Evidence map›Paper›PMID 40471081›Full record

Trial reportAIDS patient care and STDs2025

Exploring Preferences, Concerns, and Implementation of Different Long-Acting Antiretroviral Strategies for Youth with HIV Facing Adherence Challenges.

Ashle Barfield, Elise Tirza Ohene-Kyei, Raina Smith, Maria Trent, Jamie Perin, Kevon-Mark Jackman, Steven Huettner, Ethel Weld, Amanda Haines, Allison Agwu

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS patient care and STDs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03600103 (Technology Based Community Health Nursing to Improve cART Adherence and Virologic Suppression in Youth Living With HIV), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03600103 nacompletednot on this map

Technology Based Community Health Nursing to Improve cART Adherence and Virologic Suppression in Youth Living With HIV (TECH-N 2 CHECK-IN): A Regional Multi-site Study

TypeinterventionalSponsorJohns Hopkins UniversityRan2018 to 2024Enrolled76ConditionsHIV Infections, Adherence, MedicationArmsTech2Check
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Ashle BarfieldDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-4152-4797
Elise Tirza Ohene-KyeiDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Raina SmithDivision of Pediatric Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Maria TrentDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Jamie PerinDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Kevon-Mark JackmanDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0003-2373-2581
Steven HuettnerDivision of Adolescent and Young Adult Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Ethel WeldDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Amanda HainesDivision of Pediatric Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Allison AgwuDivision of Pediatric Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Funding

Technology Based Community Health Nursing to Improve cART Adherence and Virologic Suppression in Youth Living with HIV (TechN 2 CheckIN): A Regional Multi-site StudyR01MD011770 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI AGWU, ALLISON L, TRENT, MARIA E. · 2017 to 2021
$4.0M
Optimizing the Use of Long-Acting Antiretrovirals for Youth Living withHIVK23AI165290 · NIAID · JOHNS HOPKINS UNIVERSITY · PI WELD, ETHEL DERBY · 2021 to 2024
$702k
NIAID NIH HHS K23 AI165290NIMHD NIH HHS R01 MD011770
6 · The paper itself

Abstract

Youth living with human immunodeficiency virus (YHIV) aged 13-25 often struggle with adherence to daily oral antiretroviral treatment (ART) regimens. Recently approved intramuscular injectable long-acting ART (LA-ART) may promote adherence and improve longitudinal health outcomes. The study explores the willingness to use LA-ART strategies among YHIV. This cross-sectional pilot study included a telephone-based survey embedded into a randomized controlled trial of an intervention (NCT03600103) designed to enhance viral suppression among YHIV with baseline adherence challenges and detectable viremia. Participants completed 34-item telephone surveys between October 2021 and February 2022 to evaluate preferences and willingness to use four LA-ART delivery alternatives [intramuscular injection (IM), subcutaneous injection (SC), subdermal implant (SDI), and LA-ART pills] compared with daily oral ART. Long-acting pills were most preferred (84%, 16/19), while 79% of participants (15/19) expressed willingness to try IM, 79% (15/19) SC, and 74% (14/19) SDI. However, when asked to choose only one method, most (58%, 11/19) selected IM as the method that would work best. The arm was the preferred injection site (73% [8/11]) compared with the thigh (18% [2/11]). Willingness to use LA-ART was higher with less frequent injections, e.g., for IM LA-ART, 47% (9/19) were willing to try weekly vs. 79% (15/19) were willing to try every three-month injections. YHIV experiencing adherence challenges are willing to use novel LA-ART delivery methods. Addressing concerns around LA-ART methods and educating YHIV on their efficacy could help increase uptake, which could reduce rates of non-adherence in YHIV.

Indexed as

Anti-HIV AgentsHIV InfectionsMedication AdherencePatient PreferenceAdministration, OralAdolescentAdultCross-Sectional StudiesDelayed-Action PreparationsFemaleHumansInjections, IntramuscularInjections, SubcutaneousMalePilot ProjectsSurveys and QuestionnairesAnti-HIV AgentsDelayed-Action PreparationsefficacyHIVlong-acting antiretroviral treatmentmedication adherenceviral suppressionyouth

Identifiers

PMID40471081
PMCPMC12259408

What OpenQuestion holds

Textmetadata
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.