Interactive digital interventions for prevention of sexually transmitted HIV
| العنوان: | Interactive digital interventions for prevention of sexually transmitted HIV |
|---|---|
| المؤلفون: | Irwin Nazareth, Sonali Wayal, Rosie Webster, Elizabeth Murray, Catherine R H Aicken, Richard Peacock, Greta Rait, Julia V Bailey, Catherine H Mercer |
| المصدر: | AIDS (London, England) |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | 0301 basic medicine, behavior change, medicine.medical_specialty, Epidemiology and Social, Sexual Behavior, Immunology, digital health, Psychological intervention, Human immunodeficiency virus (HIV), MEDLINE, HIV Infections, CINAHL, PsycINFO, medicine.disease_cause, law.invention, 03 medical and health sciences, 0302 clinical medicine, systematic review, Randomized controlled trial, law, Humans, Immunology and Allergy, Medicine, sexually transmitted infection, 030212 general & internal medicine, business.industry, HIV, Odds ratio, meta-analysis, 030104 developmental biology, Infectious Diseases, Family medicine, eHealth, business, Viral load |
| الوصف: | BACKGROUND Digital technology offers good opportunities for HIV prevention. This systematic review assesses the effectiveness of interactive digital interventions (IDIs) for prevention of sexually transmitted HIV. METHODS We conducted a systematic search for randomized controlled trials (RCTs) of IDIs for HIV prevention, defining 'interactive' as producing personally tailored material. We searched databases including the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, PsycINFO, grey literature, reference lists, and contacted authors if needed.Two authors screened abstracts, applied eligibility and quality criteria and extracted data. Meta-analyses used random-effects models with standardized mean differences (SMD) for continuous outcomes and odds ratios (OR) for binary outcomes, assessing heterogeneity using the I2 statistic. RESULTS We included 31 RCTs of IDIs for HIV prevention. Meta-analyses of 29 RCTs comparing IDIs with minimal interventions (e.g. leaflet, waiting list) showed a moderate increase in knowledge (SMD 0.56, 95% CI 0.33 to 0.80), no effect on self-efficacy (SMD 0.13, 95% CI 0.00 to 0.27), a small improvement in intention (SMD 0.16, 95% CI 0.06 to 0.26), improvement in HIV prevention behaviours (OR 1.28, 95% CI 1.04 to 1.57) and a possible increase in viral load, but this finding is unreliable.We found no evidence of difference between IDIs and face-to-face interventions for knowledge, self-efficacy, intention, or HIV-related behaviours in meta-analyses of five small RCTs. We found no health economic studies. CONCLUSION There is good evidence that IDIs have positive effects on knowledge, intention and HIV prevention behaviours. IDIs are appropriate for HIV prevention in a variety of settings.Supplementary Video Abstract, http://links.lww.com/QAD/B934Test. |
| تدمد: | 1473-5571 0269-9370 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dc8205c824c540e9eaf00ee798e73752Test https://doi.org/10.1097/qad.0000000000002780Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....dc8205c824c540e9eaf00ee798e73752 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14735571 02699370 |
|---|