emily L Tuthill, Landon Myer, Don Operario, Mark N Lurie

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 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

37 citing papers in PubMed, 3 syntheses or guidelines 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

7 authors.

Jennifer A PellowskiDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA. jennifer_pellowski@brown.edu.ORCID http://orcid.org/0000-0003-3316-4135
Devon M PriceHunter AIDS Research Team, Hunter College, New York, NY, USA.
Abigail D HarrisonDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Emily L TuthillSchool of Nursing, University of California San Francisco, San Francisco, CA, USA.
Landon MyerDivision of Epidemiology and Biostatistics, and Center for Infectious Diseases Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Don OperarioDepartment of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
Mark N LurieInternational Health Institute, Brown University School of Public Health, Providence, RI, USA.

Funding

Training in Child/Adolescent Biobehavioral HIV ResearchT32MH078788 · NIMH · RHODE ISLAND HOSPITAL · PI LARRY K BROWN · 2007 to 2026
$6.2M
Partnerships for the Next Generation of HIV Social Science in South AfricaR24HD077976 · NICHD · BROWN UNIVERSITY · PI COLVIN, CHRISTOPHER JAMES, LURIE, MARK NATHAN · 2013 to 2017
$1.9M
Adherence to HIV Treatment Postpartum: The Implications of Transitions Among Women Living with HIV in South AfricaK01MH112443 · NIMH · BROWN UNIVERSITY · PI PELLOWSKI, JENNIFER ANN · 2017 to 2022
$893k
Neural circuitry of submissive behavior and treatment response in social anxietyR21MH077976 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI SCHNEIER, FRANKLIN R. · 2007 to 2008
$355k
National Institute of Mental Health K01MH112443National Institute of Mental Health R24HD077976National Institute of Mental Health T32MH078788NICHD NIH HHS R24 HD077976NIMH NIH HHS K01 MH112443NIMH NIH HHS T32 MH078788
6 · The paper itself

Abstract

A systematic review and meta-analysis was conducted to determine the efficacy of women-focused ART adherence interventions. Included studies (a) reported on a behavioral ART adherence intervention for cis-women living with HIV, (b) measured ART adherence as an outcome, and (c) employed a randomized controlled trial design. Thirteen studies were included in the meta-analysis. Overall, interventions significantly improved ART adherence compared to control conditions (random-effects d = 0.82, 95% CI [0.18, 1.45], p = 0.01), however, this was largely driven by two studies that had effect sizes greater than 3 standard errors above the mean effect size. Key moderators were location, recruitment method, group-based intervention, and alteration of the healthcare system. Innovative behavioral interventions that focus on young women and adolescents, target the critical periods of pregnancy and postpartum and test the integration of multiple levels of intervention to create lasting effects on ART adherence are needed.

Indexed as

Antiretroviral Therapy, Highly ActiveDrug MonitoringAdolescentAdultAge FactorsAnti-HIV AgentsBehavior TherapyFemaleHIVHIV InfectionsHumansMedication AdherencePostpartum PeriodPregnancyRandomized Controlled Trials as TopicTreatment OutcomeAnti-HIV AgentsART adherenceMeta-analysisRandomized controlled trialsWomen

Identifiers

PMID30443806
PMCPMC6520201

What OpenQuestion holds

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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.