Evidence map›Paper›PMID 33559775›Full record

ArticleAIDS and behavior2021

The Patient Reported Outcomes as a Clinical Tool (PROACT) Pilot Study: What Can be Gained by Sharing Computerized Patient-Reported Mental Health and Substance Use Symptoms with Providers in HIV Care?

Sarah M Jabour, Geetanjali Chander, Kristin A Riekert, Jeanne C Keruly, Kayla Herne, Heidi Hutton, Mary Catherine Beach, Bryan Lau, Richard D Moore, Anne K Monroe

Abstract read
In one paragraph

Article in AIDS and behavior, 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
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
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.

Sarah M JabourDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Geetanjali ChanderDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Kristin A RiekertDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jeanne C KerulyDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Kayla HerneDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Heidi HuttonDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Mary Catherine BeachDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Bryan LauDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Richard D MooreDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Anne K MonroeDepartment of Medicine, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. amonroe@gwu.edu.ORCID http://orcid.org/0000-0003-3201-3845

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Anna Palmer Durbin · 2012 to 2026
$67.0M
Johns Hopkins HIV Clinical CohortU01DA036935 · NIDA · JOHNS HOPKINS UNIVERSITY · PI MOORE, RICHARD DOUGLAS · 2014 to 2024
$14.9M
Alcohol Research Consortium in HIV: Relapse Prevention ArmP01AA029544 · NIAAA · JOHNS HOPKINS UNIVERSITY · PI HUTTON, HEIDI · 2021 to 2025
$7.1M
Maximizing respect and improving outcomes in HIV and substance abuse (MaRIPOHSA)R01DA037601 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2014 to 2019
$3.1M
Mentoring and Patient Oriented Research at the Nexus of Unhealthy Alcohol Use and HIVK24AA027483 · NIAAA · UNIVERSITY OF WASHINGTON · PI GEETANJALI CHANDER · 2019 to 2026
$1.3M
Communication Quality and Patient Outcomes in HIV/AIDS and Substance AbuseK24DA037804 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2015 to 2019
$923k
Leveraging Patient-Reported Outcomes to Improve Retention in HIV CareK23MH105284 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MONROE, ANNE KRESS · 2014 to 2016
$525k
National Institute of Allergy and Infectious Diseases P30AI094189NIAAA NIH HHS K24 AA027483NIAAA NIH HHS P01 AA029544NIAID NIH HHS P30 AI094189NIDA NIH HHS K24 DA037804NIDA NIH HHS R01 DA037601NIDA NIH HHS U01 DA036935NIMH NIH HHS K23 MH 105284NIMH NIH HHS K23 MH105284
6 · The paper itself

Abstract

Substance use and mental health (SU/MH) disorders are insufficiently recognized in HIV care. We examined whether conveying SU/MH screening results to patients and providers increased SU/MH discussions and action plans. Intervention participants completed a computerized patient-reported questionnaire before their HIV visit; screened positive on ≥ 1 measure: depression, anxiety, PTSD symptoms, at-risk alcohol use, or drug use; and reviewed screening results to decide which to prioritize with their provider. Screening results and clinical recommendations were conveyed to providers via medical record. A historic control included patients with positive screens but no conveyance to patient or provider. The patient-provider encounter was audio-recorded, transcribed, and coded. For the overall sample (n = 70; 38 control, 32 intervention), mean age (SD) was 51.8 (10.3), 61.4% were male, and 82.9% were Black. Overall, 93.8% raised SU/MH in the intervention compared to 50.0% in the control (p < 0.001). Action plans were made for 40.0% of intervention and 10.5% of control encounters (p = 0.049). Conveying screening results with clinical recommendations increased SU/MH action plans, warranting further research on this intervention to address SU/MH needs.

Indexed as

HIV InfectionsSubstance-Related DisordersHumansMaleMental HealthPatient Reported Outcome MeasuresPilot ProjectsHIV careMental healthPatient-reported outcomesSubstance use

Identifiers

PMID33559775
PMCPMC9317999

What OpenQuestion holds

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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.