使用移动应用程序对艾滋病毒感染者进行抗逆转录病毒治疗:一项纵向试点研究
Rejane Caetani1, Susana L Wiechmann2, Jacques D Brancher3
1Health Sciences Center, State University of Londrina, Londrina, Brazil.
Southern African journal of HIV medicine
|February 19, 2025
概括
一个旨在改善艾滋病毒患者抗逆转录病毒治疗 (ART) 坚持的移动应用程序被发现是可以接受的,但不有效. 该研究表明该应用程序在增强ART坚持方面具有较低的可行性.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
背景情况:
- 抗逆转录病毒治疗 (ART) 的坚持对于成功治疗艾滋病毒的结果至关重要.
- 患者遵守ART疗法仍然是艾滋病毒管理中的重大挑战.
- 正在探索创新的数字健康解决方案,以支持ART的坚持.
研究的目的:
- 评估一种旨在改善ART遵守的新型移动应用程序的可行性,可接受性和有效性.
- 评估研究人员开发的带有警报系统的移动应用程序对90天的ART坚持的影响.
- 为了比较移动应用程序用户和对照组之间的ART坚持率.
主要方法:
- 一项纵向试点研究,涉及成年艾滋病毒感染者接受ART治疗.
- 参与者被分配到移动应用组 (移动) 或控制组 (控制).
- 使用CEAT-VIH问卷,多方法工具和应用程序使用数据来测量ART的坚持;通过单独的问卷来评估可接受性.
主要成果:
- 在移动和对照组之间观察到ART坚持的统计学上显著的差异 (P = 0.04).
- 随着时间的推移 (P = 0.2) 或在组与时间 (P = 0.5) 之间的相互作用中没有发现显著差异.
- 在实践中,移动应用程序的可行性很低.
结论:
- 移动应用程序虽然对用户来说是可以接受的,但在改善ART坚持方面并不有效.
- 需要进一步的研究,以开发更可行的和有效的数字工具,以提高ART的坚持.
- 该研究强调了在慢性疾病管理中数字健康干预的复杂性.
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