Evidence map›Paper›PMID 35351714›Full record

ArticleBMJ open2022

Process evaluation for the adaptation, testing and dissemination of a mobile health platform to support people with HIV and tuberculosis in Irkutsk, Siberia.

Jacqueline Hodges, Ava Lena Waldman, Olga Koshkina, Alexey Suzdalnitsky, Jason Schwendinger, Serhiy Vitko, Alexey Plenskey, Yulia Plotnikova, Elena Moiseeva, Mikhail Koshcheyev and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03819374 (Improving HIV/Tuberculosis Outcomes in Irkutsk), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-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.

NCT03819374 completednot on this map

Improving HIV/Tuberculosis Outcomes in Irkutsk

TypeobservationalSponsorUniversity of VirginiaRan2018 to 2021Enrolled53ConditionsTuberculosis, HIV Infections, Substance Use
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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  5. Review
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  7. 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

15 authors at 4 institutions in 2 countries.

Jacqueline HodgesDivision of Infectious Diseases & International Health, University of Virginia Health System, Charlottesville, Virginia, USA jch6sd@virginia.edu.ORCID 0000-0001-9879-7502
Ava Lena WaldmanDivision of Infectious Diseases & International Health, University of Virginia Health System, Charlottesville, Virginia, USA.
Olga KoshkinaIrkutsk Regional Tuberculosis Referral Hospital, Irkutsk, Russian Federation.
Alexey SuzdalnitskyIrkutsk Regional Tuberculosis Referral Hospital, Irkutsk, Russian Federation.
Jason SchwendingerDivision of Infectious Diseases & International Health, University of Virginia Health System, Charlottesville, Virginia, USA.
Serhiy VitkoDivision of Infectious Diseases & International Health, University of Virginia Health System, Charlottesville, Virginia, USA.
Alexey PlenskeyIrkutsk Regional AIDS Centre, Irkutsk, Russian Federation.
Yulia PlotnikovaIrkutsk Regional AIDS Centre, Irkutsk, Russian Federation.
Elena MoiseevaIrkutsk Regional Tuberculosis Referral Hospital, Irkutsk, Russian Federation.
Mikhail KoshcheyevIrkutsk Regional Tuberculosis Referral Hospital, Irkutsk, Russian Federation.
Sergey SebekinIrkutsk Regional AIDS Centre, Irkutsk, Russian Federation.
Svetlana ZhdanovaDepartment of Epidemiology and Microbiology, Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russian Federation.
Oleg OgarkovDepartment of Epidemiology and Microbiology, Scientific Centre for Family Health and Human Reproduction Problems, Irkutsk, Russian Federation.
Scott HeysellDivision of Infectious Diseases & International Health, University of Virginia Health System, Charlottesville, Virginia, USA.
Rebecca DillinghamDivision of Infectious Diseases & International Health, University of Virginia Health System, Charlottesville, Virginia, USA.
University of Virginia Health System · USIrkutsk Regional Clinical Hospital · RUCentre for Prevention and Control of AIDS and Infectious Diseases · RUScientific Center of Family Health Problems and Human Reproduction · RU

Funding

INFECTIOUS DISEASES TRAINING PROGRAMT32AI007046 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Alison K Criss, William A Petri · 1985 to 2026
$15.3M
Novel approaches to understanding the role of cannabinoids and inflammation in anxietyR01DA044131 · NIDA · UNIVERSITY OF COLORADO · PI BIDWELL, L. CINNAMON · 2017 to 2021
$2.8M
Individualized approaches to the HIV/TB epidemic among polysubstance users in IrkutskR01DA044137 · NIDA · UNIVERSITY OF VIRGINIA · PI HEYSELL, SCOTT K · 2017 to 2019
$600k
NIAID NIH HHS T32 AI007046NIDA NIH HHS R01 DA044131
6 · The paper itself

Abstract

objectivesWe developed and tested a mobile health-based programme to enhance integration of HIV and tuberculosis (TB) care and to promote a patient-centred approach in a region of high coinfection burden. Phases of programme development included planning, stakeholder interviews and platform re-build, testing and iteration.

settingIn Irkutsk, Siberia, HIV/TB coinfection prevalence is high relative to the rest of the Russian Federation.

participantsPilot testing occurred for a cohort of 60 people with HIV and TB.

resultsKey steps emerged to ensure the mobile health-based programme could be operational and adequately adapted for the context, including platform language adaptation, optimisation of server management, iteration of platform features, and organisational practice integration. Pilot testing of the platform rebuild yielded favourable patient perceptions of usability and acceptability at 6 months (n=47 surveyed), with 18 of 20 items showing scores above 4 (on a scale from 1 to 5) on average. Development of this mobile health-based programme for integrated care of infections highlighted the importance of several considerations for tailoring these interventions contextually, including language adaptation and technological capacity, but also, importantly, contextualised patient preferences related to privacy and communication with peers and/or providers, existing regional capacity for care coordination of different comorbidities, and infection severity and treatment requirements.

conclusionsOur experience demonstrated that integration of care for TB and HIV can be well served by using multimodal mobile health-based programmes, which can enhance communication and streamline workflow between providers across multiple collaborating institutions and improve continuity between inpatient and outpatient care settings. Further study of programme impact on contextual disease-related stigma and social isolation as well as evaluation of implementation on a broader scale for HIV care is currently under way. TRIAL REGISTRATION NUMBER: NCT03819374.

Indexed as

CoinfectionHIV InfectionsTelemedicineTuberculosisHumansSiberiaHIV & AIDSpublic healthtuberculosis

Identifiers

PMID35351714
PMCPMC8966533
OpenAlexW4220769016

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.