Effectiveness of eHealth Interventions for HIV Prevention and Management in Sub-Saharan Africa: Systematic Review and Meta-analyses
| العنوان: | Effectiveness of eHealth Interventions for HIV Prevention and Management in Sub-Saharan Africa: Systematic Review and Meta-analyses |
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| المؤلفون: | Marine Delgrange, Catherine Aicken, Louisa Manby, Julia V Bailey |
| المصدر: | AIDS and Behavior. 26:457-469 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Acquired Immunodeficiency Syndrome, medicine.medical_specialty, Social Psychology, business.industry, Public health, Public Health, Environmental and Occupational Health, Psychological intervention, Human immunodeficiency virus (HIV), HIV Infections, medicine.disease_cause, Telemedicine, Health psychology, Infectious Diseases, Intervention (counseling), Family medicine, Meta-analysis, medicine, eHealth, Humans, business, Africa South of the Sahara, Cause of death |
| الوصف: | HIV is still the leading cause of death in Sub-Saharan Africa (SSA), despite medical advances. eHealth interventions are effective for HIV prevention and management, but it is unclear whether this can be generalised to resource-poor settings. This systematic review aimed to establish the effectiveness of eHealth interventions in SSA. Six electronic databases were screened to identify randomised controlled trials (RCTs) published between 2000 and 2020. Meta-analyses were performed, following Cochrane methodology, to assess the impact of eHealth interventions on HIV-related behaviours and biological outcomes. 25 RCTs were included in the review. Meta-analyses show that eHealth interventions significantly improved HIV management behaviours (OR 1.21; 95% CI 1.05–1.40; Z = 2.67; p = 0.008), but not HIV prevention behaviours (OR 1.02; 95% CI 0.78–1.34; Z = 0.17; p = 0.86) or biological outcomes (OR 1.17; 95% CI 0.89–1.54; Z = 1.10; p = 0.27) compared with minimal intervention control groups. It is a hugely important finding that eHealth interventions can improve HIV management behaviours as this is a low-cost way of improving HIV outcomes and reducing the spread of HIV in SSA. PROSPERO registration number: CRD42020186025. |
| تدمد: | 1573-3254 1090-7165 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bd3f2756d0fa26bdc0cea94bd275e8a8Test https://doi.org/10.1007/s10461-021-03402-wTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....bd3f2756d0fa26bdc0cea94bd275e8a8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15733254 10907165 |
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