Evidence map›Paper›PMID 35182281›Full record

ArticleAIDS and behavior2022

Perceptions and Practicalities Influencing Pre-exposure Prophylaxis Adherence Among Men Who Have Sex with Men in England.

Dora Arnold-Forster, Robert Horne, Will Nutland, Sonali Wayal, Michael Rayment, Caroline Rae, Monica Desai, Amanda Clarke, Ann Sullivan, Sheena McCormack and 1 more

Open access · hybridAbstract read
In one paragraph

Article in AIDS and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-weighted citation impact, top 14% 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.

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

15 citing papers in PubMed, 17 citations in OpenAlex.

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  15. Development of a Digital Intervention Incorporating Habit Formation Techniques for Medication Adherence.Inquiry : a journal of medical care organization, provision and financing
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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

11 authors at 5 institutions in 1 country.

Dora Arnold-ForsterDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, Kepple Street, London, WC1E 7HT, UK.
Robert HorneSchool of Pharmacy, University College London, London, UK.
Will NutlandPrepster, London, UK.
Sonali WayalInstitute for Global Health, University College London, London, UK.
Michael RaymentChelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Caroline RaeChelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Monica DesaiNational Institute for Health and Care Excellence, London, UK.
Amanda ClarkeClaude Nicol Centre, Royal Sussex County Hospital, Brighton, UK.
Ann SullivanChelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Sheena McCormackChelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Mitzy GafosDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, Kepple Street, London, WC1E 7HT, UK. Mitzy.Gafos@lshtm.ac.uk.ORCID http://orcid.org/0000-0002-7894-1498
Chelsea and Westminster Hospital NHS Foundation Trust · GBUniversity College London · GBUniversity of London · GBNational Institute for Health and Care Excellence · GBRoyal Sussex County Hospital · GB

Funding

Medical Research Council MC_UU_00004/03
6 · The paper itself

Abstract

PrEP is highly effective for HIV prevention but requires adequate adherence. In this paper we use the perceptions and practicalities approach (PAPA) to identify factors that influenced PrEP adherence using qualitative data from the PROUD study. From February 2014 to January 2016, we interviewed 41 gay, bisexual and other men-who-have-sex-with-men and one trans woman who were enrolled in the study. We purposively recruited participants for interview based on trial arm allocation, adherence and sexual risk behaviours. The interviews were conducted in English, audio-recorded, transcribed, coded and analysed using framework analysis. Participants in general were highly motivated to use and adhere to PrEP, and this was linked to strong perceptions of personal necessity for PrEP as they felt at risk of HIV and viewed PrEP as highly effective. On the other hand, concerns about side effects and HIV resistance did inhibit PrEP initiation and adherence although this was uncommon. Practical factors such as daily routine, existing habitual pill-taking and pill storage impacted adherence. Drug and alcohol use rarely caused participants to miss doses. These findings indicate that using the principals of PAPA to unpick influencers of PrEP use, could help tailor adherence support in PrEP programmes.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisSexual and Gender MinoritiesEnglandFemaleHomosexuality, MaleHumansMaleMedication AdherenceAnti-HIV AgentsAdherencePerceptions and practicalities approach (PAPA)Pre-exposure prophylaxis (PrEP)

Identifiers

PMID35182281
PMCPMC9252952
OpenAlexW4213211779

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.