Evidence map›Paper›PMID 33105394›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2021

Reduction in Stigma Drivers Partially Mediates the Effect of a Stigma Reduction Intervention Among Nursing Students in India: The DriSti Cluster Randomized Controlled Trial.

Krishnamachari Srinivasan, Elsa Heylen, Tony Raj, Laura Nyblade, Dhinagaran Devadass, Matilda Pereira, Maria L Ekstrand

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.1field-weighted citation impact, top 44% 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.

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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Overcoming Stigma: The Human Side of Monkeypox Virus.Advances in experimental medicine and biology · 2024
    Review
  5. Article
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

7 authors at 2 institutions in 2 countries.

Krishnamachari SrinivasanDivision of Mental Health and Neurosciences, St John's Research Institute and St. John's Medical College, Bangalore, India.
Elsa HeylenDivision of Prevention Sciences, Department of Medicine, University of California, San Francisco, CA.
Tony RajDivision of Medical Informatics, St John's Research Institute, and St. John's Medical College, Bangalore, India; and.
Laura NybladeGlobal Health Division, International Development Group, RTI International, Washington, DC.
Dhinagaran DevadassDivision of Medical Informatics, St John's Research Institute, and St. John's Medical College, Bangalore, India; and.
Matilda PereiraDivision of Prevention Sciences, Department of Medicine, University of California, San Francisco, CA.
Maria L EkstrandDivision of Prevention Sciences, Department of Medicine, University of California, San Francisco, CA.
St.John's Medical College Hospital · INUniversity of California, San Francisco · US

Funding

Reducing AIDS stigma among health professionals in South IndiaR01MH093257 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EKSTRAND, MARIA L. · 2013 to 2017
$2.6M
NIMH NIH HHS R01 MH093257
6 · The paper itself

Abstract

backgroundHIV stigma in health care settings acts as a significant barrier to health care. Stigma drivers among health professionals include transmission fears and misconceptions and pre-existing negative attitudes toward marginalized groups vulnerable to HIV. The DriSti intervention, consisted of 2 sessions with videos and interactive exercises on a computer tablet and one interactive face-to-face group session, mostly tablet administered, was designed to target key stigma drivers that included instrumental stigma, symbolic stigma, transmission misconceptions and blame to reduce HIV stigma, and discrimination among nursing students (NS) and ward staff and tested in a cluster randomized trial.

settingThis report focuses on second and third year NS recruited from a range of nursing schools that included private, nonprofit, and government-run nursing schools in south India.

resultsSix hundred seventy-nine NS received intervention and 813 NS were in the wait-list control group. Twelve months outcome analyses showed significant reduction among intervention participants in endorsement of coercive policies (P < 0.001) and in the number of situations in which NS intended to discriminate against PLWH (P < 0.001). Mediation analysis revealed that the effects of intervention on endorsement of coercive policies and intent to discriminate against PLWH were partially mediated by reductions in key stigma drivers.

conclusionsThis brief scalable stigma reduction intervention targeting key stigma drivers fills a critical gap in identifying the mechanistic pathways that aid in stigma reduction among health professionals.

Indexed as

Social StigmaStudents, NursingAttitude of Health PersonnelFemaleHealth FacilitiesHealth PersonnelHIV InfectionsHumansIndiaMaleSex WorkersYoung Adult

Identifiers

PMID33105394
PMCPMC7884286
OpenAlexW3094429637

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.