Jongbloed Kate, Parmar Sunjit, van der Kop Mia, Spittal Patricia M, Lester Richard T
School of Population & Public Health, University of British Columbia, 2206 E Mall, Vancouver, BC, V6T 1Z9, Canada.
Faculty of Medicine, University of British Columbia, 2350 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada.
Curr HIV/AIDS Rep. 2015 Dec;12(4):451-61. doi: 10.1007/s11904-015-0291-7.
Antiretroviral therapy is a powerful tool to reduce morbidity and mortality for the 35 million people living with HIV globally. However, availability of treatment alone is insufficient to meet new UNAIDS 90-90-90 targets calling for rapid scale-up of engagement in HIV care to end the epidemic in 2030. Digital technology interventions (mHealth, eHealth, and telehealth) are emerging as one approach to support lifelong engagement in HIV care. This review synthesizes recent reviews and primary studies published since January 2014 on digital technology interventions for engagement in HIV care after diagnosis. Technologies for health provide emerging and proven solutions to support achievement of the United Nations targets for the generalized HIV-affected population. Much of the existing evidence addresses antiretroviral therapy (ART) adherence; however, studies have begun to investigate programs to support linkage and retention in care as well as interventions to engage key populations facing extensive barriers to care.
抗逆转录病毒疗法是降低全球3500万艾滋病毒感染者发病率和死亡率的有力工具。然而,仅提供治疗不足以实现联合国艾滋病规划署的新90-90-90目标,该目标要求迅速扩大艾滋病毒护理服务的参与度,以便在2030年终结艾滋病流行。数字技术干预措施(移动健康、电子健康和远程医疗)正在成为支持终身参与艾滋病毒护理的一种方法。本综述综合了自2014年1月以来发表的关于诊断后参与艾滋病毒护理的数字技术干预措施的近期综述和原创研究。健康技术提供了新的和经过验证的解决方案,以支持实现联合国针对受艾滋病毒广泛影响人群的目标。现有证据大多涉及抗逆转录病毒疗法(ART)的依从性;然而,研究已开始调查支持护理衔接和留存的项目,以及针对面临巨大护理障碍的关键人群的干预措施。
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