Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam.
AIDS Behav. 2019 Sep;23(9):2253-2272. doi: 10.1007/s10461-019-02626-1.
A systematic review was conducted to summarize and appraise the eHealth interventions addressing HIV/STI prevention among men who have sex with men (MSM), and characterize features of successful eHealth interventions. Fifty-five articles (17 pilots and 38 full efficacy trials) were included with the predominance of web-based interventions in the United States-based settings. Intervention modalities include web-based, short message service (SMS)/text messges/email reminder, online video-based, computer-assisted, multimedia-based, social network, live chat and chat room, virtual simulation intervention, and smartphone applications. Forty-nine eHealth interventions achieved a short-term behaviour change among participants. Four studies were conducted with 12-month follow-ups; and only one of them could maintain the behaviour change over this longer time period which could be due to the lack of booster interventions. Our study suggests that eHealth interventions can achieve short term behaviour change among MSM, however limited interventions could maintain behaviour change over 12 months. Further eHealth intervention strategies to promote HIV prevention among MSM should be conducted and rigorously evaluated.
一项系统评价总结并评价了电子健康干预措施在男男性行为者（MSM）中的 HIV/性传播感染预防效果，并对成功的电子健康干预措施的特征进行了描述。共有 55 篇文章（17 篇试验研究和 38 篇完整疗效试验）被纳入研究，其中以基于美国的网络为基础的干预措施为主。干预模式包括基于网络、短信息服务（SMS）/短信/电子邮件提醒、在线视频、计算机辅助、多媒体、社交网络、实时聊天和聊天室、虚拟模拟干预以及智能手机应用。49 项电子健康干预措施在参与者中实现了短期的行为改变。有 4 项研究进行了 12 个月的随访；其中只有一项研究能够在更长的时间内保持行为改变，这可能是由于缺乏强化干预措施。我们的研究表明，电子健康干预措施可以在 MSM 中实现短期的行为改变，但有限的干预措施可以在 12 个月内保持行为改变。应该进一步开展和严格评估促进 MSM 中 HIV 预防的电子健康干预策略。
