Evidence map›Paper›PMID 38057777›Full record

ArticleBMC women's health2023

Womandla Health: development and rationale of a behavioral intervention to support HIV treatment adherence among postpartum women in South Africa.

Jennifer A Pellowski, Destry Jensen, Nokwazi Tsawe, Christopher Colvin, Susan Cu-Uvin, Don Operario, Mark Lurie, Abigail Harrison, Landon Myer, Lucia Knight

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In one paragraph

Article in BMC women's health, 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
–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

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

  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

10 authors.

Jennifer A PellowskiSchool of Public Health, Brown University, Providence, USA. Jennifer_pellowski@brown.edu.
Destry JensenSchool of Public Health, Brown University, Providence, USA.
Nokwazi TsaweSchool of Public Health, University of Cape Town, Cape Town, South Africa.
Christopher ColvinSchool of Public Health, University of Cape Town, Cape Town, South Africa.
Susan Cu-UvinThe Warren Alpert Medical School of Brown University, Providence,, USA.
Don OperarioRollins School of Public Health, Emory University, Atlanta, Georgia.
Mark LurieSchool of Public Health, Brown University, Providence, USA.
Abigail HarrisonSchool of Public Health, Brown University, Providence, USA.
Landon MyerSchool of Public Health, University of Cape Town, Cape Town, South Africa.
Lucia KnightSchool of Public Health, University of Cape Town, Cape Town, South Africa.

Funding

Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Adherence to HIV Treatment Postpartum: The Implications of Transitions Among Women Living with HIV in South AfricaK01MH112443 · NIMH · BROWN UNIVERSITY · PI PELLOWSKI, JENNIFER ANN · 2017 to 2022
$893k
NIMH NIH HHS K01 MH112443NIMH NIH HHS K01MH112443NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

backgroundWhile Option B + has made great strides in eliminating vertical transmission of HIV and improving access to lifelong antiretroviral therapy (ART) for women, the postpartum period remains a risk period for disengagement from HIV care and non-adherence.

methodsLongitudinal qualitative data was collected from 30 women living with HIV in Cape Town, South Africa from pregnancy through 1 year postpartum to examine key barriers and facilitators to HIV treatment adherence across this transition. Participants were also asked about their preferences for behavioral intervention content, format, and scope. The intervention development process was guided by Fernandez et al.'s Intervention Mapping process and was informed by the qualitative data, the wider literature on ART adherence, and Transition Theory.

resultsThe Womandla Health Intervention is a multicomponent intervention consisting of four individual sessions with a lay health worker and four peer group sessions, which span late pregnancy and early postpartum. These sessions are guided by Transition Theory and utilize motivational interviewing techniques to empower women to ascertain their own individual barriers to HIV care and identify solutions and strategies to overcome these barriers.

conclusionsThis intervention will be tested in a small scale RCT. If successful, findings will provide an innovative approach to HIV treatment by capitalizing on the transition into motherhood to bolster self-care behaviors, focusing on ART adherence and also women's overall postpartum health and psychosocial needs.

Indexed as

Anti-HIV AgentsHIV InfectionsPregnancy Complications, InfectiousAnti-Retroviral AgentsFemaleHumansInfectious Disease Transmission, VerticalMedication AdherencePostpartum PeriodPregnancySouth AfricaTreatment Adherence and ComplianceAnti-HIV AgentsAnti-Retroviral AgentsBehavioral interventionHIVPostpartumPregnancy

Identifiers

PMID38057777
PMCPMC10701937

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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.