Evidence map›Paper›PMID 36334215›Full record

ArticleAIDS and behavior2023

A Cost-Effective Analysis of Motivational Interviewing with Palliative Care Versus Usual Care: Results from the Living Well Project.

Victoria Phillips, Tammie E Quest, Melinda Higgins, Vincent C Marconi, Monique S Balthazar, Marcia Holstad

Open access · greenAbstract read
In one paragraph

Article in AIDS and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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

6 authors at 2 institutions in 1 country.

Victoria PhillipsDepartment of Health Policy and Management, Rollins School of Public Health of Emory University, Atlanta, Georgia. vphil01@sph.emory.edu.ORCID http://orcid.org/0000-0002-8095-3535
Tammie E QuestDepartment of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, Georgia.
Melinda HigginsOffice of Research, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Vincent C MarconiDepartment of Infectious Disease, Emory University School of Medicine, Atlanta, Georgia.
Monique S BalthazarGeorgia State University Byrdine F. Lewis College of Nursing and Health Professions, Atlanta, Georgia.
Marcia HolstadNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Emory University · USGeorgia State University · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
The Living Well Project: Early Palliative Care and MI for persons with AIDSR01NR014054 · NINR · EMORY UNIVERSITY · PI HOLSTAD, MARCIA MCDONNELL, QUEST, TAMMIE E · 2012 to 2016
$2.2M
NIAID NIH HHS P30 AI050409NIMHD NIH HHS L32 MD016549NINR NIH HHS R01 NR014054
6 · The paper itself

Abstract

Little is known about the impact of early palliative care (EPC) combined with motivational interviewing (MI) for persons living with AIDS (PWA). We compared the cost and quality-adjusted life-years (QALYs) of EPC + MI (n = 61) versus usual care (UC) (n = 60) for patients with AIDS, not on antiretroviral medications, enrolled into the Living Well Project trial. Data on clinic, emergency department, and hospital visits were collected through self-report and billing records. Risk-adjusted average annual health care costs were estimated using a generalized linear model with a gamma log-link function. QALYs were calculated using the SF-12v2. Cost-effectiveness was defined as cost per QALY gained. Estimated intervention costs were $165 per participant. EPC + MI reduced costs by 33% (AOR = 0.67; CI 95%: 0.15, 0.93). QALYs did not differ between groups. Results suggest EPC + MI for PWA is cost-saving and maintains quality of life compared to UC due to reduced hospital and ED costs.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsMotivational InterviewingCost-Benefit AnalysisHumansPalliative CareQuality-Adjusted Life YearsQuality of LifeAIDScare managementcost-effectivenessmotivational interviewingpalliative care

Identifiers

PMID36334215
PMCPMC10832615
OpenAlexW4308257024

What OpenQuestion holds

Textmetadata
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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.