Implementation of eHealth Interventions Across the HIV Care Cascade: a Review of Recent Research

Current HIV/AIDS Reports
Christopher G Kemp, Jennifer Velloza

Abstract

We review recent implementation science focusing on eHealth interventions to improve outcomes along the HIV care cascade. We highlight several gaps in the eHealth implementation literature and propose areas for future study. We identified 17 studies conducted in North America, Europe, and sub-Saharan Africa assessing the acceptability, appropriateness, adoption, cost, feasibility, fidelity, penetration, or sustainability of eHealth interventions targeting the HIV care cascade. Most interventions used SMS messages to improve cascade outcomes. Feasibility research has demonstrated the importance of adaptability for intervention scale-up and delivery. Key gaps in the literature remain related to predictors of the adoption of eHealth interventions by health facilities and staff. In addition, no studies explored sustainability and few used theoretical frameworks for implementation research or validated measures of implementation outcomes. We propose next steps for the future of eHealth implementation research to inform the delivery, scale-up, and maintenance of eHealth interventions in the real world.

References

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Citations

May 26, 2020·JMIR MHealth and UHealth·Frank T MateriaJoshua M Smyth
Mar 28, 2021·Current HIV/AIDS Reports·Motlatso GodongwanaBrooke A Jarrett
Aug 2, 2020·Contemporary Clinical Trials·Megan A LewisUNKNOWN Positive Health Check Study Team
May 1, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Megan ThreatsComfort Enah

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