Duke Global Health Institute, Duke University, Durham, NC, USA.
Center for Health Policy and Inequalities, Duke Global Health Institute, Duke University, Durham, NC, USA.
Curr HIV/AIDS Rep. 2018 Aug;15(4):336-349. doi: 10.1007/s11904-018-0407-y.
Multiple reviews have examined eHealth/mHealth interventions to address treatment adherence, including those focusing on youth living with HIV (YLWH). This review synthesizes results of prior reviews and recent studies (last 5 years) to provide a path forward for future research, acknowledging both lessons learned and gaps to be addressed.
Recent studies provide further evidence for the feasibility and acceptability of technology-based HIV interventions. Formative research of more comprehensive smartphone applications and pilot studies of computer-delivered interventions provide additional guidance on YLWH's preferences for intervention components and show promising preliminary efficacy for impacting treatment adherence. Expanding access to technology among YLWH, in the United States (US) and globally, supports the continued focus on eHealth/mHealth interventions as a means to reduce disparities in clinical outcomes. Future research should lend greater focus to implementation and scale-up of interventions through the use of adaptive treatment strategies that include costing analyses, measuring and maximizing engagement, fostering information sharing between researchers, and building upon sustainable platforms.
多项研究已经审查了电子健康/移动健康干预措施以提高治疗依从性,其中包括针对青少年感染者(YLWH)的研究。本综述综合了以往综述和最近 5 年的研究结果,为未来的研究提供了方向,同时也指出了需要吸取的教训和需要解决的空白。
最近的研究为基于技术的 HIV 干预措施的可行性和可接受性提供了进一步的证据。更全面的智能手机应用程序的形成性研究和计算机交付干预措施的试点研究为青少年感染者对干预措施组成部分的偏好提供了更多的指导,并显示出对影响治疗依从性的初步疗效。在美国和全球范围内扩大青少年感染者对技术的获取,支持继续关注电子健康/移动健康干预措施,以减少临床结果方面的差距。未来的研究应更加注重通过使用包括成本分析、衡量和最大化参与度、促进研究人员之间的信息共享以及在可持续平台上进行的适应性治疗策略来实施和扩大干预措施。