FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4328049174> ?p ?o ?g. }

• W4328049174 endingPage "e1004169" @default.
• W4328049174 startingPage "e1004169" @default.
• W4328049174 abstract "HIV testing services (HTS) are the first steps in reaching the UNAIDS 95-95-95 goals to achieve and maintain low HIV incidence. Evaluating the effectiveness of different demand creation interventions to increase uptake of efficient and effective HTS is useful to prioritize limited programmatic resources. This review was undertaken to inform World Health Organization (WHO) 2019 HIV testing guidelines and assessed the research question, Which demand creation strategies are effective for enhancing uptake of HTS? focused on populations globally.The following electronic databases were searched through September 28, 2021: PubMed, PsycInfo, Cochrane CENTRAL, CINAHL Complete, Web of Science Core Collection, EMBASE, and Global Health Database; we searched IAS and AIDS conferences. We systematically searched for randomized controlled trials (RCTs) that compared any demand creation intervention (incentives, mobilization, counseling, tailoring, and digital interventions) to either a control or other demand creation intervention and reported HTS uptake. We pooled trials to evaluate categories of demand creation interventions using random-effects models for meta-analysis and assessed study quality with Cochrane's risk of bias 1 tool. This study was funded by the WHO and registered in Prospero with ID CRD42022296947. We screened 10,583 records and 507 conference abstracts, reviewed 952 full texts, and included 124 RCTs for data extraction. The majority of studies were from the African (N = 53) and Americas (N = 54) regions. We found that mobilization (relative risk [RR]: 2.01, 95% confidence interval [CI]: [1.30, 3.09], p < 0.05; risk difference [RD]: 0.29, 95% CI [0.16, 0.43], p < 0.05, N = 4 RCTs), couple-oriented counseling (RR: 1.98, 95% CI [1.02, 3.86], p < 0.05; RD: 0.12, 95% CI [0.03, 0.21], p < 0.05, N = 4 RCTs), peer-led interventions (RR: 1.57, 95% CI [1.15, 2.15], p < 0.05; RD: 0.18, 95% CI [0.06, 0.31], p < 0.05, N = 10 RCTs), motivation-oriented counseling (RR: 1.53, 95% CI [1.07, 2.20], p < 0.05; RD: 0.17, 95% CI [0.00, 0.34], p < 0.05, N = 4 RCTs), short message service (SMS) (RR: 1.53, 95% CI [1.09, 2.16], p < 0.05; RD: 0.11, 95% CI [0.03, 0.19], p < 0.05, N = 5 RCTs), and conditional fixed value incentives (RR: 1.52, 95% CI [1.21, 1.91], p < 0.05; RD: 0.15, 95% CI [0.07, 0.22], p < 0.05, N = 11 RCTs) all significantly and importantly (≥50% relative increase) increased HTS uptake and had medium risk of bias. Lottery-based incentives and audio-based interventions less importantly (25% to 49% increase) but not significantly increased HTS uptake (medium risk of bias). Personal invitation letters and personalized message content significantly but not importantly (<25% increase) increased HTS uptake (medium risk of bias). Reduced duration counseling had comparable performance to standard duration counseling (low risk of bias) and video-based interventions were comparable or better than in-person counseling (medium risk of bias). Heterogeneity of effect among pooled studies was high. This study was limited in that we restricted to randomized trials, which may be systematically less readily available for key populations; additionally, we compare only pooled estimates for interventions with multiple studies rather than single study estimates, and there was evidence of publication bias for several interventions.Mobilization, couple- and motivation-oriented counseling, peer-led interventions, conditional fixed value incentives, and SMS are high-impact demand creation interventions and should be prioritized for programmatic consideration. Reduced duration counseling and video-based interventions are an efficient and effective alternative to address staffing shortages. Investment in demand creation activities should prioritize those with undiagnosed HIV or ongoing HIV exposure. Selection of demand creation interventions must consider risks and benefits, context-specific factors, feasibility and sustainability, country ownership, and universal health coverage across disease areas." @default.
• W4328049174 created "2023-03-22" @default.
• W4328049174 creator A5003205253 @default.
• W4328049174 creator A5003587385 @default.
• W4328049174 creator A5009607631 @default.
• W4328049174 creator A5015106978 @default.
• W4328049174 creator A5021447658 @default.
• W4328049174 creator A5028939977 @default.
• W4328049174 creator A5030618729 @default.
• W4328049174 creator A5032142932 @default.
• W4328049174 creator A5032216924 @default.
• W4328049174 creator A5036227736 @default.
• W4328049174 creator A5043959700 @default.
• W4328049174 creator A5049219855 @default.
• W4328049174 creator A5051824221 @default.
• W4328049174 creator A5052195320 @default.
• W4328049174 creator A5054702303 @default.
• W4328049174 creator A5068013234 @default.
• W4328049174 creator A5068866740 @default.
• W4328049174 creator A5068988886 @default.
• W4328049174 creator A5083728063 @default.
• W4328049174 creator A5085251732 @default.
• W4328049174 creator A5088420489 @default.
• W4328049174 creator A5088863796 @default.
• W4328049174 creator A5090287791 @default.
• W4328049174 date "2023-03-21" @default.
• W4328049174 modified "2023-10-01" @default.
• W4328049174 title "Demand creation for HIV testing services: A systematic review and meta-analysis" @default.
• W4328049174 cites W1822076685 @default.
• W4328049174 cites W1963719336 @default.
• W4328049174 cites W1963767725 @default.
• W4328049174 cites W1966426121 @default.
• W4328049174 cites W1972859273 @default.
• W4328049174 cites W1972978309 @default.
• W4328049174 cites W1973114032 @default.
• W4328049174 cites W1977048449 @default.
• W4328049174 cites W1979772025 @default.
• W4328049174 cites W1980709360 @default.
• W4328049174 cites W1989906690 @default.
• W4328049174 cites W1993466058 @default.
• W4328049174 cites W1997801005 @default.
• W4328049174 cites W1997942909 @default.
• W4328049174 cites W2012901427 @default.
• W4328049174 cites W2013626750 @default.
• W4328049174 cites W2013930047 @default.
• W4328049174 cites W2017392829 @default.
• W4328049174 cites W2023254676 @default.
• W4328049174 cites W2038051929 @default.
• W4328049174 cites W2038654871 @default.
• W4328049174 cites W2040055273 @default.
• W4328049174 cites W2040070973 @default.
• W4328049174 cites W2042637887 @default.
• W4328049174 cites W2050340341 @default.
• W4328049174 cites W2051844729 @default.
• W4328049174 cites W2052884397 @default.
• W4328049174 cites W2058197466 @default.
• W4328049174 cites W2062645659 @default.
• W4328049174 cites W2068561406 @default.
• W4328049174 cites W2075147189 @default.
• W4328049174 cites W2089235467 @default.
• W4328049174 cites W2092125970 @default.
• W4328049174 cites W2103865274 @default.
• W4328049174 cites W2111749425 @default.
• W4328049174 cites W2114589163 @default.
• W4328049174 cites W2116733715 @default.
• W4328049174 cites W2130886450 @default.
• W4328049174 cites W2134556186 @default.
• W4328049174 cites W2141175428 @default.
• W4328049174 cites W2141358215 @default.
• W4328049174 cites W2150675802 @default.
• W4328049174 cites W2159113870 @default.
• W4328049174 cites W2160762687 @default.
• W4328049174 cites W2161290058 @default.
• W4328049174 cites W2166168883 @default.
• W4328049174 cites W2167984471 @default.
• W4328049174 cites W2171500973 @default.
• W4328049174 cites W2287673380 @default.
• W4328049174 cites W2307320448 @default.
• W4328049174 cites W2322566154 @default.
• W4328049174 cites W2336639301 @default.
• W4328049174 cites W2340013606 @default.
• W4328049174 cites W2345081927 @default.
• W4328049174 cites W2354738659 @default.
• W4328049174 cites W2364821660 @default.
• W4328049174 cites W2402560311 @default.
• W4328049174 cites W2485980578 @default.
• W4328049174 cites W2504439548 @default.
• W4328049174 cites W2526887387 @default.
• W4328049174 cites W2527052128 @default.
• W4328049174 cites W2559747306 @default.
• W4328049174 cites W2559897760 @default.
• W4328049174 cites W2607040366 @default.
• W4328049174 cites W2624289909 @default.
• W4328049174 cites W2729788371 @default.
• W4328049174 cites W2744363499 @default.
• W4328049174 cites W2746659324 @default.
• W4328049174 cites W2768692582 @default.
• W4328049174 cites W2777174349 @default.

• next