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Health Technology-Enabled Interventions for Adherence Support and Retention in Care Among US HIV-Infected Adolescents
Ann-Margaret Dunn Navarra1, Marya Viorst Gwadz2, Robin Whittemore3
1Center for Drug Use and HIV Research, New York University Rory Meyers College of Nursing, 433 First Avenue Room 410, New York, NY, 10010, USA. amd363@nyu.edu.
Abstract:
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.
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