Evidence map›Paper›PMID 34860679›Full record

ArticleJMIR research protocols2021

Utility of a Machine-Guided Tool for Assessing Risk Behavior Associated With Contracting HIV in Three Sites in South Africa: Protocol for an In-Field Evaluation.

Mohammed Majam, Mothepane Phatsoane, Keith Hanna, Charles Faul, Lovkesh Arora, Sarvesh Makthal, Akhil Kumar, Kashyap Jois, Samanta Tresha Lalla-Edward

Abstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. The role of machine learning in HIV risk prediction.Frontiers in reproductive health · 2022
    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

9 authors.

Mohammed MajamEzintsha, Faculty of Health Sciences, University of Witswatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0003-0302-5353
Mothepane PhatsoaneEzintsha, Faculty of Health Sciences, University of Witswatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-6925-0428
Keith HannaIPRD Solutions, New York, NY, United States.ORCID https://orcid.org/0000-0001-8938-0422
Charles FaulIPRD Solutions, New York, NY, United States.ORCID https://orcid.org/0000-0002-4473-6365
Lovkesh AroraIPRD Solutions, New York, NY, United States.ORCID https://orcid.org/0000-0002-3427-1082
Sarvesh MakthalIPRD Solutions, New York, NY, United States.ORCID https://orcid.org/0000-0002-6455-2256
Akhil KumarIPRD Solutions, New York, NY, United States.ORCID https://orcid.org/0000-0002-8925-4247
Kashyap JoisIPRD Solutions, New York, NY, United States.ORCID https://orcid.org/0000-0001-6888-8067
Samanta Tresha Lalla-EdwardEzintsha, Faculty of Health Sciences, University of Witswatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0003-3597-1643

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile technology has helped to advance health programs, and studies have shown that an automated risk prediction model can successfully be used to identify patients who exhibit a high probable risk of contracting human immunodeficiency virus (HIV). A machine-guided tool is an algorithm that takes a set of subjective and objective answers from a simple questionnaire and computes an HIV risk assessment score.

objectiveThe primary objective of this study is to establish that machine learning can be used to develop machine-guided tools and give us a deeper statistical understanding of the correlation between certain behavioral patterns and HIV.

methodsIn total, 200 HIV-negative adult individuals across three South African study sites each (two semirural and one urban) will be recruited. Study processes will include (1) completing a series of questions (demographic, sexual behavior and history, personal, lifestyle, and symptoms) on an application system, unaided (assistance will only be provided upon user request); (2) two HIV tests (one per study visit) being performed by a nurse/counselor according to South African national guidelines (to evaluate the prediction accuracy of the tool); and (3) communicating test results and completing a user experience survey questionnaire. The output metrics for this study will be computed by using the participants' risk assessment scores as "predictions" and the test results as the "ground truth." Analyses will be completed after visit 1 and then again after visit 2. All risk assessment scores will be used to calculate the reliability of the machine-guided tool.

resultsEthical approval was received from the University of Witwatersrand Human Research Ethics Committee (HREC; ethics reference no. 200312) on August 20, 2020. This study is ongoing. Data collection has commenced and is expected to be completed in the second half of 2021. We will report on the machine-guided tool's performance and usability, together with user satisfaction and recommendations for improvement.

conclusionsMachine-guided risk assessment tools can provide a cost-effective alternative to large-scale HIV screening and help in providing targeted counseling and testing to prevent the spread of HIV.

trial registrationSouth African National Clinical Trial Registry DOH-27-042021-679; https://sanctr.samrc.ac.za/TrialDisplay.aspx?TrialID=5545. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/30304.

Indexed as

algorithmHIVHIV statusmachine learningmodelingpredictive riskrisk assessmentSouth Africa

Identifiers

PMID34860679
PMCPMC8686409

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Registered trials

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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.