Evidence map›Paper›PMID 32590969›Full record

Trial reportBMC public health2020

"You talk about problems until you feel free": South African adolescent girls' and young women's narratives on the value of HIV prevention peer support clubs.

Deborah Baron, Fiona Scorgie, Lethabo Ramskin, Nomhle Khoza, Jennifer Schutzman, Anne Stangl, Sheila Harvey, Sinead Delany-Moretlwe, EMPOWER study team

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 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

35 citing papers in PubMed, 1 synthesis or guideline 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

9 authors.

Deborah BaronWits RHI, Faculty of Health Sciences, University of the Witwatersrand, 22 Esselen Street, Hillbrow, Johannesburg, 2001, South Africa.
Fiona ScorgieWits RHI, Faculty of Health Sciences, University of the Witwatersrand, 22 Esselen Street, Hillbrow, Johannesburg, 2001, South Africa. fscorgie@gmail.com.ORCID http://orcid.org/0000-0003-2560-8234
Lethabo RamskinWits RHI, Faculty of Health Sciences, University of the Witwatersrand, 22 Esselen Street, Hillbrow, Johannesburg, 2001, South Africa.
Nomhle KhozaWits RHI, Faculty of Health Sciences, University of the Witwatersrand, 22 Esselen Street, Hillbrow, Johannesburg, 2001, South Africa.
Jennifer SchutzmanInternational Center for Research on Women, Washington, DC, USA.
Anne StanglInternational Center for Research on Women, Washington, DC, USA.
Sheila HarveyLondon School of Hygiene and Tropical Medicine (LSHTM), London, UK.
Sinead Delany-MoretlweWits RHI, Faculty of Health Sciences, University of the Witwatersrand, 22 Esselen Street, Hillbrow, Johannesburg, 2001, South Africa.
EMPOWER study team

Funding

Department for International Development PHGHZL69-14Evidence for HIV Prevention in Southern Africa MM/EHPSA/WHC/05150015South African Medical Research Council RFA-CC: TB/HIV/AIDS-01-2014
6 · The paper itself

Abstract

backgroundDaily oral pre-exposure prophylaxis (PrEP) can reduce HIV infection in adolescent girls and young women if used consistently during periods of risk. The EMPOWER study evaluated peer-based clubs incorporating an empowerment curriculum offered to adolescent girls and young women (16-24 years) in South Africa and Tanzania for adherence support.

methodsUsing serial in-depth interviews (n = 33), we assessed the benefits and challenges of club attendance among 13 EMPOWER participants in the Johannesburg site who were randomised to clubs. We used a summary matrix of coded data to support a narrative, case-based analysis. Four case studies are presented.

resultsClub participants reported benefits such as increased self-esteem and self-efficacy, reduced isolation, and greater insight into gender-based violence and strategies to address it. Day-to-day PrEP adherence was not the only topic discussed in clubs; participants also appreciated the safe space for sharing problems (such as relationship conflict and PrEP stigma) and found interactive exercises helpful in improving partner communication.

conclusionsFindings support the use of peer-based clubs using a structured empowerment approach, which may offer valuable PrEP initiation support to adolescent girls and young women in settings with high HIV and gender-based violence prevalence.

trial registrationPan African Clinical Trials Registry PACTR202006754762723 , 5 April  2020, retrospectively registered.

Indexed as

Social StigmaSocial SupportAdolescentAnti-HIV AgentsAttitude to HealthCounselingFemaleHealth EducationHIV InfectionsHumansNarrationPre-Exposure ProphylaxisSouth AfricaYoung AdultAnti-HIV AgentsAfricaClubsEmpowermentHIV preventionPrEPYoung women

Identifiers

PMID32590969
PMCPMC7320560

What OpenQuestion holds

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Registered trials

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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.