J. Med. Internet Res. - eHealth interventions for HIV prevention in high-risk men who have sex with men: a systematic review.

Tópicos

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Resumo

CKGROUND: While the human immunodeficiency virus (HIV) incidence rate has remained steady in most groups, the overall incidence of HIV among men who have sex with men (MSM) has been steadily increasing in the United States. eHealth is a platform for health behavior change interventions and provides new opportunities for the delivery of HIV prevention messages.OBJECTIVE: The purpose of this systematic review was to examine the use of eHealth interventions for HIV prevention in high-risk MSM.METHODS: We systematically searched PubMed, OVID, ISI Web of Knowledge, Google Scholar, and Google for articles and grey literature reporting the original results of any studies related to HIV prevention in MSM and developed a standard data collection form to extract information on study characteristics and outcome data.RESULTS: In total, 13 articles met the inclusion criteria, of which five articles targeted HIV testing behaviors and eight focused on decreasing HIV risk behaviors. Interventions included Web-based education modules, text messaging (SMS, short message service), chat rooms, and social networking. The methodological quality of articles ranged from 49.4-94.6%. Wide variation in the interventions meant synthesis of the results using meta-analysis would not be appropriate.CONCLUSIONS: This review shows evidence that eHealth for HIV prevention in high-risk MSM has the potential to be effective in the short term for reducing HIV risk behaviors and increasing testing rates. Given that many of these studies were short term and had other limitations, but showed strong preliminary evidence of improving outcomes, additional work needs to rigorously assess the use of eHealth strategies for HIV prevention in high-risk MSM.

Resumo Limpo

ckground human immunodefici virus hiv incid rate remain steadi group overal incid hiv among men sex men msm steadili increas unit state ehealth platform health behavior chang intervent provid new opportun deliveri hiv prevent messagesobject purpos systemat review examin use ehealth intervent hiv prevent highrisk msmmethod systemat search pubm ovid isi web knowledg googl scholar googl articl grey literatur report origin result studi relat hiv prevent msm develop standard data collect form extract inform studi characterist outcom dataresult total articl met inclus criteria five articl target hiv test behavior eight focus decreas hiv risk behavior intervent includ webbas educ modul text messag sms short messag servic chat room social network methodolog qualiti articl rang wide variat intervent meant synthesi result use metaanalysi appropriateconclus review show evid ehealth hiv prevent highrisk msm potenti effect short term reduc hiv risk behavior increas test rate given mani studi short term limit show strong preliminari evid improv outcom addit work need rigor assess use ehealth strategi hiv prevent highrisk msm

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