Evidence map›Paper›PMID 42420861›Full record

Trial reportBMC primary care2026

Knowledge improvement on premarital HIV counseling with PAUSE

Aznida Firzah Abdul Aziz, Magaletchumi Chelladorai, Chai Eng Tan, Leelavathi Muthupalaniappen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Aznida Firzah Abdul AzizDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Kuala Lumpur, 56000, Malaysia. draznida@hctm.ukm.edu.my.
Magaletchumi ChelladoraiDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Kuala Lumpur, 56000, Malaysia.
Chai Eng TanDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Kuala Lumpur, 56000, Malaysia.
Leelavathi MuthupalaniappenDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Kuala Lumpur, 56000, Malaysia.

Funding

Universiti Kebangsaan Malaysia UKM.FPR.SP1 800-2/28
6 · The paper itself

Abstract

introductionPremarital HIV testing was made mandatory for Muslim couples in Malaysia as an effort to curb the transmission of HIV. The PAUSE© flipchart is a Malay language counselling tool to facilitate consistent and effective pre-test counselling for premarital couples. This study evaluates the effectiveness of the PAUSE© flipchart versus conventional methods in enhancing HIV knowledge at public primary healthcare clinics in Johor Bahru.

methodsA parallel cluster randomised controlled trial was conducted among adult Malay-literate clients who registered for mandatory premarital HIV testing. Cluster randomisation was used to select 8 public primary healthcare clinics from Johor Bharu District to be allocated into intervention and control groups. Clients in the intervention group (n = 90) received counselling using the PAUSE

resultsBoth groups showed significant increases in HIV knowledge post-counselling (p < 0.001). The intervention group had a mean score increase of 6.99 (95% CI [6.01, 7.97]), significantly higher than the control group's 3.99 (95% CI [2.89, 5.09]). Post-counselling scores were higher in the intervention group [mean 19.99 (SD = 1.26) vs. 16.59 (SD = 4.41), p < 0.001]. The PAUSE

conclusionThe PAUSE

trial registrationThis trial was retrospectively registered with the Australian New Zealand Clinical Trials Registry on 26 June 2024 (ACTRN12624000788572).

Indexed as

CounselingHealth Knowledge, Attitudes, PracticeHIV InfectionsPatient Education as TopicPremarital ExaminationsAdultFemaleHumansIslamMalaysiaMaleYoung AdultCounsellingHealth EducationHIV InfectionsPatient Education

Identifiers

PMID42420861
PMCPMC13644009

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.