Evidence map›Paper›PMID 33033996›Full record

Trial reportAIDS and behavior2021

Effect of Enhanced Adherence Package on Early ART Uptake Among HIV-Positive Pregnant Women in Zambia: An Individual Randomized Controlled Trial.

Mwangelwa Mubiana-Mbewe, Samuel Bosomprah, Jillian L Kadota, Aybüke Koyuncu, Thankian Kusanathan, Keith Mweebo, Kebby Musokotwane, Priscilla L Mulenga, Benjamin H Chi, Michael J Vinikoor

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02459678 (ART Readiness in HIV-infected Pregnant Women), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 33% 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.

NCT02459678 nacompletednot on this map

ART Readiness in HIV-infected Pregnant Women: From Formative Qualitative Research to Individual Randomized Trial

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2015 to 2018Enrolled454ConditionsHuman Immunodeficiency VirusArmsEnhanced Adherence Package, Standard of Care
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  3. Review
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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.

Mwangelwa Mubiana-MbeweCentre for Infectious Disease Research in Zambia, Plot 34620 Off Alick Nkhata Road, P.O. Box 34681, Lusaka, Zambia. Mwangelwa.Mbewe@cidrz.org.ORCID http://orcid.org/0000-0002-7122-842X
Samuel BosomprahCentre for Infectious Disease Research in Zambia, Plot 34620 Off Alick Nkhata Road, P.O. Box 34681, Lusaka, Zambia.
Jillian L KadotaCentre for Infectious Disease Research in Zambia, Plot 34620 Off Alick Nkhata Road, P.O. Box 34681, Lusaka, Zambia.
Aybüke KoyuncuCentre for Infectious Disease Research in Zambia, Plot 34620 Off Alick Nkhata Road, P.O. Box 34681, Lusaka, Zambia.
Thankian KusanathanDepartment of Gender Studies, University of Zambia, Lusaka, Zambia.
Keith MweeboPrevention, Care and Treatment Branch, U.S. Centers for Disease Control and Prevention, Lusaka, Zambia.
Kebby MusokotwanePrevention, Care and Treatment Branch, U.S. Centers for Disease Control and Prevention, Lusaka, Zambia.
Priscilla L MulengaDirectorate of Public Health, Zambian Ministry of Health, Lusaka, Zambia.
Benjamin H ChiDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.
Michael J VinikoorCentre for Infectious Disease Research in Zambia, Plot 34620 Off Alick Nkhata Road, P.O. Box 34681, Lusaka, Zambia.
Centre for Infectious Disease Research in Zambia · ZMMinistry of Health · ZMUniversity of North Carolina at Chapel Hill · USUniversity of Zambia · ZM

Funding

Mentoring new investigators in PMTCT implementation researchK24AI120796 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Benjamin H. Chi · 2016 to 2026
$1.3M
CDC HHS U01GH000530CGH CDC HHS U01 GH000530Intramural CDC HHS CC999999NIAID NIH HHS K24 AI120796
6 · The paper itself

Abstract

We evaluated the effect of an option B-plus Enhanced Adherence Package (BEAP), on early ART uptake in a randomized controlled trial. HIV-positive, ART naïve pregnant women in Lusaka, Zambia, were randomized to receive BEAP (phone calls/home visits, additional counseling, male partner engagement and missed-visit follow-up) versus standard of care (SOC). The primary outcome was initiating and remaining on ART at 30 days. Analysis was by intention to treat (ITT) using logistic regression. Additional per protocol analysis was done. We enrolled 454 women; 229 randomized to BEAP and 225 to SOC. Within 30 days of eligibility, 445 (98.2%) initiated ART. In ITT analysis, 82.5% BEAP versus 80.4% SOC participants reached primary outcome (crude relative risk [RR] 1.03; 95% confidence interval [CI] 0.91-1.16; Wald test statistic = 0.44; p-value = 0.66). In per protocol analysis, (92 participants (40.2%) excluded), 91.9% BEAP versus 80.4% SOC participants reached primary outcome (crude RR 1.14; 95% CI 1.02-1.29; Wald test statistic = 2.23; p-value = 0.03). Early ART initiation in pregnancy was nearly universal but there was early drop out suggesting need for additional adherence support.This trial was registered at ClinicalTrials.gov (trials number NCT02459678) on May 14, 2015.

Indexed as

AdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveDrug MonitoringFemaleHIV InfectionsHIV SeropositivityHumansMaleMedication AdherencePregnancyPregnant PeopleRetention in CareZambiaAnti-HIV AgentsAntiretroviral therapyEnhanced adherenceHIV seropositivityOption B + uptakePregnant women

Identifiers

PMID33033996
PMCPMC10580733
OpenAlexW3091841219

What OpenQuestion holds

Textmetadata
LicenceTDM
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.