Huang Hao, Xie MeiLian, Yang Zhen, Wang AiPing
School of Nursing, Faculty of Health and Social Sciences, Hong Kong Polytechnic University, Hong Kong, China (Hong Kong).
First Hospital of China Medical University, Shenyang, China.
J Med Internet Res. 2025 Jan 13;27:e57363. doi: 10.2196/57363.
BACKGROUND: HIV/AIDS remains a significant global challenge, and with the rapid advancement of technology, there has been an increasing number of interventions aimed at improving HIV/AIDS cognition and self-management behaviors among patients. However, there is still a lack of detailed literature integrating relevant evidence. OBJECTIVE: This study aims to comprehensively review existing research on interventions using modern information methods to improve HIV/AIDS cognition and enhance self-management behaviors among patients. It systematically reports the theoretical frameworks and specific intervention strategies used in current research, providing a comprehensive overview of the development status of relevant studies. We aim to compile existing evidence through this scoping review to identify potential avenues for future research. METHODS: We followed the scoping review framework proposed by the Joanna Briggs Institute for the synthesis and reporting of evidence. Relevant literature was searched using electronic databases, including PubMed, Web of Science, Embase, CINAHL, and Cochrane Library. The time frame for inclusion was from 2018 to December 1, 2023. Inclusion criteria were (1) interventions using modern information technology or new digital media, (2) studies focusing on improving HIV awareness or self-management behaviors among people living with HIV, (3) intervention studies or evaluations of intervention effects, and (4) studies published within the last five years. Two reviewers (HH and MX) independently assessed each study at both the title and abstract screening stage and the full-text review stage, resolving any disagreements through discussion. RESULTS: A total of 55 studies that met the inclusion criteria were included. The Information-Motivation-Behavioral Skills model, Social Cognitive Theory, Health Belief Model, Theory of Planned Behavior, and Information Systems Research Framework are among the most commonly used theoretical frameworks. Modern information technology interventions are mainly constructed using smartphone apps, SMS text messaging, internet-based platforms, audiovisual materials, and digital health education platforms, with smartphone apps and SMS text messaging being the most widely used intervention media. CONCLUSIONS: Modern information technology is becoming an important tool for health interventions among people living with HIV/AIDS. However, future research should focus on integrating theoretical framework guidance with intervention design, further exploring the diversity of intervention implementations, the applicability of different technological methods, their long-term effects, and how to more effectively combine traditional intervention strategies to maximize intervention outcomes.
背景:艾滋病毒/艾滋病仍然是一项重大的全球挑战,随着技术的迅速发展,旨在提高艾滋病毒/艾滋病患者认知和自我管理行为的干预措施越来越多。然而,仍然缺乏整合相关证据的详细文献。 目的:本研究旨在全面回顾利用现代信息方法改善艾滋病毒/艾滋病认知并增强患者自我管理行为的现有研究。它系统地报告了当前研究中使用的理论框架和具体干预策略,全面概述了相关研究的发展状况。我们旨在通过本次范围综述汇编现有证据,以确定未来研究的潜在途径。 方法:我们遵循乔安娜·布里格斯研究所提出的范围综述框架来综合和报告证据。使用电子数据库搜索相关文献,包括PubMed、科学网、Embase、护理学与健康领域数据库以及考科蓝图书馆。纳入的时间范围是从2018年到2023年12月1日。纳入标准为:(1)使用现代信息技术或新数字媒体的干预措施;(2)关注提高艾滋病毒感染者的艾滋病毒认知或自我管理行为的研究;(3)干预研究或干预效果评估;(4)过去五年内发表的研究。两位评审员(HH和MX)在标题和摘要筛选阶段以及全文评审阶段独立评估每项研究,通过讨论解决任何分歧。 结果:共纳入55项符合纳入标准的研究。信息 - 动机 - 行为技能模型、社会认知理论、健康信念模型、计划行为理论和信息系统研究框架是最常用的理论框架。现代信息技术干预主要通过智能手机应用程序、短信、基于互联网的平台、视听材料和数字健康教育平台构建,其中智能手机应用程序和短信是使用最广泛的干预媒介。 结论:现代信息技术正成为艾滋病毒/艾滋病患者健康干预的重要工具。然而,未来的研究应侧重于将理论框架指导与干预设计相结合,进一步探索干预实施的多样性、不同技术方法的适用性、其长期效果以及如何更有效地结合传统干预策略以最大化干预效果。
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