Evidence map›Paper›PMID 31905209›Full record

ArticlePloS one2020

Long term impact of PositiveLinks: Clinic-deployed mobile technology to improve engagement with HIV care.

Chelsea E Canan, Marika E Waselewski, Ava Lena D Waldman, George Reynolds, Tabor E Flickinger, Wendy F Cohn, Karen Ingersoll, Rebecca Dillingham

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04998019 (Pragmatic Efficacy Trial of mHealth to Improve HIV Outcomes in the DC Cohort), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 19% 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.

NCT04998019 nacompletednot on this mapstarted 2022, after this paper: background citation

Pragmatic Efficacy Trial of mHealth to Improve HIV Outcomes in the DC Cohort

TypeinterventionalSponsorGeorge Washington UniversityRan2022 to 2025Enrolled682ConditionsHIV/AIDSArmsPositiveLinks
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 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

8 authors at 2 institutions in 1 country.

Chelsea E CananDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, United States of America.ORCID 0000-0002-0113-1809
Marika E WaselewskiDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, United States of America.ORCID 0000-0003-4332-1974
Ava Lena D WaldmanDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, United States of America.
George ReynoldsHealth Decision Technologies, Oakland, CA, United States of America.
Tabor E FlickingerDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, United States of America.
Wendy F CohnDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, United States of America.
Karen IngersollDepartment of Psychiatry and Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, VA, United States of America.
Rebecca DillinghamDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, VA, United States of America.
University of Virginia · USHealth Decision Technologies (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPositiveLinks (PL) is a smartphone-based platform designed in partnership with people living with HIV (PLWH) to improve engagement in care. PL provides daily medication reminders, check-ins about mood and stress, educational resources, a community message board, and an ability to message providers. The objective of this study was to evaluate the impact of up to 24 months of PL use on HIV viral suppression and engagement in care and to examine whether greater PL use was associated with improved outcomes.

settingThis study occurred between September 2013 and March 2017 at a university-based Ryan White HIV clinic.

methodsWe assessed engagement in care and viral suppression from study baseline to the 6-, 12-, 18- and 24-month follow-up time periods and compared trends among high vs. low PL users. We compared time to viral suppression, proportion of days virally suppressed, and time to engagement in care in patients with high vs. low PL use.

results127 patients enrolled in PL. Engagement in care and viral suppression improved significantly after 6 months of PL use and remained significantly improved after 24 months. Patients with high PL use were 2.09 (95% CI 0.64-6.88) times more likely to achieve viral suppression and 1.52 (95% CI 0.89-2.57) times more likely to become engaged in care compared to those with low PL use.

conclusionMobile technology, such as PL, can improve engagement in care and clinical outcomes for PLWH. This study demonstrates long-term acceptability of PL over two years and provides evidence for long-term improvement in engagement in care and viral suppression associated with PL use.

Indexed as

AdultAmbulatory Care FacilitiesAnti-HIV AgentsFemaleHIV InfectionsHumansMaleMiddle AgedMobile Health UnitsPatient Education as TopicPatient ParticipationSmartphoneViral LoadAnti-HIV Agents

Identifiers

PMID31905209
PMCPMC6944340
OpenAlexW2997507658

What OpenQuestion holds

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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.