University of California, Los Angeles, California 90024, USA.
Curr Opin Psychiatry. 2010 Mar;23(2):139-44. doi: 10.1097/YCO.0b013e328336656a.
Efficacious behavioral interventions and practices have not been universally accepted, adopted, or diffused by policy makers, administrators, providers, advocates, or consumers. Biomedical innovations for sexually transmitted disease (STD) and HIV prevention have been embraced but their effectiveness is hindered by behavioral factors. Behavioral interventions are required to support providers and consumers for adoption and diffusion of biomedical innovations, protocol adherence, and sustained prevention for other STDs. Information and communication technology such as the Internet and mobile phones can deliver behavioral components for STD/HIV prevention and care to more people at less cost.
Recent innovations in STD/HIV prevention with information and communication technology-mediated behavioral supports include STD/HIV testing and partner interventions, behavioral interventions, self-management, and provider care. Computer-based and Internet-based behavioral STD/HIV interventions have demonstrated efficacy comparable to face-to-face interventions. Mobile phone STD/HIV interventions using text-messaging are being broadly utilized but more work is needed to demonstrate efficacy. Electronic health records and care management systems can improve care, but interventions are needed to support adoption.
Information and communication technology is rapidly diffusing globally. Over the next 5-10 years smart-phones will be broadly disseminated, connecting billions of people to the Internet and enabling lower cost, highly engaging, and ubiquitous STD/HIV prevention and treatment support interventions.
目的综述：有效的行为干预措施和实践并没有被政策制定者、管理者、提供者、倡导者或消费者普遍接受、采用或推广。性传播疾病（STD）和艾滋病毒预防的生物医学创新已经被接受，但由于行为因素，其效果受到了阻碍。需要行为干预措施来支持提供者和消费者采用和推广生物医学创新、遵守方案以及持续预防其他 STD。信息和通信技术（如互联网和移动电话）可以以更低的成本为更多的人提供 STD/HIV 预防和护理的行为部分。
最新发现：利用信息和通信技术介导的行为支持，最近在 STD/HIV 预防方面的创新包括 STD/HIV 检测和伙伴干预、行为干预、自我管理和提供者护理。基于计算机和基于互联网的 STD/HIV 行为干预已证明与面对面干预具有同等疗效。使用短信的移动电话 STD/HIV 干预措施正在广泛使用，但需要更多的工作来证明其疗效。电子健康记录和护理管理系统可以改善护理，但需要干预措施来支持采用。
总结：信息和通信技术正在全球范围内迅速普及。在未来 5-10 年内，智能手机将广泛普及，数十亿人将通过互联网连接，并能够提供更低成本、更具吸引力和无处不在的 STD/HIV 预防和治疗支持干预措施。
