Evidence map›Paper›PMID 35878051›Full record

ArticleThe Journal of the Association of Nurses in AIDS Care : JANAC

Mystery Shopper Assessment of PrEP Service Delivery Quality for Adolescent Girls and Young Women in Kenya: A Cross-sectional Study.

Pamela Kohler, Anna Larsen, Joseph Sila, Kate Wilson, Felix Abuna, Harison Lagat, George Owiti, Tamara Owens, Jillian Pintye, Barbra Richardson and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of the Association of Nurses in AIDS Care : JANAC. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. 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

12 authors.

Pamela KohlerPamela Kohler, PhD, MPH, RN, is an Associate Professor of Global Health and Child, Family, and Population Health Nursing at the University of Washington, Seattle, Washington, USA. Anna Larsen, MPH, is a PhD Candidate in the Department of Epidemiology at the University of Washington, Seattle, Washington, USA. Joseph Sila, BSc, is a Data Analyst with Kenyatta National Hospital, Kisumu, Kenya. Kate Wilson, PhD, was a Research Scientist with the Department of Global Health, University of Washington, Seattle, Washington, USA. Felix Abuna, BA, is a Project Director with Kenyatta National Hospital, Kisumu, Kenya. Harison Lagat, BSN, MPH, RN, is a Research Coordinator with Kenyatta National Hospital, Kisumu, Kenya, and PhD Student at the University of Washington School of Nursing, Seattle, Washington, USA. George Owiti, RN, is a Research Coordinator with Kenyatta National Hospital, Kisumu, Kenya. Tamara Owens, PhD, is the Director of the Clinical Skills and Simulation Center at Howard University, Washington, DC, USA. Jillian Pintye, PhD, MPH, RN, is Assistant Professor of Biobehavioral Nursing and Health Informatics at the University of Washington, Seattle, Washington, USA. Barbra Richardson, PhD, is a Statistician with the Department of Biostatistics at the University of Washington, Seattle, Washington, USA. Grace John-Stewart, MD, PhD, is a Professor of Global Health, Epidemiology, Pediatrics, and Allergy and Infectious Diseases at the University of Washington, Seattle, Washington, USA. John Kinuthia, MBChB, MPH, is Head of the Department of Research and Programs at Kenyatta National Hospital, Nairobi, Kenya.
Anna LarsenORCID 0000-0002-0096-9386
Joseph Sila
Kate Wilson
Felix Abuna
Harison Lagat
George OwitiORCID 0000-0001-7363-9970
Tamara Owens
Jillian Pintye
Barbra Richardson
Grace John-Stewart
John Kinuthia

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
PrEP optimized for mothers (PrOM): efficient PrEP integration in MCH clinicsR01HD094630 · NICHD · UNIVERSITY OF WASHINGTON · PI JOHN-STEWART, GRACE C., KOHLER, PAMELA · 2017 to 2021
$3.3M
NIAID NIH HHS P30 AI027757NICHD NIH HHS R01 HD094630
6 · The paper itself

Abstract

abstractPre-exposure prophylaxis (PrEP) uptake and adherence among adolescent girls and young women (AGYW) may be negatively influenced by poor interactions with health care providers. We assessed PrEP counseling using unannounced standardized patient actors (USPs) at routine care clinics in Kenya. Trained actors posed as AGYW seeking PrEP services following case scripts and completed a checklist of provider adherence to national guidelines and communication skills. Scores were converted into a percentage and compared using linear regression. The overall mean quality score was 52.1 and varied across case scripts: a married new initiator yielded higher scores than portrayals of adherence/stigma challenges, transactional sex, and a minor adolescent. Mean guideline scores (31.4) were lower than communication scores (72.8), although in 36.5% of encounters, USPs stated they would not seek help from that provider again. Unannounced standardized patients reported provider reluctance to offer PrEP to AGYW. Interventions to strengthen provider counseling skills are needed.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisAdolescentCross-Sectional StudiesFemaleHumansKenyaAnti-HIV Agents

Identifiers

PMID35878051
PMCPMC11493348

What OpenQuestion holds

Textmetadata
LicenceTDM
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.