Lunny Carole, Taylor Darlene, Memetovic Jasmina, Wärje Orion, Lester Richard, Wong Tom, Ho Kendall, Gilbert Mark, Ogilvie Gina
BC Centre for Disease Control, 655 West 12th Avenue, Vancouver, British Columbia V5Z 4R4, Canada.
Syst Rev. 2014 Jan 16;3:7. doi: 10.1186/2046-4053-3-7.
Globally, the incidence of sexually transmitted infections (STI) is rising, posing a challenge to its control and appropriate management. Text messaging has become the most common mode of communication among almost six billion mobile phone users worldwide. Text messaging can be used to remind patients about clinic appointments, to notify patients that it is time for STI re-testing, and to facilitate patient communication with their health professionals with any questions and concerns they may have about their sexual health. While there are a handful of systematic reviews published on short message service (SMS) interventions in a variety of health settings and issues, none are related to sexual health. We plan to conduct a systematic review to examine the impact text messaging might have on interventions for the prevention and care of patients with STIs.
METHODS/DESIGN: Eligible studies will include both quantitative and qualitative studies published after 1995 that discuss the efficacy and effectiveness of SMS interventions for STI prevention and management using text messaging. Data will be abstracted independently by two reviewers using a standardized pre-tested data abstraction form. Inter-rater reliability scores will be obtained to ensure consistency in the inclusion and data extraction of studies. Heterogeneity will be assessed using the I2 test and subgroup analyses. A nonhypothesis driven inductive reasoning approach as well as a coding framework will be applied to analyze qualitative studies. A meta-analysis may be conducted if sufficient quantitative studies are found using similar outcomes.
For this protocol, we identified ten related systematic reviews. The reviews were limited to a particular disease or setting, were not exclusive to SMS interventions, or were out of date. This systematic review will be the first comprehensive examination of studies that discuss the effectiveness of SMS on multiple outcomes that relate to STI prevention and management, covering diverse settings and populations. Findings of the systematic review and any additional meta-analyses will be published and presented to our key knowledge users. This information will provide the evidence that is required to appropriately adopt text messaging into standard practice in STI care.
在全球范围内，性传播感染（STI）的发病率正在上升，这对其控制和恰当管理构成了挑战。短信已成为全球近60亿手机用户最常用的通信方式。短信可用于提醒患者诊所预约、通知患者进行性传播感染重新检测的时间，以及促进患者就其性健康方面的任何问题与健康专业人员进行沟通。虽然有少数关于短消息服务（SMS）干预在各种健康环境和问题中的系统评价发表，但没有一个与性健康相关。我们计划进行一项系统评价，以研究短信可能对性传播感染患者的预防和护理干预产生的影响。
方法/设计：符合条件的研究将包括1995年后发表的定量和定性研究，这些研究讨论了使用短信进行性传播感染预防和管理的短信干预的疗效和有效性。数据将由两名评审员使用标准化的预测试数据提取表独立提取。将获得评分者间信度分数，以确保研究纳入和数据提取的一致性。将使用I²检验和亚组分析评估异质性。将应用非假设驱动的归纳推理方法以及编码框架来分析定性研究。如果发现足够多使用相似结果的定量研究，可能会进行荟萃分析。
对于本方案，我们确定了十项相关的系统评价。这些评价仅限于特定疾病或环境，并非专门针对短信干预，或者已经过时。这项系统评价将是对讨论短信对与性传播感染预防和管理相关的多个结果的有效性的研究的首次全面审查，涵盖不同的环境和人群。系统评价的结果以及任何额外的荟萃分析将发表并提交给我们的主要知识用户。这些信息将提供在性传播感染护理中将短信适当地纳入标准实践所需的证据。
