Evidence for Technology Interventions to Promote ART Adherence in Adult Populations: a Review of the Literature 2012-2015.
Evidence for Technology Interventions to Promote ART Adherence in Adult Populations: a Review of the Literature 2012-2015.
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DOI：
10.1007/s11904-015-0286-4
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发表时间：
2015-12
影响因子：
4.6
通讯作者：
Amico KR
中科院分区：
文献类型：
--
作者：
Amico KR
利用技术提高抗逆转录病毒疗法(ART)的依从性及其相关因素，作为一种低成本、可推广的策略，在劳动力日益有限的情况下提供高质量的依从性支持，具有巨大的吸引力。随着未来十年全球艾滋病毒携带者进入护理和发起抗逆转录病毒治疗的人数预计将大幅增加，需要支持抗逆转录病毒治疗的能力，而计算机、互联网和移动电话的使用有可能提供这些效率--前提是它们是有效的。该综述总结了技术驱动、提供或增强的ART依从性干预方法的证据基础方面的最新进展。Pubmed搜索限定为2013年1月至2015年7月，确定了13项合格研究，评估了计算机提供的干预、互联网方法、移动电话技术以及具有触发消息和数据信息咨询的电子剂量监测。已经出现了对每个领域的相当大的支持，大多数综述的研究显示出对ART依从性和临床结果的显著影响。找出差距并提出建议。
Leveraging technology to enhance antiretroviral therapy (ART) adherence, and factors associated with it, has tremendous appeal as a low-cost, generalizable strategy to offer high-quality adherence support given an increasingly limited workforce. As the numbers of individuals living with HIV entering care and initiating ART are expected to increase substantially worldwide in the next decade, capacity to support ART adherence is needed and use of computers, internet and mobile phones has the potential to offer those efficiencies--providing they are effective. This review summarizes recent advances in the evidence base for technology-driven, -delivered or -enhanced ART adherence intervention approaches. A Pubmed search limited to January 2013 through July 2015 identified 13 qualifying studies evaluating computer-delivered interventions, internet approaches, mobile phone technologies, and electronic dose monitoring with triggered messaging and data-informed counseling. Considerable support for each area has emerged, with the majority of studies reviewed demonstrating significant effects on ART adherence and clinical outcomes. Gaps are identified and recommendations offered.