Health Technology-Enabled Interventions for Adherence Support and Retention in Care Among US HIV-Infected Adolescents and Young Adults: An Integrative Review.
Ann-Margaret Dunn NavarraMarya Viorst GwadzRobin WhittemoreSuzanne R BakkenCharles M ClelandWinslow BurlesonSusan Kaplan JacobsGail D'Eramo MelkusPublished in: AIDS and behavior (2018)
The objective of this integrative review was to describe current US trends for health technology-enabled adherence interventions among behaviorally HIV-infected youth (ages 13-29 years), and present the feasibility and efficacy of identified interventions. A comprehensive search was executed across five electronic databases (January 2005-March 2016). Of the 1911 identified studies, nine met the inclusion criteria of quantitative or mixed methods design, technology-enabled adherence and or retention intervention for US HIV-infected youth. The majority were small pilots. Intervention dose varied between studies applying similar technology platforms with more than half not informed by a theoretical framework. Retention in care was not a reported outcome, and operationalization of adherence was heterogeneous across studies. Despite these limitations, synthesized findings from this review demonstrate feasibility of computer-based interventions, and initial efficacy of SMS texting for adherence support among HIV-infected youth. Moving forward, there is a pressing need for the expansion of this evidence base.
Keyphrases
- hiv infected
- physical activity
- antiretroviral therapy
- healthcare
- mental health
- human immunodeficiency virus
- public health
- randomized controlled trial
- young adults
- glycemic control
- palliative care
- case control
- type diabetes
- health information
- risk assessment
- machine learning
- big data
- deep learning
- adipose tissue
- artificial intelligence
- insulin resistance
- social media
- human health
- study protocol
- health promotion