Evidence map›Paper›PMID 33407784›Full record

ArticleTrials2021

Testing strategies for couple engagement in prevention of mother-to-child transmission of HIV and family health in Kenya: study protocol for a randomized controlled trial.

Zachary Kwena, Liza Kimbo, Lynae A Darbes, Abigail M Hatcher, Anna Helova, George Owino, Harsha Thirumurthy, Elizabeth A Bukusi, Thomas Braun, Meredith Kilgore and 6 more

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

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03547739 (Testing Strategies for Couple Engagement in PMTCT and Family Health in Kenya), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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.

NCT03547739 nacompletednot on this map

Testing Strategies for Couple Engagement in PMTCT and Family Health in Kenya

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2019 to 2024Enrolled1,600ConditionsHuman Immunodeficiency VirusArmsHome visits, HIV Self-testing
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 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

16 authors at 7 institutions in 3 countries.

Zachary KwenaResearch, Care and Treatment Programme, Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya. zkwena@kemri-ucsf.org.ORCID http://orcid.org/0000-0002-5117-5084
Liza KimboDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Lynae A DarbesCenter for Sexuality and Health Disparities, Department of Health Behavior and Biological Sciences, School of Nursing, University of Michigan, Ann Arbor, MI, USA.
Abigail M HatcherSchool of Public Health, University of Witwatersrand, Johannesburg, South Africa.
Anna HelovaDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
George OwinoResearch, Care and Treatment Programme, Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Harsha ThirumurthyDepartment of Medical Ethics & Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Elizabeth A BukusiResearch, Care and Treatment Programme, Centre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Thomas BraunDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Meredith KilgoreDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Maria PisuDivision of Preventive Medicine, Department of Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Ashutosh TamhaneDepartment of Medicine, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Van T NghiemDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Kawango AgotImpact Research and Development Organization, Kisumu, Kenya.
Torsten B NeilandsDivision of Prevention Sciences, Department of Medicine, University of California San Francisco, San Francisco, USA.
Janet M TuranDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
University of Alabama at Birmingham · USKenya Medical Research Institute · KEUniversity of Michigan · USImpact Research and Development Organization · KEUniversity of California, San Francisco · USUniversity of Pennsylvania · USUniversity of the Witwatersrand · ZA

Funding

Testing Strategies for Couple Engagement in PMTCT and Family Health in KenyaR01MH116736 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DARBES, LYNAE A, TURAN, JANET M. · 2018 to 2023
$3.1M
NIH/NIMH R01MH116736NIMH NIH HHS R01 MH116736
6 · The paper itself

Abstract

backgroundHIV-related maternal deaths and HIV infection among infants remain unacceptably high across sub-Saharan Africa despite increased antenatal care attendance and provision of antiretroviral therapy to pregnant women. In the Jamii Bora ("Better Family" in Swahili) Study, we seek to test the efficacy of an interdependence theory-based couple intervention. The intervention reaches pregnant women and male partners through home visits by male-female pairs of lay health workers. The aim is to increase access to home-based couples' HIV testing and counseling services to improve family health.

methodsThis is a three-arm randomized control trial among 1080 pregnant women 15 years of age or older, living with their male partners, and who have not undergone couples' HIV testing and counseling in Kisumu and Migori Counties in Kenya. Couples will be randomized into three groups: home-based couple visits, HIV self-testing kits for couple use, or standard care (male partner clinic invitation letters). Participants will be followed up to 18 months postpartum. The study has three aims: in aim 1, we will determine the effects of the intervention on our primary outcome of couple HIV testing, compared to HIV self-testing kits and standard care; in aim 2, we will examine the intervention impact on HIV prevention behaviors, facility delivery, and postnatal healthcare utilization, as well as secondary health outcomes of maternal viral suppression and HIV-free child survival up to 18 months for couples living with HIV; and in aim 3, we will compare the cost-effectiveness of the home-based couple intervention to the less resource-intensive strategies used in the other two study arms. Assessments with couples are conducted at baseline, late pregnancy, and at months 3, 6, 12, and 18 after birth. DISCUSSION: The results from this study will inform decision-makers about the cost-effective strategies to engage pregnant couples in the prevention of mother-to-child transmission and family health, with important downstream benefits for maternal, paternal, and infant health.

trial registrationClinicalTrials.gov NCT03547739 . Registered on May 9, 2018.

Indexed as

HIV InfectionsInfectious Disease Transmission, VerticalChildCounselingFamily HealthFemaleHumansInfantKenyaMalePregnancyRandomized Controlled Trials as TopicAntiretroviral therapy (ART)Couple home testing and counseling (CHTC)Couple relationshipsHIV self-testing kits (HIVST)Intimate partner violence (IPV)Prevention of mother-to-child transmission (PMTCT)Randomized controlled trial (RCT)

Identifiers

PMID33407784
PMCPMC7788905
OpenAlexW3118448477

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.