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Same day ART initiation versus clinic-based pre-ART assessment and counselling for individuals newly tested HIV-positive during community-based HIV testing in rural Lesotho – a randomized controlled…

Overview of attention for article published in BMC Public Health, April 2016
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  • Above-average Attention Score compared to outputs of the same age (62nd percentile)
  • Average Attention Score compared to outputs of the same age and source

Mentioned by

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4 tweeters

Citations

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31 Dimensions

Readers on

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153 Mendeley
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Title
Same day ART initiation versus clinic-based pre-ART assessment and counselling for individuals newly tested HIV-positive during community-based HIV testing in rural Lesotho – a randomized controlled trial (CASCADE trial)
Published in
BMC Public Health, April 2016
DOI 10.1186/s12889-016-2972-6
Pubmed ID
Authors

Niklaus Daniel Labhardt, Isaac Ringera, Thabo Ishmael Lejone, Phofu Masethothi, T’sepang Thaanyane, Mashaete Kamele, Ravi Shankar Gupta, Kyaw Thin, Bernard Cerutti, Thomas Klimkait, Christiane Fritz, Tracy Renée Glass

Abstract

Achievement of the UNAIDS 90-90-90 targets in Sub-Sahara Africa is challenged by a weak care-cascade with poor linkage to care and retention in care. Community-based HIV testing and counselling (HTC) is widely used in African countries. However, rates of linkage to care and initiation of antiretroviral therapy (ART) in individuals who tested HIV-positive are often very low. A frequently cited reason for non-linkage to care is the time-consuming pre-ART assessment often requiring several clinic visits before ART-initiation. This two-armed open-label randomized controlled trial compares in individuals tested HIV-positive during community-based HTC the proposition of same-day community-based ART-initiation to the standard of care pre-ART assessment at the clinic. Home-based HTC campaigns will be conducted in catchment areas of six clinics in rural Lesotho. Households where at least one individual tested HIV positive will be randomized. In the standard of care group individuals receive post-test counselling and referral to the nearest clinic for pre-ART assessment and counselling. Once they have started ART the follow-up schedule foresees monthly clinic visits. Individuals randomized to the intervention group receive on the spot point-of-care pre-ART assessment and adherence counselling with the proposition to start ART that same day. Once they have started ART, follow-up clinic visits will be less frequent. First primary outcome is linkage to care (individual presents at the clinic at least once within 3 months after the HIV test). The second primary outcome is viral suppression 12 months after enrolment in the study. We plan to enrol a minimum of 260 households with 1:1 allocation and parallel assignment into both arms. This trial will show if in individuals tested HIV-positive during community-based HTC campaigns the proposition of same-day ART initiation in the community, combined with less frequent follow-up visits at the clinic could be a pragmatic approach to improve the care cascade in similar settings. NCT02692027 , registered February 21, 2016.

Twitter Demographics

The data shown below were collected from the profiles of 4 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 153 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 <1%
Unknown 152 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 30 20%
Researcher 27 18%
Student > Ph. D. Student 18 12%
Other 11 7%
Student > Bachelor 10 7%
Other 29 19%
Unknown 28 18%
Readers by discipline Count As %
Medicine and Dentistry 46 30%
Nursing and Health Professions 22 14%
Social Sciences 14 9%
Business, Management and Accounting 4 3%
Pharmacology, Toxicology and Pharmaceutical Science 4 3%
Other 29 19%
Unknown 34 22%

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 May 2017.
All research outputs
#5,690,261
of 11,194,639 outputs
Outputs from BMC Public Health
#4,031
of 7,707 outputs
Outputs of similar age
#94,232
of 253,244 outputs
Outputs of similar age from BMC Public Health
#105
of 189 outputs
Altmetric has tracked 11,194,639 research outputs across all sources so far. This one is in the 48th percentile – i.e., 48% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,707 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.1. This one is in the 46th percentile – i.e., 46% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 253,244 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 62% of its contemporaries.
We're also able to compare this research output to 189 others from the same source and published within six weeks on either side of this one. This one is in the 43rd percentile – i.e., 43% of its contemporaries scored the same or lower than it.