A multipronged evidence-based approach to implement mHealth for underserved HIV-infected populations
A multipronged evidence-based approach to implement mHealth for underserved HIV-infected populations
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DOI：
10.1177/2050157917692390
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发表时间：
2017-05-01
影响因子：
4.9
通讯作者：
Cravero, Claire
中科院分区：
文献类型：
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作者：
Krishnan, Archana;Cravero, Claire
移动技术因其低成本和普遍性而在资源有限的环境中显示出巨大的前景。早期基于证据的研究表明，对在艾滋病毒感染者（PLWH）中实施移动医疗干预措施给予了强有力的支持；然而，在最弱势的感染者和艾滋病病毒感染者群体中缺乏这种类型的调查，例如男男性行为者（MSM）、囚犯以及面临药物滥用障碍（SUDS）和结构不稳定的人。这些人群面临着比一般感染者和艾滋病病毒感染者更严重的障碍，包括社会耻辱和歧视。针对缺乏对移动医疗实施情况的严格评估以及移动医疗工具在服务不足的感染者中的巨大潜力，我们提出了一种三管齐下的方法，使用基于证据的方法来扎根移动医疗工具：(a) 通过描述性研究评估移动医疗的可行性和可及性，(b) 开展测试移动医疗工具的试点项目，以及 (c) 将移动医疗工具整合到现有的大规模研究中。这里提供的一系列研究步骤旨在为服务不足人群的移动健康干预措施以及对他们造成不成比例影响的健康状况建立坚实的证据。
Mobile technology shows great promise in resource-limited settings due to its low cost and pervasive nature. Early evidence-based studies have shown robust support for mHealth interventions implemented among people living with HIV (PLWH); however, this type of inquiry is lacking amongst the most vulnerable groups of PLWH such as men who have sex with men (MSM), prisoners, and those facing substance use disorders (SUDS) and structural instabilities. These populations face barriers more profound than the general PLWH population including social stigma and discrimination. In response to the lack of rigorous evaluation of mHealth implementation and the tremendous potential for mHealth tools in underserved PLWH, we propose a 3-pronged approach in rooting mHealth tools using evidence-based methodology-(a) assessing mHealth feasibility and accessibility through descriptive studies, (b) conducting pilot projects testing mHealth tools, and (c) integrating mHealth tools into existing large-scale studies. The set of research steps proffered here aims to build a solid body of evidence on mHealth interventions among underserved populations and the health conditions that disproportionately affect them.