Acceptability, Feasibility, and Efficacy of Telehealth Interventions for HIV Testing and Treatment in Adult Populations.

Autor: Osingada CP; Adult and Gerontological Health Cooperative, School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA., McMorris B; Population Health and Systems Cooperative, School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA., Piehler TF; Department of Family Social Science, College of Education and Human Development, University of Minnesota, Minneapolis, Minnesota, USA., Tracy MF; Adult and Gerontological Health Cooperative, School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA., Porta CM; Population Health and Systems Cooperative, School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA.
Jazyk: angličtina
Zdroj: Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2023 Jul; Vol. 29 (7), pp. 1001-1013. Date of Electronic Publication: 2022 Dec 02.
DOI: 10.1089/tmj.2022.0424
Abstrakt: Introduction: The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) led to the rapid adoption of telehealth to provide HIV care and treatment. However, limited information exists about the feasibility, acceptability, and efficacy of telehealth interventions at different points of the HIV care continuum. Methods: A systematic search was conducted of Ovid MEDLINE, PsycINFO, and CINAHL databases to synthesize evidence regarding the feasibility, acceptability, and efficacy of videoconferencing and video-based interventions for HIV testing and treatment in adult populations. Seventeen articles published through July 2021 were included in the review. We used descriptive methods to analyze data, and findings were reported using frequencies and percentages. Results: Findings show that videoconferencing and video-based interventions are generally feasible and acceptable. Videoconferencing is effective in improving adherence to HIV treatment and in promoting HIV testing. In addition, video-based interventions were effective in promoting HIV testing, treatment initiation, and adherence to medication. Both modalities enhanced linkage and retention in treatment for HIV-positive patients. Conclusions: Video-based and videoconferencing interventions are beneficial in HIV testing and treatment. However, the scarcity of primary studies employing these telehealth modalities means that there is a need for more research in these areas. Also, reviewed studies suffered from several limitations, including reliance on subjective measures, lack of standardized ways of evaluating acceptability and feasibility, use of small sample sizes, and short follow-up durations. In addition, there was less representation of studies from resource-limited settings disproportionately affected by HIV and AIDS. Thus, future research should focus on addressing these challenges.
Databáze: MEDLINE