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A Community Guide Systematic Review: Digital HIV Pre-Exposure Prophylaxis Interventions
Emiko Kamitani1, Yinan Peng2, David Hopkins2
1Division of HIV Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, & TB Prevention, the Centers for Disease Control and Prevention (CDC), Atlanta, GA 30329-4027.
American Journal of Preventive Medicine
|February 17, 2024
Summary
Digital health tools effectively improve pre-exposure prophylaxis (PrEP) adherence among men who have sex with men, supporting HIV prevention efforts. These interventions show promise for increasing PrEP use and retention in care.
Area of Science:
- Public Health
- Digital Health Interventions
- HIV Prevention
Background:
- Pre-exposure prophylaxis (PrEP) is highly effective for HIV prevention when used consistently.
- Digital health interventions show promise for improving adherence to antiretroviral therapy.
- Evidence for digital PrEP adherence interventions among individuals without HIV is limited.
Purpose of the Study:
- To systematically review the characteristics and effectiveness of digital health interventions designed to improve PrEP adherence.
- To inform recommendations for digital interventions aimed at increasing PrEP use.
Main Methods:
- Systematic search of the CDC HIV Prevention Research Synthesis database (2000-2022).
- Inclusion of studies with comparison arms or pre-post data from high-income countries.
- Independent screening, data extraction, and risk of bias assessment by two reviewers.
Main Results:
- Nine studies were included, all focusing on gay, bisexual, and other men who have sex with men (MSM).
- All studies demonstrated improved PrEP adherence in intervention groups compared to controls or baseline.
- One study reported enhanced retention in PrEP care.
Conclusions:
- Digital health interventions utilizing various strategies can improve PrEP adherence and related outcomes.
- The findings support the Community Preventive Services Task Force recommendation for using these interventions to enhance PrEP adherence.
- Further research is needed due to the limited number of studies identified.
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