How mHealth Can Contribute to Improving the Continuum of Care: A Scoping Review Approach to the Case of Human Immunodeficiency Virus in Sub-Saharan Africa.

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
PUBLIC HEALTH REVIEWS Pub Date : 2022-09-23 eCollection Date: 2022-01-01 DOI:10.3389/phrs.2022.1604557
Philippe Lepere, Awa Babington-Ashaye, Guillermo Z Martínez-Pérez, Didier Koumavi Ekouevi, Alain Bernard Labrique, Alexandra Calmy
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引用次数: 0

Abstract

Objectives: To determine mHealth's contribution to improving the continuum of care in sub-Saharan Africa towards achieving treatment targets for human immunodeficiency virus (HIV) endorsed by the 2016 Political Declaration on ending acquired immunodeficiency syndrome (AIDS). Methods: PubMed, Medline, Embase, Web of Science Core Collection and Cochrane databases; three observatories and four repositories were searched to identify and select relevant articles, projects and guidelines published from 1 January 2017, to 30 April 2021. Records focusing on the use of mHealth related to HIV treatment cascade or healthcare provider/patient relationship were considered. Results: From 574 identified records, 381 (206 scientific manuscripts and 175 mHealth projects) were considered. After screening, 36 articles (nine randomized control trials, five cohort studies, 19 qualitative studies, and three economic studies) and 23 projects were included. Conclusion: The cross-cutting benefits of mHealth that enhance patient empowerment have been identified. Important challenges such as gaps between research and implementation, lack of transdisciplinary collaboration, and lack of economic evidence were identified to support future mHealth research and accelerate the achievement of treatment targets for HIV.

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移动医疗如何有助于改善护理的连续性:撒哈拉以南非洲人类免疫缺陷病毒病例的范围审查方法。
目标:确定移动健康对改善撒哈拉以南非洲地区护理连续性的贡献,以实现2016年《关于终止获得性免疫缺陷综合症(艾滋病)的政治宣言》批准的人类免疫缺陷病毒(艾滋病毒)治疗目标。方法:PubMed、Medline、Embase、Web of Science Core Collection和Cochrane数据库;检索了三个观察站和四个知识库,以确定和选择2017年1月1日至2021年4月30日期间发表的相关文章、项目和指南。考虑了与艾滋病毒治疗级联或医疗保健提供者/患者关系有关的移动医疗使用记录。结果:从574份确定的记录中,考虑了381份(206份科学手稿和175个移动健康项目)。筛选后,纳入36篇文献(9篇随机对照试验、5篇队列研究、19篇定性研究和3篇经济学研究)和23个项目。结论:已经确定了移动医疗增强患者赋权的交叉效益。研究和实施之间的差距、缺乏跨学科合作以及缺乏经济证据等重大挑战被确定为支持未来的移动健康研究和加速实现艾滋病毒治疗目标。
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来源期刊
PUBLIC HEALTH REVIEWS
PUBLIC HEALTH REVIEWS Nursing-Community and Home Care
CiteScore
8.30
自引率
1.80%
发文量
47
审稿时长
5 weeks
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