A Review of Telehealth Innovations for HIV Pre-Exposure Prophylaxis (PrEP)

Purpose of Review This review summarizes novel interventions that employ technology to improve HIV pre-exposure prophylaxis (PrEP) availability, uptake, and adherence. Recent Findings Several notable technology-based programs are increasing access to PrEP in unique ways. We identified multiple model...

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Bibliographic Details
Published in:Current HIV/AIDS reports 2019-02, Vol.16 (1), p.113-119
Main Authors: Touger, Rebecca, Wood, Brian R.
Format: Article
Language:English
Subjects:
Anti-HIV Agents - therapeutic use
Continuity of Patient Care
Cost-Benefit Analysis
Emtricitabine - therapeutic use
HIV
HIV Infections - drug therapy
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Male
Medicine
Medicine & Public Health
Mobile Applications
Pre-Exposure Prophylaxis - economics
Pre-Exposure Prophylaxis - methods
Primary Health Care
Prophylaxis
Reviews
Section Editors
Telemedicine
Telemedicine - economics
Telemedicine - methods
Tenofovir - therapeutic use
The Science of Prevention (JD Stekler and JM Baeten
Topical Collection on The Science of Prevention
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Summary:Purpose of Review This review summarizes novel interventions that employ technology to improve HIV pre-exposure prophylaxis (PrEP) availability, uptake, and adherence. Recent Findings Several notable technology-based programs are increasing access to PrEP in unique ways. We identified multiple models for using telehealth to bolster PrEP dissemination and adherence, such as mobile applications that offer PrEP prescribing without an in-person visit, longitudinal distance telementoring for community provider PrEP education and clinical guidance, and electronic consults for PrEP specialist support in the primary care setting. Outcomes data for all of these modalities are limited but show promise. Summary Technology-based interventions can address gaps in the PrEP care continuum. Future research should assess and compare outcomes, scalability , cost-effectiveness, and sustainability. Costs associated with the creation of new technological tools slow innovation and the field would benefit from a platform for technology sharing.
ISSN:1548-3568
1548-3576
DOI:10.1007/s11904-019-00430-z