Evidence map›Paper›PMID 35681158›Full record

ArticleBMC women's health2022

Adaptive leadership in clinical encounters with women living with HIV.

Schenita D Randolph, Ragan Johnson, Kara McGee, Adaora A Adimora, Catalina Ramirez, Donald E Bailey, Lauren Holt, Amie Koch, Jacquelyn M McMillian-Bohler, Tiarney Ritchwood and 1 more

Abstract read
In one paragraph

Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The Provider's Role in Retaining Black Women With HIV in Care: A Scoping Review.Journal of the International Association of Providers of AIDS Care
    Article
  5. 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

11 authors.

Schenita D RandolphDuke University School of Nursing, Durham, NC, USA. schenita.randolph@duke.edu.
Ragan JohnsonDuke University School of Nursing, Durham, NC, USA.
Kara McGeeDuke University School of Nursing, Durham, NC, USA.
Adaora A AdimoraSarah Graham Kenan Distinguished Professor of Medicine, Department of Epidemiology, School of Medicine, Gillings School of Global Public Health at the University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Catalina RamirezSchool of Medicine and the Project Director for the Women's Interagency HIV Study at the University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Donald E BaileyDuke University School of Nursing, Durham, NC, USA.
Lauren HoltDuke University School of Nursing, Durham, NC, USA.
Amie KochDuke University School of Nursing, Durham, NC, USA.
Jacquelyn M McMillian-BohlerDuke University School of Nursing, Durham, NC, USA.
Tiarney RitchwoodDepartment of Family Medicine and Community Health, Duke University School of Medicine, Durham, NC, USA.
Michael V RelfDuke University School of Nursing, Durham, NC, USA.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
University of North Carolina Womens Interagency HIV Study UNC WIHSU01AI103390 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ADIMORA, ADAORA A · 2013 to 2018
$11.0M
Research Project 3U54MD012530 · NIMHD · DUKE UNIVERSITY · PI JOHNSON, KIMBERLY S. · 2017 to 2022
$8.8M
UCLA Implementation Science and Substance Use Research and Education (ISSURE) ProgramR25DA035692 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMOTHY W FONG, GAIL E. WYATT · 2013 to 2026
$3.9M
Scholarship and Mentoring CoreP30NR014139 · NINR · DUKE UNIVERSITY · PI BAILEY, DONALD E, DOCHERTY, SHARRON L · 2012 to 2016
$2.3M
Social support to retain adolescents living with HIV in care and improve ART adherenceK08MH118965 · NIMH · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI RITCHWOOD, TIARNEY D · 2019 to 2023
$908k
NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI064518NIAID NIH HHS U01 AI103390NIDA NIH HHS R25 DA035692NIMHD NIH HHS U54 MD012530NIMH NIH HHS K08 MH118965NINR NIH HHS P30 NR014139
6 · The paper itself

Abstract

backgroundWomen living with HIV (WLWH) report low engagement in health care, missed office visits, and less engagement in the clinical encounter. Strengthening the clinical encounter for WLWH may improve health outcomes and quality of life. The Adaptive Leadership Framework for Chronic Illness offers specific adaptive leadership strategies for providers to improve patient-provider interactions. The purpose of this study was to examine adaptive leadership behaviors that contribute to the development of effective patient-provider communication from the perspectives of WLWH.

methodsThe descriptive, cross-sectional and qualitative study conducted interviews with 22 WLWH to assess perceptions of the clinical encounter related to HIV-related stigma, engagement in care, medical distrust, and experiences with discrimination and quality of life. Members of the study team using a set of a priori codes analyzed data using NVivo 12.0.

resultsParticipants described two primary themes and subthemes of each for adaptive leadership behaviors. The primary theme for adaptive leadership of providers was "my provider cares about me"; subthemes were communication, trust building takes time, and supportive providers are trusted. The primary theme for adaptive leadership of WLWH themselves was "I care about me; subthemes were self-advocacy and self-empowerment.

conclusionsProviders can use adaptive leadership behaviors during clinical encounters to support WLWH, improve patient-provider communication, enhance trust, and improve patient outcomes.

Indexed as

HIV InfectionsCross-Sectional StudiesFemaleHumansLeadershipQualitative ResearchQuality of LifeSocial StigmaAdaptive leadership frameworkClinical encounterWomen living with HIV (WLHV)

Identifiers

PMID35681158
PMCPMC9185975

What OpenQuestion holds

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LicenceCC BY
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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.