Evidence map›Paper›PMID 34016158›Full record

ArticleTrials2021

The Drinkers' Intervention to Prevent Tuberculosis (DIPT) trial among heavy drinkers living with HIV in Uganda: study protocol of a 2×2 factorial trial.

Sara Lodi, Nneka I Emenyonu, Kara Marson, Dalsone Kwarisiima, Robin Fatch, Michael G McDonell, Debbie M Cheng, Harsha Thirumurthy, Monica Gandhi, Carol S Camlin and 3 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 NCT03492216 (Drinkers' Intervention to Prevent Tuberculosis), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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.

NCT03492216 nacompletednot on this map

Drinkers' Intervention to Prevent Tuberculosis (DIPT Study)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2018 to 2022Enrolled680ConditionsHIV/AIDS, TuberculosisArmsIncentives for negative EtG test, Incentives for positive IsoScreen test
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 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

13 authors at 6 institutions in 2 countries.

Sara LodiDepartment of Biostatistics, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, MA, 02118, USA. slodi@bu.edu.ORCID http://orcid.org/0000-0002-9419-7830
Nneka I EmenyonuDivision of HIV, Infectious Disease and Global Medicine, University of California San Francisco, San Francisco, USA.
Kara MarsonDivision of HIV, Infectious Disease and Global Medicine, University of California San Francisco, San Francisco, USA.
Dalsone KwarisiimaInfectious Diseases Research Collaboration, Kampala, Uganda.
Robin FatchDivision of HIV, Infectious Disease and Global Medicine, University of California San Francisco, San Francisco, USA.
Michael G McDonellElson S. Floyd College of Medicine, Washington State University, Spokane, USA.
Debbie M ChengDepartment of Biostatistics, Boston University School of Public Health, 801 Massachusetts Avenue, Boston, MA, 02118, USA.
Harsha ThirumurthyPerelman School of Medicine at the University of Pennsylvania, Philadelphia, USA.
Monica GandhiDivision of HIV, Infectious Disease and Global Medicine, University of California San Francisco, San Francisco, USA.
Carol S CamlinDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, USA.
Winnie R MuyindikeGlobal Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda.
Judith A HahnDivision of HIV, Infectious Disease and Global Medicine, University of California San Francisco, San Francisco, USA.
Gabriel ChamieDivision of HIV, Infectious Disease and Global Medicine, University of California San Francisco, San Francisco, USA.
University of California, San Francisco · USBoston University · USInfectious Diseases Research Collaboration · UGMbarara University of Science and Technology · UGUniversity of Pennsylvania · USWashington State University Spokane · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH, DEBBIE M. CHENG · 1998 to 2026
$51.7M
Interventions to reduce alcohol use and increase adherence to TB preventive therapy among HIV/TB co-infected drinkers (DIPT 1/2)U01AA026223 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAHN, JUDITH ALISSA · 2017 to 2021
$2.8M
Interventions to reduce alcohol use and increase adherence to TB preventive therapy among HIV/TB co-infected drinkers (DIPT 2/2)U01AA026221 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHAMIE, GABRIEL · 2017 to 2021
$2.7M
NIAAA NIH HHS U01 AA026221NIAAA NIH HHS U01AA026221NIAAA NIH HHS U01 AA026223NIAAA NIH HHS U01AA026223NIAID NIH HHS P30 AI027763NIAID NIH HHS P30 AI042853NIH HHS P30AI042853
6 · The paper itself

Abstract

backgroundThe risk of tuberculosis (TB) is high among people with HIV (PWH). Heavy alcohol drinking independently increases TB risk and approximately 25% of PWH globally engage in heavy drinking. While isoniazid (INH) preventive therapy decreases TB incidence and mortality among PWH, heavy drinking during INH is associated with liver toxicity and poor adherence. Interventions are, therefore, urgently needed to decrease alcohol use and improve adherence to INH in this population in settings with high prevalence of HIV and TB like Uganda.

methodsThe Drinkers' Intervention to Prevent TB (DIPT) study is a 2×2 factorial randomized controlled trial among HIV/TB co-infected adults (≥18 years) who engage in heavy alcohol drinking and live in Uganda. The trial will allocate 680 participants with a 1:1:1:1 individual randomization to receive 6 months of INH and one of the following interventions: (1) no incentives (control), (2) financial incentives contingent on low alcohol use, (3) financial incentives contingent on high adherence to INH, and (4) escalating financial incentives for both decreasing alcohol use and increasing adherence to INH. Incentives will be in the form of escalating lottery-based monetary rewards. Participants will attend monthly visits to refill isoniazid medications, undergo liver toxicity monitoring, and, except for controls, determine eligibility for prizes. We will estimate (a) the effect of incentives contingent on low alcohol use on reduction in heavy drinking, measured via a long-term objective and self-reported metric of alcohol use, at 3- and 6-month study visits, and (b) the effect of incentives contingent on high adherence to INH, measured as >90% pill-taking days by medication event monitoring system cap opening. We will use qualitative methods to explore the mechanisms of any influence of financial incentives on HIV virologic suppression. DISCUSSION: This study will provide new information on low-cost strategies to both reduce alcohol use and increase INH adherence among people with HIV and TB infection who engage in heavy drinking in low-income countries with high HIV and TB prevalence.

trial registrationClinicalTrials.gov NCT03492216 . Registered on April 10, 2018.

Indexed as

HIV InfectionsTuberculosisAdultAntitubercular AgentsHumansIsoniazidMotivationRandomized Controlled Trials as TopicUgandaAntitubercular AgentsIsoniazidAdherenceAlcohol drinkingContingency managementHIVIncentivesIsoniazid preventive therapyIsoscreenPhosphatidylethanolPoint of careRandomized controlled trialTuberculosisUrine ethyl glucuronide

Identifiers

PMID34016158
PMCPMC8136096
OpenAlexW3161561680

What OpenQuestion holds

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LicenceCC BY
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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.