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Review
. 2018 Aug;15(4):336-349.
doi: 10.1007/s11904-018-0407-y.

eHealth to Enhance Treatment Adherence Among Youth Living with HIV

Marta I Mulawa  1 , Sara LeGrand  2 , Lisa B Hightow-Weidman  3
Affiliations
Review

eHealth to Enhance Treatment Adherence Among Youth Living with HIV

Marta I Mulawa et al. Curr HIV/AIDS Rep. 2018 Aug.

Abstract

Purpose of review: Multiple reviews have examined eHealth/mHealth interventions to address treatment adherence, including those focusing on youth living with HIV (YLWH). This review synthesizes results of prior reviews and recent studies (last 5 years) to provide a path forward for future research, acknowledging both lessons learned and gaps to be addressed.

Recent findings: Recent studies provide further evidence for the feasibility and acceptability of technology-based HIV interventions. Formative research of more comprehensive smartphone applications and pilot studies of computer-delivered interventions provide additional guidance on YLWH's preferences for intervention components and show promising preliminary efficacy for impacting treatment adherence. Expanding access to technology among YLWH, in the United States (US) and globally, supports the continued focus on eHealth/mHealth interventions as a means to reduce disparities in clinical outcomes. Future research should lend greater focus to implementation and scale-up of interventions through the use of adaptive treatment strategies that include costing analyses, measuring and maximizing engagement, fostering information sharing between researchers, and building upon sustainable platforms.

Keywords: Adolescents; HIV treatment; SMS; Technology; Youth; eHealth; mHealth.

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References

    1. Centers for Disease Control and Prevention. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data- US and 6 dependent areas 2015. 2017
    1. Zanoni BC, Mayer KH. The adolescent and young adult HIV cascade of care in the United States: exaggerated health disparities. AIDS patient care and STDs. 2014;28(3):128–35. doi: 10.1089/apc.2013.0345. - DOI - PMC - PubMed
    1. Ferrand RA, Briggs D, Ferguson J, Penazzato M, Armstrong A, MacPherson P, et al. Viral suppression in adolescents on antiretroviral treatment: review of the literature and critical appraisal of methodological challenges. Tropical medicine & international health : TM & IH. 2016;21(3):325–33. doi: 10.1111/tmi.12656. - DOI - PMC - PubMed
    1. Zanoni BC, Archary M, Buchan S, Katz IT, Haberer JE. Systematic review and meta-analysis of the adolescent HIV continuum of care in South Africa: the Cresting Wave. BMJ global health. 2016;1(3):e000004. doi: 10.1136/bmjgh-2015-000004. - DOI - PMC - PubMed
    1. Kim SH, Gerver SM, Fidler S, Ward H. Adherence to antiretroviral therapy in adolescents living with HIV: systematic review and meta-analysis. AIDS (London, England) 2014;28(13):1945–56. doi: 10.1097/qad.0000000000000316. This article includes a systematic review and meta-analysis of published studies reporting adherence to ART for adolescents and young adults (ages 12–24 years) living with HIV. The authors identi ed 50 eligible articles reporting data from 53 countries. - DOI - PMC - PubMed

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