Evidence map›Paper›PMID 30819228›Full record

ArticleTrials2019

The Supporting Adolescent Adherence in Vietnam (SAAV) study: study protocol for a randomized controlled trial assessing an mHealth approach to improving adherence for adolescents living with HIV in Vietnam.

Mary DeSilva, Cong Nguyen Vu, Rachael Bonawitz, Le Thanh Hai, Nguyen Van Lam, Le Thi Yen, Allen L Gifford, Jessica Haberer, Dang Thuy Linh, Lora Sabin

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03031197 (The Supporting Adolescent Adherence in Vietnam), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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.

NCT03031197 nacompletednot on this map

The Supporting Adolescent Adherence in Vietnam (SAAV) Study

TypeinterventionalSponsorUniversity of New EnglandRan2017 to 2018Enrolled81ConditionsAdolescents, HIV/AIDS, Patient AdherenceArmsTailored realtime triggered reminder pkg
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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

10 authors at 5 institutions in 2 countries.

Mary DeSilvaWestbrook College of Health Professions, University of New England, 716 Stevens Ave, Portland, ME, 04103, USA. mdesilva1@une.edu.ORCID http://orcid.org/0000-0001-6367-1870
Cong Nguyen VuInstitute for Population Health and Development, No.18, Lane 132, Hoa Bang Str., Cau Giay District, Hanoi, 122667, Vietnam.
Rachael BonawitzCenter for Global Health & Development, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown 3rd Floor, Boston, MA, 02118, USA.
Le Thanh HaiNational Hospital for Pediatrics, 18/879 La Thành, Đống Đa, Hanoi, Vietnam.
Nguyen Van LamDepartment of Infectious Disease (ID), National Hospital for Pediatrics, 18/879 La Thành, Đống Đa, Hanoi, Vietnam.
Le Thi YenDepartment of Infectious Disease (ID), National Hospital for Pediatrics, 18/879 La Thành, Đống Đa, Hanoi, Vietnam.
Allen L GiffordDepartment of Health Law, Policy and Management, Boston University Schools of Medicine and Public Health, 725 Albany Street, Talbot T247W, Boston, MA, 02118, USA.
Jessica HabererMassachusetts General Hospital Global Health, 125 Nashua St, Suite 722, Boston, MA, 02114, USA.
Dang Thuy LinhInstitute for Population Health and Development, No.18, Lane 132, Hoa Bang Str., Cau Giay District, Hanoi, 122667, Vietnam.
Lora SabinCenter for Global Health & Development, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown 3rd Floor, Boston, MA, 02118, USA.
Boston University · USInstitute of Population, Health and Development · VNVietnam National Children's Hospital · VNMassachusetts General Hospital · USNew England College · US

Funding

The Supporting Adolescent Adherence in Vietnam (SAAV) StudyR21MH109381 · NIMH · UNIVERSITY OF NEW ENGLAND · PI BACHMAN DESILVA, MARY · 2016 to 2017
$373k
NIMH NIH HHS R21 MH109381NIMH NIH HHS R21 MH109381-01
6 · The paper itself

Abstract

backgroundThe overall goal of the Supporting Adolescent Adherence in Vietnam (SAAV) study is to improve understanding of an adherence feedback mHealth intervention designed to help adolescents living with HIV (ALHIV) maintain high adherence to antiretroviral therapy (ART), critical to effective treatment. Specifically, we aim to: (1) conduct formative research with Vietnamese ALHIV and their caregivers to better understand adherence challenges and refine the personalized mHealth intervention package; and (2) assess the feasibility, acceptability, and efficacy of the intervention to improve ART adherence by implementing a randomized controlled trial (RCT).

methodsThe study will utilize mixed methods. The formative phase will include 40 in-depth interviews (IDIs) with 20 adolescent (12-17 years)/caregiver dyads and eight focus group discussions with adolescents, caregivers, and clinicians at the National Hospital for Pediatrics (NHP) in Hanoi, Vietnam. We will also conduct 20 IDIs with older adolescents (18-21 years) who have transitioned to adult care at outpatient clinics in Hanoi. We will then implement a seven-month RCT at NHP. We will recruit 80 adolescents on ART, monitor their adherence for one month to establish baseline adherence using a wireless pill container (WPC), and then randomize participants to intervention versus control within optimal (≥ 95% on-time doses) versus suboptimal (< 95% on-time doses) baseline adherence strata. Intervention participants will receive a reminder of their choice (cellphone text message/call or bottle-based flash/alarm), triggered when they miss a dose, and engage in monthly counseling informed by their adherence data. Comparison participants will receive usual care and offer of counseling at routine monthly clinic visits. After six months, we will compare ART adherence, CD4 count, and HIV viral suppression between arms, in addition to acceptability and feasibility of the intervention. DISCUSSION: Findings will contribute valuable information on perceived barriers and facilitators affecting adolescents' ART adherence, mHealth approaches as adherence support tools for ALHIV, and factors affecting adolescents' ART adherence. This information will be useful to researchers, medical personnel, and policy-makers as they develop and implement adherence programs for ALHIV, with potential relevance to other chronic diseases during transition from adolescent to adult care.

trial registrationClinicalTrials.gov, NCT03031197 . Registered on 21 January 2017.

Indexed as

Adolescent BehaviorChild BehaviorMedication AdherenceAdolescentAge FactorsAnti-HIV AgentsCaregiversChildFeasibility StudiesFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleRandomized Controlled Trials as TopicTelemedicineAnti-HIV AgentsAdherenceAdolescentsAntiretroviral therapyDose historiesHIVmHealthReal-time feedbackVietnam

Identifiers

PMID30819228
PMCPMC6394014
OpenAlexW2938760155

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.