Trial reportJournal of general internal medicine2019
"Get Ready and Empowered About Treatment" (GREAT) Study: a Pragmatic Randomized Controlled Trial of Activation in Persons Living with HIV.
Trial report in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02165735 (Addressing HIV Tx Disparities Through Patient Empowerment), which is not on this map. Cited by 19 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Addressing HIV Tx Disparities Through Patient Empowerment
Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Evidence from high-income countries on the effectiveness of psychosocial interventions to improve mental health, wellbeing and quality of life for adults living with HIV: a systematic review and meta-analysis.Journal of the International AIDS Society · 2025Pooled it
- Effectiveness of eHealth literacy interventions: a systematic review and meta-analysis of experimental studies.BMC public health · 2025Pooled it
- Towards a more patient-centered clinical trial process: A systematic review of interventions incorporating health literacy best practices.Contemporary clinical trials · 2022Pooled it
- Applying the Electronic Health Literacy Lens: Systematic Review of Electronic Health Interventions Targeted at Socially Disadvantaged Groups.Journal of medical Internet research · 2020Pooled it
- Can a brief peer-led group training intervention improve health literacy in persons living with HIV? Results from a randomized controlled trial.Patient education and counseling · 2021Trial
- Observational
- eHealth Literacy Interventions: Scoping Review.Interactive journal of medical research · 2025Review
- Enhancing HIV Cognitive Abilities and Self-Management Through Information Technology-Assisted Interventions: Scoping Review.Journal of medical Internet research · 2025Article
- A codesigned integrated kidney and diabetes model of care improves patient activation among patients from culturally and linguistically diverse backgrounds.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Physical and psychosocial impact on peers with HIV co-leading an HIV intervention: A pilot theory-guided case-study.PEC innovation · 2023Article
- Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study.BMC musculoskeletal disorders · 2023Article
- Status and factors associated with patient activation and its relationship with HIV clinic outcomes among Yi minority people living with HIV in Liangshan, China: a cross-sectional study.Frontiers in public health · 2023Article
- Validation of the PAM-13 instrument in the Hungarian general population 40 years old and above.The European journal of health economics : HEPAC : health economics in prevention and care · 2022Article
- Understanding the Current Landscape of Direct-to-Consumer Health Literacy Interventions.Perspectives in health information managemen · 2022Article
- Early Patient-Centered Outcomes Research Experience With the Use of Telehealth to Address Disparities: Scoping Review.Journal of medical Internet research · 2021Article
- When Public Health Research Meets Social Media: Knowledge Mapping From 2000 to 2018.Journal of medical Internet research · 2020Review
- An integrative framework for estimating personal healthy life expectancy from personal health records.Digital healthArticle
- Article
- ImPlementation REsearCh to DEvelop Interventions for People Living with HIV (the PRECluDE consortium): Combatting chronic disease comorbidities in HIV populations through implementation research.Progress in cardiovascular diseasesReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about strategies to improve patient activation, particularly among persons living with HIV (PLWH).
objectiveTo assess the impact of a group intervention and individual coaching on patient activation for PLWH.
designPragmatic randomized controlled trial. SITES: Eight practices in New York and two in New Jersey serving PLWH.
participantsThree hundred sixty PLWH who received care at participating practices and had at least limited English proficiency and basic literacy.
interventionSix 90-min group training sessions covering use of an ePersonal Health Record loaded onto a handheld mobile device and a single 20-30 min individual pre-visit coaching session. MAIN MEASURES: The primary outcome was change in Patient Activation Measure (PAM). Secondary outcomes were changes in eHealth literacy (eHEALS), Decision Self-efficacy (DSES), Perceived Involvement in Care Scale (PICS), health (SF-12), receipt of HIV-related care, and change in HIV viral load (VL). KEY
resultsThe intervention group showed significantly greater improvement than the control group in the primary outcome, the PAM (difference 2.82: 95% confidence interval [CI] 0.32-5.32). Effects were largest among participants with lowest quartile PAM at baseline (p < 0.05). The intervention doubled the odds of improving one level on the PAM (odds ratio 1.96; 95% CI 1.16-3.31). The intervention group also had significantly greater improvement in eHEALS (difference 2.67: 95% CI 1.38-3.9) and PICS (1.27: 95% CI 0.41-2.13) than the control group. Intervention effects were similar by race/ethnicity and low education with the exception of eHealth literacy where effects were stronger for minority participants. No statistically significant effects were observed for decision self-efficacy, health status, adherence, receipt of HIV relevant care, or HIV viral load.
conclusionsThe patient activation intervention modestly improved several domains related to patient empowerment; effects on patient activation were largest among those with the lowest levels of baseline patient activation.
trial registrationThis study is registered at Clinical Trials.Gov (NCT02165735).
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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.