University of Washington, 325 9th Ave, Harborview 2W Clinic, Seattle, WA, 98104, USA.
Division of Allergy and Infectious Diseases, University of Washington, Seattle, WA, USA.
Curr HIV/AIDS Rep. 2019 Feb;16(1):113-119. doi: 10.1007/s11904-019-00430-z.
This review summarizes novel interventions that employ technology to improve HIV pre-exposure prophylaxis (PrEP) availability, uptake, and adherence.
Several notable technology-based programs are increasing access to PrEP in unique ways. We identified multiple models for using telehealth to bolster PrEP dissemination and adherence, such as mobile applications that offer PrEP prescribing without an in-person visit, longitudinal distance telementoring for community provider PrEP education and clinical guidance, and electronic consults for PrEP specialist support in the primary care setting. Outcomes data for all of these modalities are limited but show promise. Technology-based interventions can address gaps in the PrEP care continuum. Future research should assess and compare outcomes, scalability, cost-effectiveness, and sustainability. Costs associated with the creation of new technological tools slow innovation and the field would benefit from a platform for technology sharing.
本综述总结了利用技术提高 HIV 暴露前预防 (PrEP) 的可及性、使用率和依从性的新干预措施。
一些值得注意的基于技术的项目正在以独特的方式增加 PrEP 的可及性。我们确定了多种利用远程医疗来加强 PrEP 传播和依从性的模式，例如提供无需面访即可开处 PrEP 的移动应用程序、为社区提供者提供 PrEP 教育和临床指导的纵向远程指导、以及在初级保健环境中为 PrEP 专家支持提供电子咨询。所有这些模式的结果数据都很有限，但有希望。基于技术的干预措施可以解决 PrEP 护理连续体中的差距。未来的研究应该评估和比较结果、可扩展性、成本效益和可持续性。创建新的技术工具的相关成本阻碍了创新，该领域将受益于一个技术共享平台。
