Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop E-45, Atlanta, GA, 30329, USA.
AIDS Behav. 2018 Jan;22(1):43-63. doi: 10.1007/s10461-017-1923-2.
National HIV prevention goals call for interventions that address Continuum of HIV Care (CoC) for persons living with HIV. Electronic health (eHealth) can leverage technology to rapidly develop and disseminate such interventions. We conducted a qualitative review to synthesize (a) technology types, (b) CoC outcomes, (c) theoretical frameworks, and (d) behavior change mechanisms. This rapid review of eHealth, HIV-related articles (2007-2017) focused on technology-based interventions that reported CoC-related outcomes. Forty-five studies met inclusion criteria. Mobile texting was the most commonly reported technology (44.4%, k = 20). About 75% (k = 34) of studies showed proven or preliminary efficacy for improving CoC-related outcomes. Most studies (60%, k = 27) focused on medication adherence; 20% (k = 9) measured virologic suppression. Many eHealth interventions with preliminary or proven efficacy relied on mobile technology and integrated knowledge/cognition as behavior change mechanisms. This review identified gaps in development and application of eHealth interventions regarding CoC.
国家艾滋病预防目标要求采取干预措施，解决艾滋病毒感染者的艾滋病连续护理（CoC）问题。电子健康（eHealth）可以利用技术快速开发和传播此类干预措施。我们进行了一项定性综述，以综合（a）技术类型，（b）CoC 结果，（c）理论框架和（d）行为改变机制。这项针对 eHealth 和与艾滋病相关的文章（2007-2017 年）的快速综述侧重于报告 CoC 相关结果的基于技术的干预措施。有 45 项研究符合纳入标准。移动短信是报告最多的技术（44.4%，k=20）。约 75%（k=34）的研究表明，改善 CoC 相关结果的有效性得到了证实或初步证实。大多数研究（60%，k=27）侧重于药物依从性；20%（k=9）衡量病毒学抑制。许多具有初步或已证实疗效的电子健康干预措施依赖于移动技术，并整合了知识/认知作为行为改变机制。本综述确定了电子健康干预措施在 CoC 方面的开发和应用方面存在差距。
