技术支持的健康干预措施在中低收入国家青少年 HIV 感染者中的效果、可接受性和可行性：系统评价。
Effectiveness, Acceptability and Feasibility of Technology-Enabled Health Interventions for Adolescents Living with HIV in Low- and Middle-Income Countries: A Systematic Review.
机构信息
School of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town 7535, South Africa.
School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town 7535, South Africa.
出版信息
Int J Environ Res Public Health. 2023 Jan 30;20(3):2464. doi: 10.3390/ijerph20032464.
BACKGROUND
Adolescents living with HIV (ALHIV) are challenged to remain adherent and engaged in HIV care. Technology-enabled interventions can be used to optimize healthcare delivery to adolescents. The largest proportion of ALHIV resides in sub-Saharan Africa. This review synthesized the evidence for the effectiveness, acceptability, and feasibility of technology-enabled health interventions for ALHIV in low and middle-income countries (LMIC).
METHODS
Eight electronic databases (Ebscohost, CINAHL, ERIC, MEDLINE, PubMed, SCOPUS, Science Direct, and Sabinet) and Google Scholar were searched to identify studies in LMIC published from 2010 to 2022. Quantitative and qualitative studies reporting on technology-enabled health interventions for predominantly adolescents (10-19 years) were included. The review was performed, and findings were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols. The review was registered with PROSPERO: CRD42022336330.
RESULTS
There is weak evidence that technology-enabled health interventions for ALHIV in LMIC improve treatment outcomes. However, most interventions appear to be acceptable and feasible.
CONCLUSION
There is a need to ensure that technology-enabled interventions have a strong theoretical base. Larger studies with rigorous evaluation designs are needed to determine the effects of these interventions on the health outcomes of ALHIV in LMIC.
背景
感染艾滋病毒的青少年（ALHIV）在坚持和参与艾滋病毒护理方面面临挑战。技术支持的干预措施可用于优化向青少年提供的医疗保健。最大比例的 ALHIV 居住在撒哈拉以南非洲。本综述综合了在中低收入国家（LMIC）为 ALHIV 提供技术支持的卫生干预措施的有效性、可接受性和可行性的证据。
方法
在 2010 年至 2022 年期间，在 8 个电子数据库（Ebscohost、CINAHL、ERIC、MEDLINE、PubMed、SCOPUS、Science Direct 和 Sabinet）和 Google Scholar 上搜索了关于技术支持的卫生干预措施的研究，这些研究主要针对青少年（10-19 岁）。纳入了报告主要针对青少年（10-19 岁）的技术支持的卫生干预措施的定量和定性研究。根据系统评价和荟萃分析报告标准的首选报告项目进行了综述，并报告了研究结果。该综述已在 PROSPERO 上注册：CRD42022336330。
结果
有弱证据表明，中低收入国家为 ALHIV 提供的技术支持的卫生干预措施可改善治疗结果。然而，大多数干预措施似乎是可以接受和可行的。
结论
需要确保技术支持的干预措施具有坚实的理论基础。需要进行更大规模的、具有严格评估设计的研究，以确定这些干预措施对中低收入国家 ALHIV 健康结果的影响。
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