Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.
Department of Maternal, Child & Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China.
Int J STD AIDS. 2024 Sep;35(10):752-774. doi: 10.1177/09564624241252457. Epub 2024 May 11.
Human immunodeficiency virus (HIV) infection has become a major contributor to the global burden of disease. Globally, the number of cases of HIV continues to increase. Electronic health (eHealth) interventions have emerged as promising tools to support disease self-management among people living with HIV. The purpose of this umbrella review is to systematically evaluate and summarize the evidence and results of published systematic reviews and meta-analyses on the effectiveness of eHealth interventions for HIV prevention, testing and management.
PubMed, Embase and the Cochrane Library were searched for reviews. The methodological quality of the included studies was assessed using AMSTAR-2.
A total of 22 systematic reviews were included. The methodological quality of the reviews was low or critically low. EHealth interventions range from Internet, computer, or mobile interventions to websites, programs, applications, email, video, games, telemedicine, texting, and social media, or a combination of them. The majority of the reviews showed evidence of effectiveness (including increased participation in HIV management behaviours, successfully changed HIV testing behaviours, and reduced risk behaviours). EHealth interventions were effective in the short term.
Ehealth interventions have the potential to improve HIV prevention, HIV testing and disease management. Due to the limitations of the low methodological quality of the currently available systematic reviews, more high-quality evidence is needed to develop clear and robust recommendations.
人类免疫缺陷病毒（HIV）感染已成为全球疾病负担的主要原因。在全球范围内，HIV 病例数量持续增加。电子健康（eHealth）干预措施已成为支持 HIV 感染者进行疾病自我管理的有前途的工具。本伞式综述的目的是系统评估和总结已发表的系统评价和荟萃分析的证据和结果，评估 eHealth 干预措施在 HIV 预防、检测和管理方面的有效性。
检索了 PubMed、Embase 和 Cochrane Library 中的综述。使用 AMSTAR-2 评估纳入研究的方法学质量。
共纳入 22 项系统评价。综述的方法学质量较低或极低。eHealth 干预措施范围从互联网、计算机或移动干预到网站、程序、应用程序、电子邮件、视频、游戏、远程医疗、短信和社交媒体，或它们的组合。大多数综述都表明干预措施具有有效性（包括增加参与 HIV 管理行为、成功改变 HIV 检测行为和减少风险行为）。eHealth 干预措施在短期内有效。
eHealth 干预措施有可能改善 HIV 预防、HIV 检测和疾病管理。由于目前可用的系统评价方法学质量较低的限制，需要更多高质量的证据来制定明确和有力的建议。
