Systematic review of mobile health behavioural interventions to improve uptake of HIV testing for vulnerable and key populations.
Systematic review of mobile health behavioural interventions to improve uptake of HIV testing for vulnerable and key populations.
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DOI：
10.1177/1357633x16639186
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发表时间：
2017-02
影响因子：
4.7
通讯作者：
Maman S
中科院分区：
文献类型：
--
作者：
Conserve DF;Jennings L;Aguiar C;Shin G;Handler L;Maman S
这一系统性叙述性综述审查了旨在增加弱势和重点人群接受艾滋病毒检测的移动的健康行为干预措施有效性的经验证据。检索了MEDLINE/PubMed、Embase、Web of Science和Global Health电子数据库。如果研究在2005年至2015年之间发表，评估了移动健康干预措施，并报告了与艾滋病毒检测相关的结果，则有资格入选。我们还回顾了检索到的其他相关引文的研究的参考书目。对所选文章的方法学严谨性进行了评估，并使用叙述性分析来综合混合方法的结果。共有7篇文章符合纳入标准。大多数移动保健干预措施采用短信功能，并在中高收入国家进行。研究中方法的严格性中等。目前的文献表明，移动健康干预措施可以对弱势和重点人群以及公众的艾滋病毒检测启动产生重大的积极影响。在某些情况下，观察到无效结果。与使用移动的技术增加艾滋病毒检测有关的定性主题包括低成本、保密和激励性沟通的好处。所报告的障碍包括手机网络限制、与体检服务的联系不佳以及对适当的短信剂量了解有限。移动保健干预措施可能有助于减少未确诊的艾滋病毒感染者的比例，特别是在脆弱和重点人群中。然而，需要更严格和更有针对性的干预试验来评估广泛使用的有效性。
This systematic narrative review examined the empirical evidence on the effectiveness of mobile health (mHealth) behavioral interventions designed to increase uptake of HIV testing among vulnerable and key populations. MEDLINE/PubMed, Embase, Web of Science, and Global Health electronic databases were searched. Studies were eligible for inclusion if they were published between 2005 and 2015, evaluated an mHealth intervention, and reported an outcome relating to HIV testing. We also reviewed the bibliographies of retrieved studies for other relevant citations. The methodological rigor of selected articles was assessed, and narrative analyses were used to synthesize findings from mixed methodologies. A total of seven articles met the inclusion criteria. Most mHealth interventions employed a text-messaging feature and were conducted in middle- and high-income countries. The methodological rigor was moderate among studies. The current literature suggests that mHealth interventions can have significant positive effects on HIV testing initiation among vulnerable and key populations, as well as the general public. In some cases, null results were observed. Qualitative themes relating to use of mobile technologies to increase HIV testing included the benefits of having low-cost, confidential, and motivational communication. Reported barriers included cellular network restrictions, poor linkages with physical testing services, and limited knowledge of appropriate text-messaging dose. MHealth interventions may prove beneficial in reducing the proportion of undiagnosed persons living with HIV, particularly among vulnerable and key populations. However, more rigorous and tailored intervention trials are needed to assess the effectiveness of widespread use.