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Health Technology-Enabled Interventions for Adherence Support and Retention in Care Among US HIV-Infected Adolescents and Young Adults: An Integrative Review. | LitMetric

AI Article Synopsis

  • * Out of 1,911 studies reviewed from 2005 to 2016, only nine met the criteria, mainly consisting of small pilot studies, with varying adherence measures and a lack of consistent theoretical frameworks.
  • * Despite these issues, the review found that computer-based interventions are feasible, and initial results suggest that SMS texting can effectively support adherence among HIV-infected youth, highlighting the need for further research.

Article Abstract

The objective of this integrative review was to describe current US trends for health technology-enabled adherence interventions among behaviorally HIV-infected youth (ages 13-29 years), and present the feasibility and efficacy of identified interventions. A comprehensive search was executed across five electronic databases (January 2005-March 2016). Of the 1911 identified studies, nine met the inclusion criteria of quantitative or mixed methods design, technology-enabled adherence and or retention intervention for US HIV-infected youth. The majority were small pilots. Intervention dose varied between studies applying similar technology platforms with more than half not informed by a theoretical framework. Retention in care was not a reported outcome, and operationalization of adherence was heterogeneous across studies. Despite these limitations, synthesized findings from this review demonstrate feasibility of computer-based interventions, and initial efficacy of SMS texting for adherence support among HIV-infected youth. Moving forward, there is a pressing need for the expansion of this evidence base.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731637PMC
http://dx.doi.org/10.1007/s10461-017-1867-6DOI Listing

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