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Implementation of eHealth Interventions Across the HIV Care Cascade: a Review of Recent Research

  • HIV and Technology (J Simoni and K Ronen, Section Editors)
  • Published:
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Abstract

Purpose of Review

We review recent implementation science focusing on eHealth interventions to improve outcomes along the HIV care cascade. We highlight several gaps in the eHealth implementation literature and propose areas for future study.

Recent Findings

We identified 17 studies conducted in North America, Europe, and sub-Saharan Africa assessing the acceptability, appropriateness, adoption, cost, feasibility, fidelity, penetration, or sustainability of eHealth interventions targeting the HIV care cascade. Most interventions used SMS messages to improve cascade outcomes. Feasibility research has demonstrated the importance of adaptability for intervention scale-up and delivery. Key gaps in the literature remain related to predictors of the adoption of eHealth interventions by health facilities and staff. In addition, no studies explored sustainability and few used theoretical frameworks for implementation research or validated measures of implementation outcomes. We propose next steps for the future of eHealth implementation research to inform the delivery, scale-up, and maintenance of eHealth interventions in the real world.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Global Health, University of Washington, Ninth and Jefferson Building, 13th Floor, Box 359932, 908 Jefferson Street, Seattle, WA, 98104, USA

    Christopher G. Kemp & Jennifer Velloza

  2. Department of Epidemiology, University of Washington, 1959 NE Pacific St, Box 357236, Seattle, WA, 98195, USA

    Jennifer Velloza

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  1. Christopher G. Kemp
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  2. Jennifer Velloza
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Correspondence to Christopher G. Kemp.

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Kemp, C.G., Velloza, J. Implementation of eHealth Interventions Across the HIV Care Cascade: a Review of Recent Research. Curr HIV/AIDS Rep 15, 403–413 (2018). https://doi.org/10.1007/s11904-018-0415-y

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