Evidence map›Paper›PMID 31791405›Full record

ArticleTrials2019

Improving risk perception and uptake of pre-exposure prophylaxis (PrEP) through interactive feedback-based counselling with and without community engagement in young women in Manicaland, East Zimbabwe: study protocol for a pilot randomized trial.

Ranjeeta Thomas, Morten Skovdal, Matteo M Galizzi, Robin Schaefer, Louisa Moorhouse, Constance Nyamukapa, Rufurwokuda Maswera, Phyllis Mandizvidza, Timothy B Hallett, Simon Gregson

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 NCT03565575 (Improving Risk Perception and Uptake of Pre-exposure Prophylaxis), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

NCT03565575 nacompletednot on this map

Improving Risk Perception and Uptake of Pre-exposure Prophylaxis (PrEP) Through Interactive Feedback Based Counselling (and Community Engagement) in Young Women in Manicaland

TypeinterventionalSponsorSimon GregsonRan2018 to 2021Enrolled1,055ConditionsImproving Perceptions of HIV Risk, Improving Uptake of Pre-exposure Prophylaxis for HIVArmsInteractive tablet-based quiz
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

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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 4 institutions in 3 countries.

Ranjeeta ThomasDepartment of Health Policy, London School of Economics and Political Science, Cowdray House, London, WC2 2AE, UK. r.a.thomas@lse.ac.uk.ORCID http://orcid.org/0000-0002-0947-4574
Morten SkovdalSection of Health Services Research, Department of Public Health, University of Copenhagen, Øster Farimagsgade 5 opg. B, Postb, 15, Building: 15.0.17, 1014, København K, Denmark.
Matteo M GalizziDepartment of Psychological and Behavioural Science, London School of Economics and Political Science, London, WC2 2AE, UK.
Robin SchaeferDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Louisa MoorhouseDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Constance NyamukapaDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Rufurwokuda MasweraBiomedical Research and Training Institute, 10 Seagrave, Avondale, Harare, Zimbabwe.
Phyllis MandizvidzaBiomedical Research and Training Institute, 10 Seagrave, Avondale, Harare, Zimbabwe.
Timothy B HallettDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Simon GregsonDepartment of Infectious Disease Epidemiology, Imperial College London, St Mary's Campus Norfolk Place, London, W2 1PG, UK.
Imperial College London · GBBiomedical Research and Training Institute · ZWLondon School of Economics and Political Science · GBUniversity of Copenhagen · DK

Funding

Multi-Level Behavioral Economics and Community Psychology Approaches to Strengthen HIV Prevention Cascades in Adolescent Girls and Young Women in East ZimbabweR01MH114562 · NIMH · IMPERIAL COLLEGE OF SCIENCE, TECHNOLOGY AND MEDICINE · PI GREGSON, SIMON ANTHONY JOHN, HALLETT, TIMOTHY · 2017 to 2020
$2.6M
Bill and Melinda Gates Foundation OPP1161471Medical Research Council MR/R015600/1National Institute of Mental Health (NIMH) R01MH114562-01NIMH NIH HHS R01 MH114562UK Medical Research Council MR/R015600/1
6 · The paper itself

Abstract

backgroundHIV incidence in adolescent girls and young women remains high in sub-Saharan Africa. Progress towards uptake of HIV prevention methods remains low. Studies of oral pre-exposure prophylaxis (PrEP) have shown that uptake and adherence may be low due to low-risk perception and ambivalence around using antiretrovirals for prevention. No evidence exists on whether an interactive intervention aimed at adjusting risk perception and addressing the uncertainty around PrEP will improve uptake. This pilot research trial aims to provide an initial evaluation of the impact of an interactive digital tablet-based counselling session, correcting risk perception, and addressing ambiguity around availability, usability, and effectiveness of PrEP. METHODS/

designThis is a matched-cluster randomized controlled trial which will compare an interactive tablet-based education intervention against a control with no intervention. The study will be implemented in eight sites. In each site, two matched clusters of villages will be created. One cluster will be randomly allocated to intervention. In two sites, a community engagement intervention will also be implemented to address social obstacles and to increase support from peers, families, and social structures. A total of 1200 HIV-negative young women aged 18-24 years, not on PrEP at baseline, will be eligible. Baseline measures of endpoints will be gathered in surveys. Follow-up assessment at six months will include biomarkers of PrEP uptake and surveys. DISCUSSION: This will be the first randomized controlled trial to determine whether interactive feedback counselling leads to uptake of HIV prevention methods such as PrEP and reduces risky sexual behavior. If successful, policymakers could consider such an intervention in school-based education campaigns or as post-HIV-testing counselling for young people.

trial registrationClinicaltrials.gov, NCT03565575. Registered on 21 June 2018.

Indexed as

CounselingHealth EducationPre-Exposure ProphylaxisRandomized Controlled Trials as TopicAdolescentCommunity Health ServicesFeedbackFemaleHIV InfectionsHumansPerceptionPilot ProjectsProspective StudiesYoung AdultHIV preventionPre-exposure prophylaxisRandomized trialZimbabwe

Identifiers

PMID31791405
PMCPMC6889525
OpenAlexW2990044601

What OpenQuestion holds

Textmetadata
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.