Department of Epidemiology, Emory University, Rollins School of Public Health, Atlanta, GA 30322, USA.
J Acquir Immune Defic Syndr. 2013 Jun 1;63 Suppl 1(0 1):S102-7. doi: 10.1097/QAI.0b013e3182949e85.
Technology-enabled HIV research and prevention has emerged in the past 10 years as an exciting dynamic field that offers great potential to help bring HIV prevention efforts to scale in key risk communities. Evolutions in technologies and in HIV epidemics suggest mutual opportunities to reach most at risk populations in novel ways. New technologies cannot completely replace interventions and services currently delivered by the people. However, we suggest that emerging technologies hold promise to bring services to scale and produce efficiencies in reaching rural populations of men who have sex with men (MSM), connecting with populations who are not reached in current urban outreach efforts, and providing services or research surveys that can be described algorithmically. Furthermore, the types of technologies (eg, internet-based, smartphone-based, text messaging) should be matched with both the content to be delivered and the technology usage patterns of target populations. We suggest several key principles and lessons learned that comprise a framework in which to consider the opportunities of technologies and HIV prevention and research. Future directions include improvement of data quality in online surveying, better characterization of biases, developing improved sampling approaches, working with funders to ensure compatibility of funding mechanisms and online research proposals, and promoting consensus approaches to the duplication and presentation of research and program evaluation results from online research. Given the current calls for comprehensive packages of prevention services for MSM, effective prevention might require an intentional combination of technology-enabled prevention services to achieve scale and strategic use of personally delivered package components in cases where non-algorithmic services, such as individualized counseling, are needed.
在过去的 10 年中,技术支持的 HIV 研究和预防已经成为一个令人兴奋的动态领域,为帮助将 HIV 预防工作推广到关键风险社区提供了巨大的潜力。技术和 HIV 疫情的发展为以新的方式接触到大多数高危人群提供了相互的机会。新技术不能完全取代目前由人们提供的干预措施和服务。然而,我们认为新兴技术有望扩大服务规模,并提高在农村地区与男男性行为者接触的效率,与目前城市外展工作中没有接触到的人群建立联系,并提供可以通过算法描述的服务或研究调查。此外,技术类型(例如基于互联网、基于智能手机、短信)应与要传递的内容以及目标人群的技术使用模式相匹配。我们提出了一些关键原则和经验教训,构成了一个框架,可以在其中考虑技术和 HIV 预防和研究的机会。未来的方向包括提高在线调查中的数据质量,更好地描述偏差,开发改进的抽样方法,与资助者合作确保资助机制和在线研究提案的兼容性,以及促进对在线研究的研究和方案评估结果的重复和呈现的共识方法。鉴于目前呼吁为男男性行为者提供全面的预防服务套餐,有效的预防可能需要有意结合技术支持的预防服务,以实现规模,并在需要非算法服务(如个性化咨询)的情况下战略性地使用个人提供的套餐组件。
J Acquir Immune Defic Syndr. 2013-6-1
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