Evidence map›Paper›PMID 35086504›Full record

ArticleBMC psychiatry2022

An interventional pilot of customized adherence enhancement combined with long-acting injectable antipsychotic medication (CAE-L) for poorly adherent patients with chronic psychotic disorder in Tanzania.

Jessie Mbwambo, Sylvia Kaaya, Isaac Lema, Christopher J Burant, Catherine Magwiza, Kim Madundo, Godwin Njiro, Carol E Blixen, Kristin A Cassidy, Jennifer B Levin and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04327843 (Reducing the Burden of Chronic Psychotic Disorders in Tanzania), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 41% 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.

NCT04327843 phase3completednot on this map

Reducing the Burden of Chronic Psychotic Disorders in Tanzania

TypeinterventionalSponsorCase Western Reserve UniversityRan2019 to 2020Enrolled22ConditionsSchizophrenia, Medication Nonadherence, Schizo Affective DisorderArmsCustomized Adherence Enhancement, Haloperidol Decanoate
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Real-world comprehensive care of people living with schizophrenia: recommendations across different settings and clinical stages.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  2. 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

11 authors at 3 institutions in 2 countries.

Jessie MbwamboDepartment of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, School of Medicine, Dar es Salaam, Tanzania.
Sylvia KaayaDepartment of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, School of Medicine, Dar es Salaam, Tanzania.
Isaac LemaDepartment of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, School of Medicine, Dar es Salaam, Tanzania.
Christopher J BurantFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Catherine MagwizaDepartment of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, School of Medicine, Dar es Salaam, Tanzania.
Kim MadundoDepartment of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, School of Medicine, Dar es Salaam, Tanzania.
Godwin NjiroDepartment of Psychiatry and Mental Health, Muhimbili University of Health and Allied Sciences, School of Medicine, Dar es Salaam, Tanzania.
Carol E BlixenDepartment of Psychiatry and Neurological & Behavioral Outcomes Center, Case Western Reserve University School of Medicine and University Hospitals Case Medical Center, Cleveland, OH, USA.
Kristin A CassidyDepartment of Psychiatry and Neurological & Behavioral Outcomes Center, Case Western Reserve University School of Medicine and University Hospitals Case Medical Center, Cleveland, OH, USA.
Jennifer B LevinDepartment of Psychiatry and Neurological & Behavioral Outcomes Center, Case Western Reserve University School of Medicine and University Hospitals Case Medical Center, Cleveland, OH, USA.
Martha SajatovicDepartment of Psychiatry & of Neurology, Case Western Reserve University School of Medicine and University Hospitals Cleveland Medical Center, W.O. Walker Bldg, 7th Floor, 10524 Euclid Avenue, Cleveland, OH, 44106, USA. martha.sajatovic@uhhospitals.org.
Muhimbili University of Health and Allied Sciences · TZUniversity Hospitals Case Medical Center · USCase Western Reserve University · US

Funding

Reducing the Burden of Chronic Psychotic Disorders in TanzaniaR21MH114700 · NIMH · CASE WESTERN RESERVE UNIVERSITY · PI MBWAMBO, JESSIE K, SAJATOVIC, MARTHA X · 2017 to 2018
$348k
NIMH NIH HHS R21 MH114700
6 · The paper itself

Abstract

backgroundChronic psychotic disorders (CPD) impose a particularly significant burden in resource-limited settings. Combining long-acting antipsychotic medication (LAI) with a customized adherence enhancement intervention (CAE-L) has potential to advance care.

methodsNineteen adults ≥ age 18 with CPD who self-reported missing ≥20% of antipsychotic medication within the last month were stabilized on oral haloperidol prior to transitioning to monthly haloperidol decanote for 25 weeks. Outcome evaluations were conducted at baseline and Week 25. Primary outcomes were oral medication adherence assessed via the Tablet Routines Questionnaire (TRQ) and LAI injection frequency. Secondary outcomes included CPD symptoms measured by the Brief Psychiatric Rating Scale and Clinical Global Impressions, functioning evaluated using the Social and Occupational Functioning Scale, and medication attitudes assessed with the Drug Attitudes Inventory.

resultsMean sample age was 38.79 (SD = 9.31) with 18 individuals completing the study. There was one serious adverse event, a relapse into substance use, not deemed study-related. Mean endpoint LAI dosage was 65.79 mg (SD = 22.38). TRQ mean scores were 21.84 (SD =13.83) and 12.94 (SD = 11.93) at screen and baseline respectively. For only two individuals who were on concomitant oral medication at 25 weeks, TRQ change was not calculated. LAI injection frequency was 100%. Medication attitudes scores significantly improved from 7.89 (SD = 2.72) to 9.83 (SD = 0.52) (p = .001.) Changes in CPD symptoms and functioning were non-significant.

conclusionsCAE-L appears to be preliminarily feasible and acceptable in Tanzanians with CPD.

trial registrationThe study was registered on ClinicalTrials.gov (NCT04327843) on March 31, 2020.

Indexed as

Antipsychotic AgentsPsychotic DisordersAdolescentAdultDelayed-Action PreparationsHaloperidolHumansMedication AdherencePilot ProjectsTanzaniaAntipsychotic AgentsDelayed-Action PreparationsHaloperidolAntipsychoticPsychosisSchizophreniaTreatment adherence

Identifiers

PMID35086504
PMCPMC8793204
OpenAlexW4210443615

What OpenQuestion holds

Textmetadata
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.