Tufts Kimberly Adams, Johnson Kaprea F, Shepherd Jewel Goodman, Lee Ju-Young, Bait Ajzoon Muna S, Mahan Lauren B, Kim Miyong T
J Assoc Nurses AIDS Care. 2015 Mar-Apr;26(2):139-50. doi: 10.1016/j.jana.2014.08.002. Epub 2014 Aug 8.
The purpose of this systematic review was to assess the quality of interventions using mobile health (mHealth) technology being developed for and trialed with HIV-infected African American (AA) women. We aimed to assess rigor and to ascertain if these interventions have been expanded to include the broad domain of self-management. After an extensive search using the PRISMA approach and reviewing 450 records (411 published studies and 39 ongoing trials at clinicaltrials.gov), we found little completed research that tested mHealth HIV self-management interventions for AA women. At clinicaltrials.gov, we found several mHealth HIV intervention studies designed for women in general, forecasting a promising future. However, most studies were exploratory in nature and focused on a single narrow outcome, such as medication adherence. Given that cultural adaptation is the key to successfully implementing any effective self-management intervention, culturally relevant, gender-specific mHealth interventions focusing on HIV-infected AA women are warranted for the future.
本系统评价的目的是评估为感染艾滋病毒的非裔美国（AA）女性开发并进行试验的移动健康（mHealth）技术干预措施的质量。我们旨在评估其严谨性，并确定这些干预措施是否已扩展到包括自我管理的广泛领域。在使用PRISMA方法进行广泛检索并审查了450条记录（411项已发表研究和clinicaltrials.gov上的39项正在进行的试验）后，我们发现几乎没有已完成的针对AA女性的移动健康艾滋病毒自我管理干预措施的研究。在clinicaltrials.gov上，我们发现了几项总体上为女性设计的移动健康艾滋病毒干预研究，预示着前景光明。然而，大多数研究本质上是探索性的，并且集中在单一狭窄的结果上，例如药物依从性。鉴于文化适应是成功实施任何有效自我管理干预措施的关键，未来有必要开展针对感染艾滋病毒的AA女性的具有文化相关性、针对性别的移动健康干预措施。
