Evidence map›Paper›PMID 31764255›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2019

Understanding HIV Program Effects: A Structural Approach to Context Using the Transportability Framework.

Megha L Mehrotra, Maya L Petersen, Elvin H Geng

Registry-linked trialAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05419232 (RADx Up Safe Return to Schools), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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.

NCT05419232 nacompletednot on this mapstarted 2022, after this paper: background citation

RADx Up Safe Return to Schools: Strategies to Increase Vaccine Uptake

TypeinterventionalSponsorWashington University School of MedicineRan2022 to 2024Enrolled262ConditionsVaccination Refusal, COVID-19ArmsShort Message Service (SMS) + Website Link Strategy, Phone Call with Peer Strategy
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. 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

3 authors.

Megha L MehrotraDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA.
Maya L PetersenDepartment of Biostatistics, University of California, Berkeley, Berkeley, CA.
Elvin H GengDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA.

Funding

MENTORING MULTIDISCIPLINARY PATIENT-ORIENTED RESEARCH IN ENGAGEMENT IN HIV CAREK24AI134413 · NIAID · WASHINGTON UNIVERSITY · PI Elvin H. Geng · 2017 to 2026
$1.4M
Transportability of Causal Effects to Inform HIV Pre-exposure Prophylaxis ImplementationF31MH111346 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MEHROTRA, MEGHA LYNNE · 2016 to 2018
$116k
NIAID NIH HHS K24 AI134413NIMH NIH HHS F31 MH111346
6 · The paper itself

Abstract

backgroundImplementation science focuses on evaluating strategies for delivering evidence-based interventions to improve HIV prevention and treatment. The effectiveness of these implementation strategies is often context-dependent and reconciling the desire to produce generalizable knowledge in the face of these contextual interventions is a central challenge for implementation science researchers.

methodsWe provide an overview of the causal transportability theory and conceptualize context under this framework. We review how causal graphs can be used to illustrate the assumptions necessary to apply the results of a study to a new context, and we illustrate this approach using an example of a community adherence group intervention that aims to improve retention in HIV care. Finally, we discuss several key insights highlighted by the transportability theory that are relevant to implementation science researchers.

resultsBy adopting causal transportability to consider how context may affect the success of an implementation strategy, researchers can formally diagnose when the results of a study are likely to generalize to a given setting. Moreover, selection diagrams can highlight what additional measurements would be needed in a target population to estimate the effect of an implementation strategy in that target population without having to repeat the initial study.

conclusionsTransportability translates intuition about context-dependent interventions and external validity into actionable and testable insight.

Indexed as

HIV InfectionsDelivery of Health CareEvidence-Based MedicineHumansImplementation ScienceRetention in Care

Identifiers

PMID31764255
PMCPMC7819697

What OpenQuestion holds

Textmetadata
LicenceTDM
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.