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

Ann Margaret Dunn Navarra; Marya Viorst Gwadz; Robin Whittemore; Suzanne R. Bakken; Charles M. Cleland; Winslow Burleson; Susan Kaplan Jacobs; Gail D’Eramo Melkus

doi:10.1007/s10461-017-1867-6

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

Ann Margaret Dunn Navarra, Marya Viorst Gwadz, Robin Whittemore, Suzanne R. Bakken, Charles M. Cleland, Winslow Burleson, Susan Kaplan Jacobs, Gail D’Eramo Melkus

Research output: Contribution to journal › Review article › peer-review

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.

Original language	English (US)
Pages (from-to)	3154-3171
Number of pages	18
Journal	AIDS and Behavior
Volume	21
Issue number	11
DOIs	https://doi.org/10.1007/s10461-017-1867-6
State	Published - Nov 1 2017

Keywords

Adherence
Cell phones
HIV
Patient compliance
Retention in HIV care
Smartphone
Technology
Text messaging

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-017-1867-6

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Navarra, A. M. D., Gwadz, M. V., Whittemore, R., Bakken, S. R., Cleland, C. M., Burleson, W., Jacobs, S. K., & Melkus, G. DE. (2017). Health Technology-Enabled Interventions for Adherence Support and Retention in Care Among US HIV-Infected Adolescents and Young Adults: An Integrative Review. AIDS and Behavior, 21(11), 3154-3171. https://doi.org/10.1007/s10461-017-1867-6

Health Technology-Enabled Interventions for Adherence Support and Retention in Care Among US HIV-Infected Adolescents and Young Adults: An Integrative Review. / Navarra, Ann Margaret Dunn ; Gwadz, Marya Viorst; Whittemore, Robin et al.
In: AIDS and Behavior, Vol. 21, No. 11, 01.11.2017, p. 3154-3171.

Research output: Contribution to journal › Review article › peer-review

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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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note = "Funding Information: This study was funded by a National Institute of Nursing Research (NINR) Career Development Award (K233NR015970-02): Adherence Connection Counseling, Education, and Support (ACCESS): A Proof of Concept Study. We gratefully acknowledge the contributions of Sonia Pathania, DNP, ANP, and Karla Rodriguez, DNP, RN. The authors declare that they have no conflict of interests. Funding Information: Acknowledgements This study was funded by a National Institute of Nursing Research (NINR) Career Development Award (K233NR015970-02): Adherence Connection Counseling, Education, and Support (ACCESS): A Proof of Concept Study. Publisher Copyright: {\textcopyright} 2017, Springer Science+Business Media, LLC.",

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

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Keywords

ASJC Scopus subject areas

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