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低收入和中等收入国家青少年中移动技术干预措施在预防和管理艾滋病毒方面的可扩展性:一项系统评价方案

Scalability of mobile technology interventions in the prevention and management of HIV among adolescents in low- and middle-income countries: protocol for a systematic review.

作者信息

Adebayo Emmanuel, Wang Dongqing, Olumide Adesola O, Ogunniyi Adesola, Fawzi Wafaie

机构信息

Adolescent Health Unit, Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Department of Global and Community Health, College of Health and Human Services, George Mason University, Virginia, USA.

出版信息

medRxiv. 2023 Mar 21:2023.03.21.23287533. doi: 10.1101/2023.03.21.23287533.

Abstract

INTRODUCTION

The rate of new infection of HIV is still high among adolescents globally. Adolescents in low and middle-income countries (LMICs) who are least likely to have access to quality healthcare have the highest proportion of those living with HIV. Mobile technology has played an important role in providing access to information and services among adolescents within the region in recent years. This review aims to synthesise and summarise information that will be useful in planning, designing, and implementing future mHealth strategies within the region.

METHODS AND ANALYSIS

Interventional studies on the prevention and management of HIV among adolescents that used mobile technology in LMICs will be included. MEDLINE (via PubMed), EMBASE, Web of Science, CINAHL, and the Cochrane Library are the information sources that have been identified as relevant to the area of study. These sources will be searched from inception to March 2023. The risk of bias will be assessed using the Cochrane Risk of Bias tool. The scalability of each study will be assessed using the Intervention Scalability Assessment Tool (ISAT). Two independent reviewers will conduct the selection of studies, data extraction, assessment of the risk of bias, and scalability. A narrative synthesis of all the included studies will be provided through a table.

ETHICS AND DISSEMINATION

An ethical approval was not necessary for this study. This is a systematic review of publicly available information and therefore ethical approval was not deemed necessary. The results of this review will be published in a peer reviewed journal and dataset will be presented in the main manuscript.

STRENGTHS AND LIMITATIONS

We believe that the likelihood of missing any published article will be low because of the information sources we are considering.The scalability tool (ISAT) has not been used in any systematic review before.The evidence provided in this review will be limited to low-middle-income countries.The exclusion of studies not published in English is a limitation for this review.

摘要

引言

全球青少年中艾滋病毒新感染率仍然很高。在最不可能获得优质医疗保健的低收入和中等收入国家(LMICs),感染艾滋病毒的青少年比例最高。近年来,移动技术在该地区青少年获取信息和服务方面发挥了重要作用。本综述旨在综合和总结有助于在该地区规划、设计和实施未来移动健康战略的信息。

方法与分析

将纳入在低收入和中等收入国家对使用移动技术预防和管理青少年艾滋病毒的干预性研究。MEDLINE(通过PubMed)、EMBASE、科学网、护理学与健康领域数据库(CINAHL)和考克兰图书馆被确定为与该研究领域相关的信息来源。将从这些来源的创建时间到2023年3月进行检索。将使用考克兰偏倚风险工具评估偏倚风险。将使用干预可扩展性评估工具(ISAT)评估每项研究的可扩展性。两名独立评审员将进行研究选择、数据提取、偏倚风险评估和可扩展性评估。将通过表格对所有纳入研究进行叙述性综合。

伦理与传播

本研究无需伦理批准。这是对公开可用信息的系统综述,因此认为无需伦理批准。本综述的结果将发表在同行评审期刊上,数据集将在主要手稿中呈现。

优势与局限性

我们认为,由于我们考虑的信息来源,遗漏任何已发表文章的可能性较低。可扩展性工具(ISAT)以前未在任何系统综述中使用过。本综述提供的证据将限于低收入和中等收入国家。排除非英文发表的研究是本综述的一个局限性。

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