Evidence map›Paper›PMID 41618237›Full record

Trial reportBMC health services research2026

Interactive Transition Support for Adolescents Living with HIV Comparing Virtual and In-person delivery (InTSHA VIP): a stepped-wedge, cluster-randomised trial in South Africa.

Faith Magut, Kathy Baisley, Thobekile Sibaya, Janine Upton, Thandeka Khoza, Casiel Tey Gethers, Vincent C Marconi, Leora Sewnarain, Jessica E Haberer, Maryam Shahmanesh and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06035445 (Interactive Transition Support for Adolescents Living With HIV Comparing Virtual and In-person Delivery Through a Stepped-wedge Cluster Randomized Clinical Trial in South Africa), 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.

NCT06035445 naactive not recruitingnot on this map

Interactive Transition Support for Adolescents Living With HIV Comparing Virtual and In-person Delivery Through a Stepped-wedge Cluster Randomized Clinical Trial in South Africa

TypeinterventionalSponsorEmory UniversityRan2024 to 2027Enrolled570ConditionsHuman Immunodeficiency Virus, HIVArmsIn-person adolescent-friendly service (iPAS) intervention, mHealth (InTSHA) intervention, Standard of Care
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

12 authors.

Faith MagutAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Kathy BaisleyAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Thobekile SibayaAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Janine UptonAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Thandeka KhozaAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Casiel Tey GethersEmory University School of Medicine, Atlanta, GA, USA.
Vincent C MarconiEmory University School of Medicine, Atlanta, GA, USA.
Leora SewnarainUniversity of KwaZulu-Natal, KwaZulu-Natal, South Africa.
Jessica E HabererMassachusetts General Hospital, Harvard Medical School, Boston, USA.
Maryam ShahmaneshAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Moherndran ArcharyAfrica Health Research Institute, KwaZulu-Natal, South Africa.
Brian C ZanoniEmory University School of Medicine, Atlanta, GA, USA. bzanoni@emory.edu.

Funding

Support for adolescents living with HIV who are transitioning from pediatric to adult care: Comparing Virtual and in-person delivery in a stepped-wedge cluster randomized clinical trial R01MH131434 · NIMH · EMORY UNIVERSITY · PI Moherndran Archary, Brian C. Zanoni · 2022 to 2026
$2.6M
NIH HHS NIMH R01 MH131434NIMH NIH HHS R01 MH131434
6 · The paper itself

Abstract

backgroundAdolescents living with HIV(ALHIV) often experience lower retention in care and reduced viral suppression after transitioning to adult care. Differentiated care can enhance the uptake and utilisation of evidence-based transition interventions among populations with the greatest need. We aim to investigate the effectiveness, acceptability, feasibility, implementation, and costs of in-person and mHealth-based adolescent-friendly transition interventions.

methodsWe are conducting a type 1 hybrid implementation-effectiveness design, with a cluster-randomised, stepped-wedge trial (SWT) to assess the effectiveness of in-person and mHealth-based adolescent-friendly transition interventions on retention in care and viral suppression among adolescents aged 15–19 years with perinatally-acquired HIV and low transition readiness. The SWT will be conducted in 16 clinics in urban (eThekwini) and rural (uMkhanyakude) KwaZulu-Natal over 24 months. Clinics will be randomly allocated to receive the intervention in period 1 (early) or period 2 (delayed). ALHIV, in the standard of care clinics, will be able to access the HIV prevention and treatment services delivered through the primary health clinics. We will use the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to guide our implementation outcomes. The primary outcomes for effectiveness are: (1) retention in care and (2) viral suppression measured in three cross-sectional surveys. We will measure retention in care as 80% of ART pharmacy refills on time, and 80% of scheduled clinic appointments attended, and we define viral suppression as < 200 copies/ml. We will compare the effectiveness and implementation outcomes of the in-person intervention with the mHealth intervention and compare outcomes between urban and rural clinics. DISCUSSION: The findings of this trial will inform the expansion of differentiated care models for ALHIV to improve the transition process from paediatric to adult HIV care, optimised to support retention in care and viral suppression.

trial registrationClinicalTrials.gov Identifier NCT06035445.

Indexed as

HIV InfectionsTelemedicineTransition to Adult CareAdolescentFemaleHumansMaleRetention in CareSouth AfricaYoung AdultAdolescents living with HIVDifferentiated care modelsImplementation trialsPerinatally acquired HIVRetention in careTransition readinessViral suppression

Identifiers

PMID41618237
PMCPMC12930916

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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.