Evidence map›Paper›PMID 29373392›Full record

Trial reportJournal of acquired immune deficiency syndromes (1999)2018

Randomized Controlled Trial of the SystemCHANGE Intervention on Behaviors Related to Cardiovascular Risk in HIV+ Adults.

Allison R Webel, Shirley M Moore, Chris T Longenecker, Jackson Currie, Christine Horvat Davey, Joseph Perazzo, Abdus Sattar, Richard A Josephson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of acquired immune deficiency syndromes (1999), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
7.6field-weighted citation impact, top 2% of its field
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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  17. Obesity and Weight Gain in Persons with HIV.Current HIV/AIDS reports · 2020 · on this map
    Review
  18. Review
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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

8 authors at 3 institutions in 1 country.

Allison R WebelFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH.
Shirley M MooreFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH.
Chris T LongeneckerDivision of Cardiovascular Medicine, Case Western Reserve University School of Medicine, University Hospitals Harrington Heart & Vascular Institute, Cleveland, OH.
Jackson CurrieFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH.
Christine Horvat DaveyFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH.
Joseph PerazzoUniversity of Cincinnati College of Nursing, Cincinnati, OH.
Abdus SattarFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH.
Richard A JosephsonDivision of Cardiovascular Medicine, Case Western Reserve University School of Medicine, University Hospitals Harrington Heart & Vascular Institute, Cleveland, OH.
Case Western Reserve University · USUniversity Hospitals of Cleveland · USUniversity of Cincinnati Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Sharon L. Hillier, JONATHAN KARN · 1994 to 2026
$50.0M
Multiple Chronic Conditions_Interdisciplinary Nurse Scientist TrainingT32NR015433 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MOORE, SHIRLEY M · 2015 to 2019
$1.9M
Symptom Management and Palliative Care Research in Adults with Advanced DiseaseT32NR014213 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI DALY, BARBARA · 2013 to 2017
$1.6M
NCRR NIH HHS UL1 RR024989NIAID NIH HHS P30 AI036219NINR NIH HHS T32 NR014213NINR NIH HHS T32 NR015433
6 · The paper itself

Abstract

objectiveTo examine the effect of a lifestyle behavior intervention (SystemCHANGE) on physical activity and diet quality among sedentary people living with HIV (PLHIV). All participants expressed a desire to improve lifestyle health behaviors.

methodsOne hundred and seven HIV+ adults were randomized to either the intervention (6, in-person, standardized group sessions focusing on improving lifestyle behaviors) or a control condition (general advice on AHA diet and exercise guidelines). All participants wore an ActiGraph accelerometer and completed 24-hour dietary recalls at baseline, 3, and 6 months. Generalized estimating equations were used to examine intervention effects. The primary activity outcome was time spent in moderate-to-vigorous physical activity, and the primary dietary outcome was Healthy Eating Index.

resultsMean age was 53 years, 65% were male, and 86% African American. Approximately 90% attended at least half of the sessions and 60% attended 5 or more sessions. The intervention did not significantly improve our primary lifestyle behavior endpoints (P ≥ 0.05); however, intervention participants consumed fewer carbohydrates-primarily sugar-sweetened beverages-per day and lost 0.732 kg body weight compared with a 0.153 weight gain in the control group (P = 0.03).

conclusionsAmong sedentary PLHIV at high risk of cardiovascular disease, the SystemCHANGE intervention reduced daily carbohydrate intake and body weight, but did not increase physical activity or improve overall diet quality. Future work should identify fundamental personal, interpersonal, and contextual factors that will increase physical activity and improve overall diet quality among this population, and integrate these factors into tailored, lifestyle interventions for aging PLHIV.

Indexed as

Cardiovascular DiseasesHealth BehaviorHIV InfectionsLife StyleBody WeightDietDiet, Carbohydrate LoadingDiet, HealthyEnergy IntakeExerciseFemaleHIVHumansMaleMiddle AgedObesity

Identifiers

PMID29373392
PMCPMC5889354
OpenAlexW2790864729

What Socratic holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.