Evidence map›Paper›PMID 31774411›Full record

Trial reportJournal of medical Internet research2019

Mechanisms and Effects of a WeChat-Based Intervention on Suicide Among People Living With HIV and Depression: Path Model Analysis of a Randomized Controlled Trial.

Yiran Li, Yan Guo, Y Alicia Hong, Mengting Zhu, Chengbo Zeng, Jiaying Qiao, Zhimeng Xu, Hanxi Zhang, Yu Zeng, Weiping Cai and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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.

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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Leveraging mHealth for the Treatment and Management of PLHIV.Risk management and healthcare policy · 2023
    Article
  10. Pandemics and Suicide Risk: Lessons From COVID and Its Predecessors.The Journal of nervous and mental disease · 2022
    Review
  11. Review
  12. Review
  13. The effect of WeChat-based training on improving the knowledge of tuberculosis management of rural doctors.Journal of clinical tuberculosis and other mycobacterial diseases · 2021
    Article
  14. Article
  15. 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

12 authors at 4 institutions in 2 countries.

Yiran Li *Department of Epidemiology and Biostatistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-4704-8728
Yan Guo *Department of Epidemiology and Biostatistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-8754-1090
Y Alicia Hong *Department of Health Administration and Policy, College of Health and Human Services, George Mason University, Fairfax, VA, United States.ORCID 0000-0002-1481-6495
Mengting Zhu *Department of Epidemiology and Biostatistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-7247-7620
Chengbo ZengSouth Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.ORCID 0000-0002-3512-1115
Jiaying QiaoDepartment of Epidemiology and Biostatistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0003-1171-5098
Zhimeng XuDepartment of Epidemiology and Biostatistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0003-1042-9786
Hanxi ZhangNational Center of AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.ORCID 0000-0002-2193-9581
Yu ZengDepartment of Epidemiology and Biostatistics, School of Public Health, Sun Yat-sen University, Guangzhou, China.ORCID 0000-0002-2604-9502
Weiping CaiDepartment of Infectious Diseases, Eight People's Hospital, Guangzhou, China.ORCID 0000-0002-1287-0623
Linghua LiDepartment of Infectious Diseases, Eight People's Hospital, Guangzhou, China.ORCID 0000-0001-5711-8681
Cong LiuDepartment of Infectious Diseases, Eight People's Hospital, Guangzhou, China.ORCID 0000-0001-7147-8923
Sun Yat-sen University · CNGuangzhou Eighth People's Hospital · CNGeorge Mason University · USUniversity of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople living with HIV and depression have high rates of suicide. Studies of mobile health (mHealth) interventions have shown feasibility, acceptability, and efficacy in improving mental health in people living with HIV and depression. However, few studies have examined the mechanisms and effects of mHealth interventions on suicide.

objectiveThis study was designed to examine the mechanisms and effects of a WeChat-based intervention, Run4Love, on suicide among people living with HIV and depression in China, while considering perceived stress and depressive symptoms as mediators.

methodsA sample of 300 People living with HIV and depression was recruited from the outpatient clinic of a large HIV or AIDS treatment hospital and was randomized to the Run4Love group or a control group. Data were collected at baseline, 3-, 6-, and 9-month follow-ups. Path analysis modeling, with longitudinal data, was used in data analyses.

resultsThe Run4Love mHealth intervention had a direct effect on reducing suicide rate at the 6-month follow-up (beta=-.18, P=.02) and indirect effect through reducing perceived stress and depressive symptoms at the 3-month follow-up (beta=-.09, P=.001). A partial mediating effect between perceived stress and depressive symptoms accounted for 33% (-0.09/-0.27) of the total effect.

conclusionsThrough path analyses, we understood the mechanisms and effects of an mHealth intervention on suicide prevention. The findings underscored the importance of stress reduction and depression treatment in such a program. We call for more effective suicide prevention, especially mHealth interventions targeting the vulnerable population of people living with HIV and depression.

trial registrationChinese Clinical Trial Registry ChiCTR-IPR-17012606; http://www.chictr.org.cn/showprojen.aspx?proj=21019.

Indexed as

AdolescentAdultDepressionFemaleHIV InfectionsHumansMaleMental HealthMiddle AgedSuicideTelemedicineYoung AdultdepressionHIVmHealthsuicide

Identifiers

PMID31774411
PMCPMC6906623
OpenAlexW2970982187

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.