Evidence map›Paper›PMID 32164771›Full record

ArticleTrials2020

CareConekta: study protocol for a randomized controlled trial of a mobile health intervention to improve engagement in postpartum HIV care in South Africa.

Kate Clouse, Tamsin K Phillips, Carol Camlin, Sandisiwe Noholoza, Phepo Mogoba, Julian Naidoo, Richard Langford, Martin Weiss, Christopher J Seebregts, Landon Myer

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03836625 (CareConekta), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.4field-weighted citation impact, top 27% 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.

NCT03836625 nacompletednot on this map

CareConekta: A Pilot Study of a Smartphone App to Improve Engagement in Postpartum HIV Care in South Africa

TypeinterventionalSponsorVanderbilt UniversityRan2019 to 2021Enrolled200ConditionsHIV/AIDS, Pregnancy RelatedArmsCareConekta
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 20 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 2 countries.

Kate ClouseVanderbilt University School of Nursing, Nashville, TN, USA. kate.clouse@vanderbilt.edu.ORCID http://orcid.org/0000-0002-0190-7398
Tamsin K PhillipsDivision of Epidemiology and Biostatistics, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Carol CamlinBixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, CA, USA.
Sandisiwe NoholozaCenter for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Phepo MogobaCenter for Infectious Disease Epidemiology and Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Julian NaidooJembi Health Systems, Cape Town, South Africa.
Richard LangfordJembi Health Systems, Cape Town, South Africa.
Martin WeissJembi Health Systems, Cape Town, South Africa.
Christopher J SeebregtsJembi Health Systems, Cape Town, South Africa.
Landon MyerDivision of Epidemiology and Biostatistics, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Jembi Health Systems · ZAUniversity of Cape Town · ZASan Francisco AIDS Foundation · USVanderbilt University · US

Funding

CareConekta: Mobile health for a mobile populationR34MH118028 · NIMH · VANDERBILT UNIVERSITY · PI CLOUSE, KATE · 2019 to 2021
$631k
NIMH NIH HHS MH118028NIMH NIH HHS R34 MH118028
6 · The paper itself

Abstract

backgroundSouth Africa is home to the world's largest antiretroviral therapy program but sustaining engagement along the HIV care continuum has proven challenging in the country and throughout the wider region. Population mobility is common in South Africa, but there are important research gaps in describing this mobility and its impact on engagement in HIV care. Postpartum women and their infants in South Africa are known to be at high risk of dropping out of HIV care after delivery and are frequently mobile.

methodsIn 2017, we developed a beta version of a smartphone application (app) - CareConekta - that detects a user's smartphone location to allow for prospective characterization of mobility. Now we will adapt and test CareConekta to conduct essential formative work on mobility and evaluate an intervention - the CareConekta app plus text notifications and phone calls and/or WhatsApp messages - to facilitate engagement in HIV care during times of mobility. During the 3-year project period, our first objective is to evaluate the feasibility, acceptability, and initial efficacy of using CareConekta as an intervention to improve engagement in HIV care. Our second objective is to characterize mobility among South African women during the peripartum period and its impact on engagement in HIV care. We will enroll 200 eligible pregnant women living with HIV and receiving care at the Gugulethu Midwife Obstetric Unit in Cape Town, South Africa. DISCUSSION: This work will provide critical information about mobility during the peripartum period and the impact on engagement in HIV care. Simultaneously, we will pilot test an intervention to improve engagement with rigorously assessed outcomes. If successful, CareConekta offers tremendous potential as a research and service tool that can be adapted and evaluated in multiple geographic regions, study contexts, and patient populations.

trial registrationClinicalTrials.gov: NCT03836625. Registered on 8 February 2019.

Indexed as

Patient Acceptance of Health CareSmartphoneText MessagingAnti-HIV AgentsContinuity of Patient CareFemaleHIV InfectionsHumansInfectious Disease Transmission, VerticalPatient PreferencePostpartum PeriodPregnancyProspective StudiesRandomized Controlled Trials as TopicSouth AfricaTelemedicineAnti-HIV AgentsHIV/AIDSmHealthMobile healthPostpartumPregnancyRetentionSmartphoneSouth AfricaWomen

Identifiers

PMID32164771
PMCPMC7068940
OpenAlexW3011678688

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.