Health Technology-Enabled Interventions for Adherence Support and Retention in Care Among US HIV-Infected Adolescents and Young Adults: An Integrative Review

The objective of this integrative review was to describe current US trends for health technology-enabled adherence interventions among behaviorally HIV-infected youth (ages 13–29 years), and present the feasibility and efficacy of identified interventions. A comprehensive search was executed across...

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Bibliographic Details
Published in:AIDS and behavior 2017-11, Vol.21 (11), p.3154-3171
Main Authors: Navarra, Ann-Margaret Dunn, Gwadz, Marya Viorst, Whittemore, Robin, Bakken, Suzanne R., Cleland, Charles M., Burleson, Winslow, Jacobs, Susan Kaplan, Melkus, Gail D’Eramo
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adhesion
Adolescents
Adults
Age
AIDS
Attrition
Feasibility studies
Health Psychology
Health services
HIV
Human immunodeficiency virus
Infectious Diseases
Intervention
Medical technology
Medicine
Medicine & Public Health
Operational definitions
Patient compliance
Pilots
Public Health
Retention
Reviews
Short message service
Substantive Review
Teenagers
Text messaging
Young adults
Youth
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Summary:The objective of this integrative review was to describe current US trends for health technology-enabled adherence interventions among behaviorally HIV-infected youth (ages 13–29 years), and present the feasibility and efficacy of identified interventions. A comprehensive search was executed across five electronic databases (January 2005–March 2016). Of the 1911 identified studies, nine met the inclusion criteria of quantitative or mixed methods design, technology-enabled adherence and or retention intervention for US HIV-infected youth. The majority were small pilots. Intervention dose varied between studies applying similar technology platforms with more than half not informed by a theoretical framework. Retention in care was not a reported outcome, and operationalization of adherence was heterogeneous across studies. Despite these limitations, synthesized findings from this review demonstrate feasibility of computer-based interventions, and initial efficacy of SMS texting for adherence support among HIV-infected youth. Moving forward, there is a pressing need for the expansion of this evidence base.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-017-1867-6