Table 3.
Variable/Outcome | Hypothesis | Outcome Measure | Methods of Analysis |
1) Primary |
Intervention improved outcome from baseline to 6 months | ||
a) Adherence at 12 months |
Percent adherence in previous 30 days >95% [binary] | Chi-squared test |
|
b) Suppression of HIV viral load at 12 months | Viral load ≤400 copies/ml [binary] | Chi-squared test | |
2) Secondary Adherence percentage at 12 months |
improvement occurred |
Adherence % (>95%) [binary] |
Chi-squared test |
HIV viral load at 12 months | improvement occurred | Viral load (copies) | T-test |
Immune reconstitution (change in CD4 T cell count from baseline) | improvement occurred |
Cd4 T-cells/mm3 (continuous) |
T-test |
Time to virological failure |
Improvement occurred |
Virological failure after successful suppression | Kaplan-Meier survival analysis |
Weight gain [lbs] and BMI |
improvement occurred |
Change in weight (lbs) and BMI [continuous] | T-test |
Occurrence of opportunistic infections (OIs) |
improvement occurred |
Presence of AIDS defining opportunistic infection [binary] | Chi-squared test |
Time to reporting of adverse drug events (ADEs) |
improvement occurred |
Presence of drug-related adverse event [time to event] | Kaplan-Meier survival analysis |
Deaths (all cause) |
improvement occurred |
All-cause mortality [binary] |
Chi-squared test and Kaplan-Meier survival analysis |
SF-12 | improvement occurred | Quality pf life questionnaire [continuous] | T-test |
Satisfaction with care provided | improvement occurred | Questionnaire [continuous] | T-test |
Level of disclosure of HIV status | improvement occurred | Disclosed to a family member [binary] | Chi-squared test |
Impression of stigma | improvement occurred | Questionnaire [continuous] | T-test |
Family dyamics | improvement occurred | Questionnaire [continuous] | T-test |
Employment attendance | improvement occurred | Questionnaire [continuous] | T-test |
Household member school attendance | improvement occurred | Questionnaire [continuous] | T-test |
Cell phones lost/stolen | improvement occurred | Presence of cellphone [binary] | Poisson regression |
Stopped taking HAART | improvement occurred | Self-report [binary] | Chi-squared test |
Required active tracing for 12 month follow-up | improvement occurred | Field officers [binary] | Chi-squared test |
3) Subgroup Analyses: |
Regression methods with appropriate interaction term | ||
Urban vs. rural | Distance affects adherence | ||
Female vs. male | Sex affects adherence | ||
Phone ownership (owned vs. shared) | Ownership affects adherence | ||
Level of education | Low education affects adherence | ||
4) Sensitivity Analyses: | improvement occurred | All outcomes | |
a) Per protocol analysis | a) Chi-squared/T-test test | ||
b) Adjusting for baseline covariates | b) Multivariable regression | ||
c) clustering among individuals within a clinic | c) GEE |
IMPORTANT REMARKS:
• The GEE[11] is a technique that allows to specify the correlation structure between patients within a hospital and this approach produces unbiased estimates under the assumption that missing observations will be missing at random. An amended approach of weighted GEE will be employed if missingness is found not to be at random.[12]
• In all analyses results will be expressed as coefficient, standard errors, corresponding 95% and associated p-values.
• Goodness-of-fit will be assessed by examining the residuals for model assumptions and chi-squared test of goodness-of-fit.
Bonferroni method will be used to adjust the overall level of significance for multiple secondary outcomes.