Evidence map›Paper›PMID 40312707›Full record

Trial reportAIDS research and therapy2025

The impact of short message service reminders or peer home visits on adherence to antiretroviral therapy and viral load suppression among HIV-Infected adolescents in Cameroon: a randomized controlled trial.

Alice Ketchaji, Joseph Fokam, Felix Assah, Francis Ateba, Martial Lantche Wandji, Joelle Nounouce Bouba Pamen, Godfroy Rostant Pokam Djoko, Cedric Dylan Nana Seugnou, Emmanuel Kah, Alain Fouda Atangana and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS research and therapy, 2025. 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

11 authors.

Alice KetchajiDepartment of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon. ketchajialice2015@gmail.com.
Joseph FokamVirology Laboratory, Chantal BIYA International Reference Centre for research on HIV/AIDS prevention and management, Yaounde, Cameroon.
Felix AssahDepartment of Public Health, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon.
Francis AtebaFaculty of Medicine and Biomedical Sciences, University of Garoua, P.O. Box 346, Garoua, Cameroon.
Martial Lantche WandjiDepartment of Epidemiology, School of Health Sciences, Catholic University for Central Africa, Yaounde, Yaounde, Cameroon.
Joelle Nounouce Bouba PamenDepartment of Financial Resources and Property, Ministry of Public Health, Yaounde, Cameroon.
Godfroy Rostant Pokam DjokoResearch Unit of Applied Biology and Ecology, Department of Animal Biology, Faculty of Science, University of Dschang, Dschang, Cameroon.
Cedric Dylan Nana SeugnouDepartment of Public Health, Faculty of Health Sciences, University of Montagnes, Bangangté, Cameroon.
Emmanuel KahDepartment of Public Health and Hygiene, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Alain Fouda AtanganaCameroonian network of positive youths, Yaounde, Cameroon.
Jerome AteudjieuDepartment of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence to antiretroviral therapy (ART) and viral load suppression (VLS) constitute one of the key challenges to control human immunodeficiency virus (HIV), especially during adolescence. This trial aimed at assessing the impact of short message services (SMS) or peer home visits (PHV) on adherence to ART and VL suppression among adolescents living with HIV (ALWHIV) in Cameroon.

methodsA randomized controlled trial (RCT) was conducted from July 2018 to February 2019 at the Mother and Child Center of the Chantal Biya Foundation in Yaounde. Eligible ALWHIV (15-19 years), with a fully disclosed HIV status, with availability of phone and guardian's consent, were randomly assigned to receive either daily SMS or bi-weekly PHV for a six-months period. The control-group received standard of care according to the national guidelines. Study investigators and participants were not blinded to the interventions group allocation, and no adverse events or side effects were observed. Adjusted logistic regression was used to assess the impact of interventions on outcomes. The study was approved by The Pan-African Clinical Trials Registry with PACTR201904582515723 at ( www.pactr.org ).

resultsAdherence to ART increased in the PHV (aRR: 4.3; 95% CI: 2.2-8.3; p < 0.001) and SMS (aRR: 3.1, 95% CI: 2.1-5.3; p < 0.001) groups compared to the control-group. Likewise, VL suppression was higher in PHV (aRR: 2.1; 95% CI: 1.9-7.5 p < 0.001) and SMS (aRR: 3.2; 95% CI: 1.8-5.4; p < 0.001) groups compared to the control-group. Based on CI, both interventions showed similar benefits on improving adherence and VLS.

conclusionsAmong ALHIV, SMS or PHV contribute substantially to improving adherence and VL suppression among ALWHIV. Implementing such strategies would support efforts in eliminating pediatric AIDS in low- and middle-income countries.

Indexed as

Anti-HIV AgentsHIV InfectionsHouse CallsMedication AdherenceReminder SystemsText MessagingViral LoadAdolescentCameroonFemaleHumansMalePeer GroupYoung AdultAnti-HIV AgentsAdherence to ARTAdolescentsHIVPeers home visitsShort message servicesViral load suppression

Identifiers

PMID40312707
PMCPMC12046915

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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.