Computer-based HIV adherence promotion interventions: a systematic review: Translation Behavioral Medicine

Translational Behavioral Medicine
Kasey R ClabornSusan Ramsey

Abstract

Researchers have instituted a range of methodologies to increase access to HIV adherence interventions. This article reviews studies published through January 2014 utilizing computer-based delivery of such interventions to persons living with HIV. A systematic review of five databases identified ten studies (three RCTs, three pilot studies, three feasibility studies, and one single-group trial) that met the inclusion criteria. Descriptions of the interventions' content and characteristics are included. Interventions varied widely in terms of program structure, theoretical framework, and content. Only six studies reported medication adherence outcomes. Of these, four (five RCTS and one single group pre-post test) reported significant improvement in adherence using various measures, and two approached significance. Results suggest that computer-delivered adherence interventions are feasible and acceptable among both HIV-positive adolescents and adults. Definitive conclusions regarding clinical impact cannot be drawn due to the small number of adequately powered randomized trials in this review. Additional randomized controlled research is needed to draw inferences regarding intervention efficacy.

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Citations

Sep 20, 2017·Journal of the American Psychiatric Nurses Association·Jenna BragerDeborah Finnell
Nov 22, 2019·AIDS Patient Care and STDs·Cherie R Rooks-PeckTheresa Ann Sipe
Jun 21, 2017·Journal of the International AIDS Society·Jessica E HabererDavid R Bangsberg
Feb 1, 2018·Translational Behavioral Medicine·Kasey R ClabornThad Leffingwell
Jul 1, 2018·Current HIV/AIDS Reports·Marta I MulawaLisa B Hightow-Weidman
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Aug 2, 2020·Contemporary Clinical Trials·Megan A LewisUNKNOWN Positive Health Check Study Team
May 21, 2021·BMJ Open·Clara HewittJo Gibbs
Jun 22, 2021·Current HIV/AIDS Reports·Laura B WhiteleyLarry K Brown

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