Emerging technologies for HIV prevention for MSM: what we have learned, and ways forward.
Emerging technologies for HIV prevention for MSM: what we have learned, and ways forward.
复制标题
MSM 艾滋病毒预防的新兴技术：我们的经验和前进的方向。
DOI：
10.1097/qai.0b013e3182949e85
复制
发表时间：
2013-06-01
期刊：
影响因子：
--
通讯作者：
Simon Rosser BR
中科院分区：
文献类型：
--
作者：
Sullivan PS;Grey JA;Simon Rosser BR
在过去的10年里，技术支持的艾滋病毒研究和预防领域已经成为一个令人兴奋的，充满活力的领域，为帮助在主要风险社区扩大艾滋病毒预防工作提供了巨大的潜力。技术和艾滋病毒流行的演变表明，双方都有机会以新的方式接触到风险最大的人群。新技术不能完全取代目前由人提供的干预措施和服务。然而，我们认为，新兴技术有望使服务规模化，并在接触农村MSM人群方面产生效率，与目前城市外展工作中没有接触到的人群建立联系，并提供可以用算法描述的服务或研究调查。此外，技术的类型（例如，基于互联网、基于智能手机、短信）应与所提供的内容和目标人群的技术使用模式相匹配。我们提出了若干关键原则和经验教训，这些原则和经验教训构成了一个框架，在这个框架内考虑技术和艾滋病毒预防与研究的机会。未来的方向包括提高在线调查的数据质量，更好地描述偏差，开发改进的抽样方法，与资助者合作，以确保资助机制和在线研究提案的兼容性，并促进共识的方法来复制和展示在线研究的研究和项目评估结果。考虑到目前对MSM预防服务综合方案的呼吁，有效的预防可能需要有意识地将技术支持的预防服务结合起来，以实现规模化，并在需要个性化咨询等非算法服务的情况下，战略性地使用个人交付的包组件。
The field of technology-enabled HIV research and prevention has emerged in the past 10 years as an exciting, dynamic field that offers great potential to help bring HIV prevention efforts to scale in key risk communities. Evolutions in technologies and in HIV epidemics suggest mutual opportunities to reach most at risk populations in novel ways. New technologies cannot completely replace interventions and services currently delivered by people. However, we suggest that emerging technologies hold promise to bring services to scale and produce efficiencies in reaching rural populations of MSM, connecting with populations who aren’t reached in current urban outreach efforts, and providing services or research surveys that can be described algorithmically. Further, the types of technologies (e.g., internet-based, smartphone-based, text messaging) should be matched with both the content to be delivered, and the technology usage patterns of target populations. We suggest several key principles and lessons learned that comprise a framework in which to consider the opportunities of technologies and HIV prevention and research. Future directions include improvement of data quality in online surveying, better characterization of biases, developing improved sampling approaches, working with funders to ensure compatibility of funding mechanisms and online research proposals, and promoting consensus approaches to the duplication and presentation of research and program evaluation results from online research. Given current calls for comprehensive packages of prevention services for MSM, effective prevention might require an intentional combination of technology-enabled prevention services to achieve scale, and strategic use of personally-delivered package components in cases where non-algorithmic services, such as individualized counseling, are needed.