Evidence map›Paper›PMID 37919697›Full record

Trial reportBMC public health2023

"It's already in your body and it's preventing": a qualitative study of African female adolescent's acceptability and preferences for proxy HIV prevention methods in Cape Town, South Africa.

Lauren Fynn, Katherine Gill, Melissa Wallace, Millicent Atujuna, Menna Duyver, Penelope Ngcobo, Hans Spiegel, Alex Rinehart, Sybil Hosek, Linda-Gail Bekker

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02404038 (An Open-Label, Randomized Crossover Study to Evaluate the Acceptability and Preference for Contraceptive Options in Healthy HIV-Uninfected Female Adolescents, 16-17 Years of Age, as Proxy for HIV Prevention Methods), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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.

NCT02404038 naunknown statusnot on this map

An Open-Label, Randomized Crossover Study to Evaluate the Acceptability and Preference for Contraceptive Options in Healthy HIV-Uninfected Female Adolescents, 16-17 Years of Age, as Proxy for HIV Prevention Methods

TypeinterventionalSponsorDesmond Tutu HIV CentreRan2015 to 2020Enrolled131ConditionsHIVArmsNur-Isterate, Nuvaring, Triphasil
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

10 authors at 4 institutions in 2 countries.

Lauren FynnDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa. lsfynn@gmail.com.ORCID 0000-0003-2057-6747
Katherine GillDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Melissa WallaceDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Millicent AtujunaDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Menna DuyverDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Penelope NgcoboDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Hans SpiegelDepartment of Health and Human Services, Kelly Government Solutions, Contractor to National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, MD, USA.
Alex RinehartViiV Healthcare, Research Triangle Park, NC, USA.
Sybil HosekStroger Hospital of Cook County, Chicago, IL, USA.
Linda-Gail BekkerDesmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa.
Desmond Tutu HIV Foundation · ZAJohn H. Stroger, Jr. Hospital of Cook County · USNational Institutes of Health · USTriangle · US

Funding

CHAMPS: Choices for Adolescent Methods of Prevention in South AfricaR01AI094586 · NIAID · DESMOND TUTU HIV FOUNDATION · PI BEKKER, LINDA-GAIL GAIL · 2011 to 2014
$2.5M
NIAID NIH HHS R01 AI094586
6 · The paper itself

Abstract

backgroundAdvances in biomedical HIV prevention will soon offer young women a choice of HIV prevention methods, including various pre-exposure prophylaxis (PrEP) modalities such as daily oral pills, dapivirine vaginal ring, and long-acting injectable agents. By understanding preferences for contraceptive methods, we may draw analogies for the HIV prevention needs of young women. The UChoose Study was an open-label randomised cross-over study designed to evaluate the acceptability and preference for several contraceptive options as a proxy for HIV prevention methods that use similar types of administration. The study enrolled healthy HIV uninfected young women aged 15 to 19 years. At enrolment, participants were randomly assigned to a contraceptive method for a period of 16 weeks in the form of monthly Nuvaring® (vaginal ring), daily combined oral contraceptive (daily pills), or bi-monthly injectable contraceptive (injectable). After 16 weeks, participants crossed over to another contraceptive method, and those who had received the injectable and the daily pills received the vaginal ring for another 16 weeks, whereas those who had received the vaginal ring were able to choose between the injectable and daily pills, to ensure that all participants tried the vaginal ring-the least familiar option to the study population.

resultsThirty-three participants were purposively recruited to participate in seven focus group discussions (FGD) and completed a pre-survey for their assigned group. Our sample comprised 14 participants randomised to use of the vaginal ring and daily pills and 19 participants randomised to use of the vaginal ring and injectable. For most participants, their preferences for a prevention method were based primarily on their desire to avoid negative aspects of one method rather than their positive user experience with another method. Most participants expressed initial hesitancy for trying new contraception method products; however, a lack of familiarity was moderated by a strong interest in diverse user-controlled prevention methods. Participants valued methods that had infrequent dosing and simplified use requirements. The injection and vaginal ring were preferred over daily pills as a potential HIV prevention method.

conclusionExpanding the availability of diverse products could provide adolescents with multiple choices in HIV prevention for the uninitiated.

trial registrationClinicalTrials.gov ( NCT02404038 ). Registered March 31, 2015-Registered.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisAdolescentContraceptionContraceptive AgentsCross-Over StudiesFemaleHumansSouth AfricaAnti-HIV AgentsContraceptive AgentsAdherenceAdolescent girlsContraceptionHIV preventionPreferenceSouth Africa

Identifiers

PMID37919697
PMCPMC10621226
OpenAlexW4388223724

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.