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

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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.

Resumen

Metas nacionales de prevención de VIH requeria intervenciones que abordan el continuo del VIH cuidado (CoC) para las personas que viven con VIH. Tecnología electrónica de la salud (eSalud) pueden aprovechar la tecnología para rápidamente desarrollar y difundir ese tipo de intervenciones. Se realizó una revisión cualitativa para sintetizar (a) los tipos de tecnología, (b) CoC resultados, (c) marcos teóricos, y (d) mecanismos de cambio del comportamiento. Esta rápida revisión de eSalud artículos relacionados con el VIH (2007–2017) se centró en las intervenciones basadas en la tecnología que informaron los resultados relacionados con CoC. Cuarenta y cinco estudios cumplieron con los criterios de inclusión. Mensajes de texto móviles era la tecnología más comúnmente reportada (44.4%, k = 20). Alrededor del 75% (k = 34) de los estudios demostrados eficacia probada o preliminar para mejorar los resultados relacionados con CoC. Mayoría de los estudios (60%, k = 27) se centró en cumplimiento con la medicación; 20% (k = 9) mide la supresión virológica. Muchas intervenciones de eSalud con eficacia preliminar o probada confiaron en tecnología móvil e integraron el conocimiento y la cognición como mecanismos de cambio de comportamiento. Esta revisión identificó deficiencias en el desarrollo y aplicación de las intervenciones de eSalud en CoC.

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Acknowledgements

We would like to acknowledge the PRS Project of the Prevention Research Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention for their support.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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  1. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop E-45, Atlanta, GA, 30329, USA

    Kirk D. Henny, Aisha L. Wilkes, Christina M. McDonald, Damian J. Denson & Mary Spink Neumann

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  1. Kirk D. Henny
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Henny, K.D., Wilkes, A.L., McDonald, C.M. et al. A Rapid Review of eHealth Interventions Addressing the Continuum of HIV Care (2007–2017). AIDS Behav 22, 43–63 (2018). https://doi.org/10.1007/s10461-017-1923-2

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