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A Rapid Review of eHealth Interventions Addressing the Continuum of HIV Care (2007-2017).

A Rapid Review of eHealth Interventions Addressing the Continuum of HIV Care (2007-2017).
Author Information (click to view)

Henny KD, Wilkes AL, McDonald CM, Denson DJ, Neumann MS,


Henny KD, Wilkes AL, McDonald CM, Denson DJ, Neumann MS, (click to view)

Henny KD, Wilkes AL, McDonald CM, Denson DJ, Neumann MS,

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AIDS and behavior 2017 10 05() doi 10.1007/s10461-017-1923-2

Abstract

National HIV prevention goals call for interventions that address Continuum of HIV Care (CoC) for persons living with HIV. Electronic health (eHealth) can leverage technology to rapidly develop and disseminate such interventions. We conducted a qualitative review to synthesize (a) technology types, (b) CoC outcomes, (c) theoretical frameworks, and (d) behavior change mechanisms. This rapid review of eHealth, HIV-related articles (2007-2017) focused on technology-based interventions that reported CoC-related outcomes. Forty-five studies met inclusion criteria. Mobile texting was the most commonly reported technology (44.4%, k = 20). About 75% (k = 34) of studies showed proven or preliminary efficacy for improving CoC-related outcomes. Most studies (60%, k = 27) focused on medication adherence; 20% (k = 9) measured virologic suppression. Many eHealth interventions with preliminary or proven efficacy relied on mobile technology and integrated knowledge/cognition as behavior change mechanisms. This review identified gaps in development and application of eHealth interventions regarding CoC.

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