Recent Advances (2011-2012) in Technology-Delivered Interventions for People Living with HIV
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Technology is rapidly advancing and becoming a cost effective option for intervention delivery particularly for isolated and hard to reach populations, such as people living with HIV/AIDS. A systematic review was conducted to identify recent technology based interventions for people living with HIV. The review yielded 12 studies that were grouped by the health behavior that it addressed and then the type of technology utilized. The majority of studies reviewed focused on medication adherence and used several different technologies to deliver the intervention including SMS/text messaging, cell phones and computers. This review identified several gaps in the literature particularly the lack of technology-based interventions focusing on engagement and retention to care as well as sexual risk reduction. Suggestions for future research based on these findings are provided.
KeywordsHIV/AIDS HIV management Technology Technology intervention Technology-based intervention Secondary prevention Systematic review Sexual risk reduction People living with HIV (PLWH)
Preparation of this article was supported by the National Institute of Mental Health (NIMH) training grant T32-MH074387 and research grant R01-MH82633 and the National Institute on Drug Abuse (NIDA) grant R01-DA033067.
J. A. Pellowski: training grant from National Institute of Mental Health (NIMH) ; S. C. Kalichman: none.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 1.UNAIDS. The global AIDS epidemic fact sheet. Joint United Nations Programme on HIV/AIDS Web site. http://www.unaids.org/en/media/unaids/contentassets/documents/factsheet/2010/20101123_FS_Global_em_en.pdf. Accessed June 12, 2012.
- 2.CDC. HIV Surveillance- United States, 1981-2008. Morb Mortal Wkly Rep. 2011;60:689–93.Google Scholar
- 9.• Coomes C, Lewis M, Uhrig J, et al. Beyond reminders: a conceptual framework for using short message service to promote prevention and improve healthcare quality and clinical outcomes for people living with HIV. AIDS Care. 2012;24(3):348–57. This is a thorough review of the previous text messaging literature focused on people living with HIV and provides a working framework for future text message interventions.PubMedCrossRefGoogle Scholar
- 10.• Page T, Horvath K, Danilenko G, et al. A cost analysis of an Internet-based medication adherence intervention for people living with HIV. J Acquir Immune Defic Syndr. 2012;60(1):1–4. This is the first cost-analysis, to our knowledge, looking at the use of a technology for secondary prevention for people living with HIV. The outcome is generally positive and will hopefully be the first of many technology cost-analyses.PubMedCrossRefGoogle Scholar
- 14.Kurth A, Curioso W, Ngugi E, et al. Personal digital assistants for HIV treatment adherence, safer sex behavior support, and provider training in resource-constrained settings. AMIA Annu Symp Proc. 2007;1018.Google Scholar
- 17.Skrajner M, Camp C, Haberman J, et al. Use of videophone technology to address medication adherence issues in persons with HIV. HIV AIDS (Auckl). 2009;1:23–30.Google Scholar
- 31.da Costa T, Barbosa B, Gomes e Costa D, et al. Results of a randomized controlled trial to assess the effects of a mobile SMS-based intervention on treatment adherence in HIV/AIDS-infected Brazilian women and impressions and satisfaction with respect to incoming messages. Int J Med Inform. 2012;81(4):257–69.PubMedCrossRefGoogle Scholar
- 32.Lewis M, Uhrig J, Bann C, et al. Tailored Text Messaging Intervention for HIV Adherence: A Proof-of-Concept Study. Health Psychol. 2012. doi: 10.1037/a0028109.
- 33.•• Pop-Eleches C, Thirumurthy H, Habyarimana J, et al. Mobile phone technologies improve adherence to antiretroviral treatment in a resource-limited setting: a randomized controlled trial of text message reminders. AIDS. 2011;25(6):825–34. This is an example of an outstanding recent multi-arm randomized control trial of text message timing and length. The findings in this article will most likely be influential in the development and implementation of future medication adherence text messaging interventions for people living with HIV.PubMedCrossRefGoogle Scholar
- 35.Aharonovich E, Greenstein E, O’Leary A, et al. HealthCall: technology-based extension of motivational interviewing to reduce non-injection drug use in HIV primary care patients - a pilot study. AIDS Care. 2012. doi: 10.1080/09540121.2012.663882.
- 39.Marhefka S, Fuhrmann H, Gilliam P, et al. Interest in, concerns about, and preferences for potential video-group delivery of an effective behavioral intervention among women living with HIV. AIDS Behav. 2011. doi: 10.1007/s10461-011-0040-x.
- 42.•• Kennedy C, Powell J, Payne T, et al. Active assistance technology for health-related behavior change: an interdisciplinary review. J Med Internet Res. 2012;14(3):e80. This article provides key information on the current state of technology health interventions as a whole and provides innovative possible next steps for technology interventions for people living with HIV.PubMedCrossRefGoogle Scholar