Evidence map›Paper›PMID 33891233›Full record

ArticleAIDS and behavior2021

Outcomes of Implementing in the Real World the Women's Health CoOp Intervention in Cape Town, South Africa.

Wendee M Wechsberg, Felicia A Browne, Jacqueline Ndirangu, Courtney Peasant Bonner, Tracy L Kline, Margaret Gichane, William A Zule

Registry-linked trialOpen access · hybridAbstract 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. It is linked to trial NCT02733003 (Implementation Research for Vulnerable Women in South Africa), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.8field-weighted citation impact, top 7% 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.

NCT02733003 nacompletednot on this map

Implementation Research for Vulnerable Women in South Africa

TypeinterventionalSponsorRTI InternationalRan2015 to 2018Enrolled564ConditionsHIV, Substance AbuseArmsWomen's Health CoOp (WHC)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. 'We have goals but [it is difficult]'. Barriers to antiretroviral therapy adherence among women using alcohol and other drugs living with HIV in South Africa.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  10. Review
  11. Article
  12. 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 3 institutions in 2 countries.

Wendee M WechsbergSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA. wmw@rti.org.ORCID http://orcid.org/0000-0002-5146-6463
Felicia A BrowneSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA.
Jacqueline NdiranguSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA.
Courtney Peasant BonnerSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA.
Tracy L KlineDivision for Statistical and Data Sciences, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709, USA.
Margaret GichaneSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA.
William A ZuleSubstance Use, Gender, and Applied Research Program, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709-2194, USA.
RTI International · USNorth Carolina State University · USUniversity of North Carolina at Chapel Hill · US

Funding

Implementation Research for Vulnerable Women in South AfricaR01AA022882 · NIAAA · RESEARCH TRIANGLE INSTITUTE · PI WECHSBERG, WENDEE M · 2014 to 2018
$3.2M
NIAAA NIH HHS R01 AA022882NIAAA NIH HHS R01AA022882
6 · The paper itself

Abstract

Women in South Africa living with HIV who use alcohol may not adhere to ART, affecting the country's 90-90-90 targets. The Women's Health CoOp (WHC), a woman-focused HIV intervention, has shown efficacy in numerous trials with key populations of women in South Africa who use alcohol and drugs. In a hybrid implementation effectiveness study, the WHC was implemented in usual care clinics by healthcare providers in a modified stepped-wedge design. We present the outcomes of alcohol use and ART adherence with 480 women, with a 95% 6-month follow-up rate across 4 implementation cycles. Compared with the first cycle, women in the fourth cycle were significantly less likely (OR = 0.10 [95% CI 0.04, 0.24]) to report alcohol use disorder risk and were 4 times more likely (OR = 4.16 [95% CI 1.05, 16.51]) to report ART adherence at 6-month follow-up. Overall, acceptability and satisfaction were extremely high. The WHC intervention was successful in reaching key populations of women to reduce alcohol use and increase ART adherence, which is essential for South Africa to reach the 90-90-90 goals.

Indexed as

Anti-HIV AgentsHIV InfectionsAlcohol DrinkingEthanolFemaleHumansSouth AfricaWomen's HealthAnti-HIV AgentsEthanolART adherenceGender-focusedHIV interventionHybrid designImplementation sciencePatient satisfaction

Identifiers

PMID33891233
PMCPMC8063777
OpenAlexW3154143566

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.