Evidence map›Paper›PMID 31894444›Full record

Trial reportAIDS and behavior2020

Pathways for HIV Prevention Behaviors Following a Home-Based Couples Intervention for Pregnant Women and Male Partners in Kenya.

Abigail M Hatcher, Lynae Darbes, Zachary Kwena, Pamela L Musoke, Anna Joy Rogers, George Owino, Anna Helova, Jami L Anderson, Patrick Oyaro, Elizabeth A Bukusi and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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.

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

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

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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

11 authors.

Abigail M HatcherDivision of HIV/AIDS, Department of Medicine, University of California, 995 Potrero Avenue, Building 80, San Francisco, CA, 94110, USA. hatchera@globalhealth.ucsf.edu.ORCID http://orcid.org/0000-0002-4150-1405
Lynae DarbesDepartment of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, USA.
Zachary KwenaCentre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Pamela L MusokeDepartment of Global Health and Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Anna Joy RogersDepartment of Global Health and Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
George OwinoCentre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Anna HelovaDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Jami L AndersonSparkman Center for Global Health, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Patrick OyaroResearch Care and Training Programme, Family AIDS Care and Educational Services, Kisumu, Kenya.
Elizabeth A BukusiCentre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Janet M TuranDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Paul A. Goepfert · 1988 to 2026
$84.1M
Mechanisms and pilot intervention for addressing intimate partner violence and HIV in antenatal careK01MH121185 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HATCHER, ABIGAIL MAE · 2019 to 2023
$820k
A Home-Based Couples Intervention to Enhance PMTCT and Family Health in KenyaR34MH102103 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI TURAN, JANET M. · 2014 to 2016
$622k
NIAID NIH HHS P30 AI027767NIMH NIH HHS K01 MH121185NIMH NIH HHS R34 MH102103NIMH NIH HHS R34MH102103
6 · The paper itself

Abstract

Pregnancy is a time of heightened HIV risk, but also a phase when a couple can prioritize family health. We conducted secondary analysis of a home-based intervention in rural Kenya to explore couple-level adherence to HIV prevention behaviors. The intervention included health education, relationship-building skills, and Couples HIV Testing and Counseling. Pregnant women were randomized to the intervention (n = 64) or standard care (n = 63) along with male partners. Of 96 couples, 82 (85.0%) were followed to 3 months postpartum, when 31.0% of couples reported perfect adherence to HIV prevention. In logistic regression, intervention condition couples had three-fold higher odds of perfect adherence (AOR = 3.07, 95% CI = 1.01-9.32). A structural equation model found the intervention had moderate effects on couple communication, large effects on couple efficacy to take action around HIV, which in turn improved HIV prevention behaviors (CFI = 0.969; TLI = 0.955; RMSEA = 0.049). Strengthening couple communication and efficacy may help prevent the spread of HIV to infants or partners around the time of pregnancy.

Indexed as

Standard of CareCounselingFamily CharacteristicsFemaleHealth BehaviorHIV InfectionsHumansKenyaMalePilot ProjectsPregnancyPregnancy Complications, InfectiousPregnant PeopleSexual PartnersCouplesHIV preventionHome-based interventionKenyaMaternal child healthPregnancy

Identifiers

PMID31894444
PMCPMC7319865

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.