Evidence map›Paper›PMID 30810351›Full record

ArticleAIDS care2019

Pilot evaluation of a standardized patient actor training intervention to improve HIV care for adolescents and young adults in Kenya.

Cyrus Mugo, Kate Wilson, Anjuli D Wagner, Irene W Inwani, Kevin Means, David Bukusi, Jennifer Slyker, Grace John-Stewart, Barbra A Richardson, Margaret Nduati and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in AIDS care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06509113 (Reducing Stigmatizing Attitudes and Behaviors of Nursing Students in Simulated Clinical Visits of Patients Living With HIV in Iran), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

NCT06509113 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Reducing Stigmatizing Attitudes and Behaviors of Nursing Students in Simulated Clinical Visits of Patients Living With HIV in Iran

TypeinterventionalSponsorUniversity of California, San FranciscoRan2024 to 2025Enrolled70ConditionsStigma, Social, HIV InfectionsArmsThe online HIV-related stigma training, The online HIV epidemiology training with no specific content on stigma
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. "Journal of the International Association of Providers of AIDS Care
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Higher Clinician-Patient Communication Is Associated With Greater Satisfaction With HIV Care.Journal of the International Association of Providers of AIDS Care
    Article
  9. 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

13 authors.

Cyrus Mugoa Department of Research and Programs, Kenyatta National Hospital , Nairobi , Kenya.
Kate Wilsonb Department of Global Health, University of Washington , Seattle , WA , USA.
Anjuli D Wagnerb Department of Global Health, University of Washington , Seattle , WA , USA.
Irene W Inwanic Department of Paediatrics, Kenyatta National Hospital , Nairobi , Kenya.
Kevin Meansd Department of Medicine, University of Washington , Seattle , WA , USA.
David Bukusie VCT and HIV Prevention Unit/Youth Centre, Kenyatta National Hospital , Nairobi , Kenya.
Jennifer Slykerb Department of Global Health, University of Washington , Seattle , WA , USA.
Grace John-Stewartb Department of Global Health, University of Washington , Seattle , WA , USA.
Barbra A Richardsonb Department of Global Health, University of Washington , Seattle , WA , USA.
Margaret Nduatii Department of Pediatrics and Child Health, University of Nairobi , Nairobi , Kenya.
Helen Moraai Department of Pediatrics and Child Health, University of Nairobi , Nairobi , Kenya.
Dalton Wamalwai Department of Pediatrics and Child Health, University of Nairobi , Nairobi , Kenya.
Pamela Kohlerb Department of Global Health, University of Washington , Seattle , WA , USA.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
Promoting Diversity, Equity, and Inclusivity in Research Training to Optimize HIV Prevention and TreatmentD43TW009580 · FIC · UNIVERSITY OF WASHINGTON · PI CAREY FARQUHAR, John Kinuthia · 2013 to 2026
$4.8M
Simulated Patient Encounters to Promote Early Detection and Engagement in HIV Care for AdolescentsR01HD085807 · NICHD · UNIVERSITY OF WASHINGTON · PI KOHLER, PAMELA · 2015 to 2019
$2.1M
FIC NIH HHS D43 TW009580NIAID NIH HHS P30 AI027757NICHD NIH HHS R01 HD085807
6 · The paper itself

Abstract

Poor retention in HIV care remains a major problem for Adolescents and Young Adults (AYA). A Standardized Patient (SP) clinical training intervention was developed to improve healthcare worker (HCW) "adolescent-friendly" competencies in Kenya. Professional actors were trained to portray HIV-infected AYA according to standardized scripts. HCWs completed a 2-day SP training that included didactic sessions, 7 video-recorded SP encounters, and group debriefing. AYA health experts rated HCWs by reviewing the video recordings. All HCWs (10/10) reported high satisfaction with the intervention and overall improvement in self-rated competency in caring for HIV-infected AYA. Cases were reported to be realistic and relevant by between 7 and 10 of 10 HCWs. The case on disclosure and adherence was rated as most challenging in communication and making medical decisions by HCWs. Areas identified by SPs for improvement by HCWs included allowing patients time to ask questions, and enabling SP to share sensitive information. The overall ICC by experts was low 0.27 (95% CI: -0.79 to 0.95), however, ICCs in assessment of HIV disclosure 0.78 (95% CI: 0.17-0.98), and sexual behavior 0.97 (95% CI: 0.89-0.99) were high. This intervention was acceptable for Kenyan HCWs and improved self-rated competency in caring for HIV-infected AYA.

Indexed as

Culturally Competent CarePatient SimulationSimulation TrainingAdolescentAdolescent Health ServicesAdultCultural CharacteristicsFemaleFocus GroupsHealth PersonnelHIV InfectionsHumansKenyaMaleMiddle AgedOutcome Assessment, Health Careadolescent-friendly servicesAdolescentshealthcare worker competencyHIVstandardized patient actors

Identifiers

PMID30810351
PMCPMC6663595

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Registered trials

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.