Evidence map›Paper›PMID 38963569›Full record

ReviewAIDS and behavior2024

Understanding Practical, Robust Implementation and Sustainability of Home-based Comprehensive Sexual Health Care: A Realist Review.

Cornelia Johanna Dorothy Hanneke Goense, Thuan-Huong P Doan, Eneyi E Kpokiri, Ymke J Evers, Claudia S Estcourt, Rik Crutzen, Jeffrey D Klausner, Weiming Tang, Paula Baraitser, Christian J P A Hoebe and 1 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in AIDS and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

11 authors.

Cornelia Johanna Dorothy Hanneke GoenseDepartment of Social Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, Maastricht, 6200 MD, the Netherlands. c.goense@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0001-6108-0209
Thuan-Huong P DoanUniversity of Southern California, Los Angeles, USA.
Eneyi E KpokiriClinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Ymke J EversDepartment of Social Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, Maastricht, 6200 MD, the Netherlands.
Claudia S EstcourtSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Rik CrutzenDepartment of Health Promotion, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands.
Jeffrey D KlausnerUniversity of Southern California, Los Angeles, USA.
Weiming TangUniversity of North Carolina at Chapel Hill, Project-China, Chapel Hill, NC, USA.
Paula BaraitserDepartment of Sexual Health, King's College Hospital NHS Foundation Trust, London, UK.
Christian J P A HoebeDepartment of Social Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, Maastricht, 6200 MD, the Netherlands.
Nicole H T M Dukers-MuijrersDepartment of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, Public Health Service South Limburg, Heerlen, Netherlands.

Funding

Aidsfonds Nederland P-2374Aidsfonds Nederland P-49903Maastricht Universitair Medisch Centrum The Next Step
6 · The paper itself

Abstract

This review identifies which elements of home-based comprehensive sexual health care (home-based CSH) impacted which key populations, under which circumstances. A realist review of studies focused on home-based CSH with at least self-sampling or self-testing HIV and additional sexual health care (e.g., treatment, counseling). Peer-reviewed quantitative and qualitative literature from PubMed, Embase, Cochrane Register of Controlled Trials, and PsycINFO published between February 2012 and February 2023 was examined. The PRISM framework was used to systematically assess the reach of key populations, effectiveness of the intervention, and effects on the adoption, implementation, and maintenance within routine sexual health care. Of 730 uniquely identified records, 93 were selected for extraction. Of these studies, 60% reported actual interventions and 40% described the acceptability and feasibility. Studies were mainly based in Europe or North America and were mostly targeted to MSM (59%; 55/93) (R). Overall, self-sampling or self-testing was highly acceptable across key populations. The effectiveness of most studies was (expected) increased HIV testing. Adoption of the home-based CSH was acceptable for care providers if linkage to care was available, even though a minority of studies reported adoption by care providers and implementation fidelity of the intervention. Most studies suggested maintenance of home-based CSH complementary to clinic-based care. Context and mechanisms were identified which may enhance implementation and maintenance of home-based CSH. When providing the individual with a choice of testing, clear instructions, and tailored dissemination successful uptake of STI and HIV testing may increase. For implementers perceived care and treatment benefits for clients may increase their willingness to implement home-based CSH. Therefore, home-based CSH may determine more accessible sexual health care and increased uptake of STI and HIV testing among key populations.

Indexed as

HIV InfectionsHome Care ServicesSexual HealthComprehensive Health CareFemaleHIV TestingHumansMalePatient Acceptance of Health CareSelf-TestingComprehensive careHIV testingHome care servicesInterventionKey populationsRealist reviewSexual health careSTI testing

Identifiers

PMID38963569
PMCPMC11427609

What OpenQuestion holds

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Registered trials

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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.