Evidence map›Paper›PMID 36469808›Full record

Trial reportJournal of the American Medical Informatics Association : JAMIA2023

Efficacy of an mHealth self-management intervention for persons living with HIV: the WiseApp randomized clinical trial.

Rebecca Schnall, Gabriella Sanabria, Haomiao Jia, Hwayoung Cho, Brady Bushover, Nancy R Reynolds, Melissa Gradilla, David C Mohr, Sarah Ganzhorn, Susan Olender

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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  8. The effect of a combined mHealth and community health worker intervention on HIV self-management.Journal of the American Medical Informatics Association : JAMIA · 2025
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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

10 authors at 7 institutions in 1 country.

Rebecca SchnallSchool of Nursing, Columbia University, New York, New York, USA.
Gabriella SanabriaCollege of Public Health, University of South Florida, Tampa, Florida, USA.
Haomiao JiaSchool of Nursing, Columbia University, New York, New York, USA.
Hwayoung ChoDepartment of Family, Community, and Health System Science, College of Nursing, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-6023-5309
Brady BushoverDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA.
Nancy R ReynoldsJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Melissa GradillaEvery Mother Counts, New York, New York, USA.
David C MohrCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University, Chicago, Illinois, USA.
Sarah GanzhornSchool of Nursing, Columbia University, New York, New York, USA.
Susan OlenderDivision of Infectious Disease, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Columbia University · USColumbia University Irving Medical Center · USEvery Mother Counts · USJohns Hopkins University · USNorthwestern University · USUniversity of Florida · USUniversity of South Florida · US

Funding

The Wise App Trial for Improving Health Outcomes in PLWHR01HS025071 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SCHNALL, REBECCA · 2016 to 2020
$2.0M
AHRQ HHS R01 HS025071
6 · The paper itself

Abstract

importanceProgression of HIV disease, the transmission of the disease, and premature deaths among persons living with HIV (PLWH) have been attributed foremost to poor adherence to HIV medications. mHealth tools can be used to improve antiretroviral therapy (ART) adherence in PLWH and have the potential to improve therapeutic success.

objectiveTo determine the efficacy of WiseApp, a user-centered design mHealth intervention to improve ART adherence and viral suppression in PLWH. DESIGN, SETTING, AND

participantsA randomized (1:1) controlled efficacy trial of the WiseApp intervention arm (n = 99) versus an attention control intervention arm (n = 101) among persons living with HIV who reported poor adherence to their treatment regimen and living in New York City.

interventionsThe WiseApp intervention includes the following components: testimonials of lived experiences, push-notification reminders, medication trackers, health surveys, chat rooms, and a "To-Do" list outlining tasks for the day. Both study arms also received the CleverCap pill bottle, with only the intervention group linking the pill bottle to WiseApp.

resultsWe found a significant improvement in ART adherence in the intervention arm compared to the attention control arm from day 1 (69.7% vs 48.3%, OR = 2.5, 95% CI 1.4-3.5, P = .002) to day 59 (51.2% vs 37.2%, OR = 1.77, 95% CI 1.0-1.6, P = .05) of the study period. From day 60 to 120, the intervention arm had higher adherence rates, but the difference was not significant. In the secondary analyses, no difference in change from baseline to 3 or 6 months between the 2 arms was observed for all secondary outcomes.

conclusionsThe WiseApp intervention initially improved ART adherence but did not have a sustained effect on outcomes.

Indexed as

HIV InfectionsSelf-ManagementTelemedicineAnti-Retroviral AgentsHumansMedication AdherenceAnti-Retroviral AgentsART adherencemHealthmobile interventionPLWHWiseApp

Identifiers

PMID36469808
PMCPMC9933073
OpenAlexW4310776175

What OpenQuestion holds

Textmetadata
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.