Adapting digital health interventions for the evolving HIV landscape: examples to support prevention and treatment research.
Adapting digital health interventions for the evolving HIV landscape: examples to support prevention and treatment research.
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DOI：
10.1097/coh.0000000000000721
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发表时间：
2022-03-01
影响因子：
4.1
通讯作者：
Hightow-Weidman, Lisa B.
中科院分区：
文献类型：
--
作者：
Budhwani, Henna;Kiszla, B. Matthew;Hightow-Weidman, Lisa B.
虽然许多艾滋病毒预防和/或治疗数字健康干预措施（DHIs）已显示出可行性和可接受性，但很少有有效性，只有一个子集已适应新的情况。顺应性是语用实施科学研究的一个关键要素。与新的发展相比，适应具有成本效益和时间效率。利用适应措施可以加速扩大规模，增强对公共卫生的影响。考虑到适应的价值，这篇文章的目的是提供DHI到DHI适应序列的例子，为未来的艾滋病毒预防和/或治疗研究提供信息。从最近的学术文章（11/01/2016-10/31/2021）的检查，我们确定了适应序列，包括原始DHI，加上至少两个适应。本文提出了四种模型;示例包括针对新人口、健康结果、地理或其组合的适应性DHI。适应是迅速应对不断变化的艾滋病毒形势的一种有希望的科学方法。我们提出了DHI适应的例子，同时考虑到每种类型的适应;我们还提出了适应的挑战与应对策略。我们建议，在进行时注意严谨性（利用适应框架，社区参与和定制内容），适应是一个强大的工具，以务实地解决艾滋病毒的流行。
While many HIV prevention and/or treatment digital health interventions (DHIs) have shown feasibility and acceptability, fewer have indicated efficacy, and only a subset have been adapted for new contexts. Adaptation is a key element of pragmatic implementation science research. Adaptation is cost effective and time efficient compared to new development. Leveraging adaptation can lead to accelerated scale-up and enhanced public health impact. Considering the value of adaptation, the purpose of this piece is to present examples of DHI to DHI adaptation sequences to inform future HIV prevention and/or treatment research. From an examination of recent academic articles (11/01/2016-10/31/2021), we identified adaptation sequences that included an original DHI, plus at least two adaptations. Four models are presented herein; examples consist of adapted DHIs for new population, health outcome, geography, or a combination thereof. Adaptation is a promising scientific approach to expeditiously respond to the evolving HIV landscape. We present examples of DHI adaptations alongside considerations for each type of adaptation; we also present adaptation challenges with responsive strategies. We suggest when conducted with attention to rigor (leveraging adaptation frameworks, community engagement, and tailoring content), adaptation is a powerful tool to pragmatically address the HIV epidemic.