Evidence map›Paper›PMID 38656905›Full record

ArticleAIDS patient care and STDs2024

Long-Acting Injectable ART in Practice: A Mixed Methods Implementation Study Assessing the Feasibility of Using LAI ART in High Risk Populations and At Alternative Low Barrier Care Sites.

Laura Fletcher, Shana Burrowes, Lora L Sabin, Nicole McCann, Ghulam Karim Khan, Glorimar Ruiz-Mercado, Samantha Johnson, Simeon D Kimmel, Cassandra Pierre, Mari-Lynn Drainoni

Open access · greenAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 12 citations in OpenAlex.

  1. Development of a Layperson Injector Training for the Home-Based Administration of Long-Acting Injectable Antiretroviral Therapies for Persons With HIV.AIDS education and prevention : official publication of the International Society for AIDS Education · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Comparison of At-Home Versus In-Clinic Receipt of Long-Acting Injectable Cabotegravir/Rilpivirine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Observational
  9. Article
  10. Article
  11. 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 2 institutions in 1 country.

Laura FletcherSection of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA.ORCID 0000-0002-6984-555X
Shana BurrowesSection of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Lora L SabinDepartment of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA.
Nicole McCannDepartment of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA.
Ghulam Karim KhanSection of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Glorimar Ruiz-MercadoSection of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Samantha JohnsonSection of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Simeon D KimmelSection of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Cassandra PierreSection of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Mari-Lynn DrainoniSection of Infectious Diseases, Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Boston University · USBoston Medical Center · US

Funding

Integrated Care for Addiction, HIV and HCV Research and Education (ICAHRE)T32DA041898 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rachel Sayko Adams, Michael D Stein · 2017 to 2026
$3.8M
Retention and Re-Engagement in Treatment for Addiction following Serious Injection Related Infections (RETAIN)K23DA054363 · NIDA · BOSTON MEDICAL CENTER · PI KIMMEL, SIMEON · 2021 to 2025
$947k
NIDA NIH HHS K23 DA054363NIDA NIH HHS T32 DA041898
6 · The paper itself

Abstract

Long-acting injectable (LAI) antiretroviral therapy (ART) has the potential to change the lives of people living with HIV (PLWH). To ensure equitable access to new treatment modalities, we examined the feasibility and acceptability of administering Cabotegravir Rilpivirine Long Acting (CAB/RPV LA) to individuals who experience challenging social determinants of health (SDoH) and struggle with adherence to traditional oral ART. Quantitative and qualitative data were used to assess feasibility of utilizing ART at alternative clinic. Data were collected on individuals eligible to receive CAB/RPV LA at an alternative street-based clinic and on individuals receiving CAB/RPV LA at a traditional HIV clinic. After 6 months, participants were interviewed about their experience. Providers involved in the implementation were also interviewed about their experiences. Only one participant (out of 5) who received CAB/RPV LA at the alternative clinic received consistent treatment, whereas 17 out of 18 participants receiving CAB/RPV LA at the traditional clinic site were adherent. Participants and providers believed that LAI had potential for making treatment adherence easier, but identified several barriers, including discrepancies between patients' desires and their lifestyles, impact of LAI on interactions with the medical system, risk of resistance accompanying sub-optimal adherence, and need for a very high level of resources. While LAI has major potential benefits for high-risk patients, these benefits must be balanced with the complexities of implementation. Despite challenges that impacted study outcomes, improving treatment outcomes for PLWH requires addressing SDoH and substance use.

Indexed as

Anti-HIV AgentsDrug MonitoringFeasibility StudiesHIV InfectionsRilpivirineAdultDelayed-Action PreparationsDiketopiperazinesFemaleHealth Services AccessibilityHumansInjectionsInterviews as TopicMaleMiddle AgedPatient Acceptance of Health CareAnti-HIV AgentscabotegravirDelayed-Action PreparationsDiketopiperazinesPyridonesRilpivirineART adherenceART implementationcabenuvahigh risk populationslong-acting injectable ARTpatient perspectives on HIV treatment

Identifiers

PMID38656905
PMCPMC11971555
OpenAlexW4395083090

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.