Behavioral determinants and effectiveness of digital interventions for STI/HIV prevention: an overview of systematic reviews (Preprint) DOI
Giuliano Duarte-Anselmi, Susana Sanduvete‐Chaves, Salvador Chacón Moscoso

et al.

Published: April 17, 2025

BACKGROUND Health risk behaviors are significant contributors to morbidity, premature mortality, and rising healthcare costs. Traditional interventions change health often yield modest effects have limited scalability. To enhance outcomes, innovative approaches using smart technologies being implemented create personalized digital behavior interventions. Unsafe sex, along with low physical activity, smoking, alcohol consumption, is linked over half of deaths. Daily, 1 million people globally contract sexually transmitted infections (STIs), including HIV, result in high personal, social, economic costs globally. OBJECTIVE This overview aims synthesize evidence on the effectiveness for preventing STIs/HIV, considering possible influence variables such as intervention content or its application mode. METHODS A literature search until August 31, 2024, was performed four electronic databases this Overview: Cochrane Database Systematic Reviews (CDSR), MEDLINE via PubMed, Epystemonikos, PsyclNFO. No language restrictions were imposed. Data included extracted from all systematic reviews used prevention that their use can prevent STIs and/or reduce risky sexual behavior. Two reviewers independently screened identified articles data related study characteristics techniques, mechanism action types standardized classifications whenever available. The AMSTAR-2 tool evaluate methodological quality studies. RESULTS 3,218 records, 19 met inclusion criteria, encompassing 428 primary studies 117,010 participants. Most focused mobile-based interventions, text messaging (SMS), web-based platforms. most effective BCTs Goal Setting, Feedback Behavior, Prompts/Cues, particularly increasing STI/HIV testing service uptake. However, sustained condom reductions acquisition remained inconsistent. While high-income countries dominated literature, gaps persist low- middle-income settings. Only three explicitly reported TDF frameworks. CONCLUSIONS Digital SMS mobile applications, effectively promote HIV behaviors, yet impact long-term adherence biological outcomes remains uncertain. Future research should prioritize low-resource settings, explore AI-based optimize effectiveness. Addressing gender-disaggregated ensuring equitable access will be essential maximizing public impact. CLINICALTRIAL Registered PROSPERO (CRD42023485887) https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=485887 INTERNATIONAL REGISTERED REPORT RR2-10.5867/medwave.2025.02.3020

Language: Английский

Introduction to behavioral science and its practical applications in public health DOI Creative Commons
Giuliano Duarte-Anselmi, Yasmina Okan, Marie Johnston

et al.

Medwave, Journal Year: 2025, Volume and Issue: 25(01), P. e3017 - e3017

Published: Jan. 21, 2025

The World Health Organization (WHO) highlights the importance of improving design public health interventions and policies by applying principles from behavioral sciences. These sciences play a crucial role in modifying behaviors addressing wide range challenges, pandemics chronic diseases to climate crisis. This article examines transformative impact on promotion, focusing factors that influence decision-making intervention strategies based six developed WHO Technical Advisory Group. Additionally, it addresses significant shortage Spanish-language literature this topic, reviewing contributions influential scientists key theoretical models. WHO’s recommendations for effective implementation these are also discussed. work not only fills critical gap but provides practical tools improve Spanish-speaking countries.

Language: Английский

Citations

1
Behavioral determinants and effectiveness of digital interventions for STI/HIV prevention: an overview of systematic reviews (Preprint) DOI
Giuliano Duarte-Anselmi, Susana Sanduvete‐Chaves, Salvador Chacón Moscoso

et al.

Published: April 17, 2025

BACKGROUND Health risk behaviors are significant contributors to morbidity, premature mortality, and rising healthcare costs. Traditional interventions change health often yield modest effects have limited scalability. To enhance outcomes, innovative approaches using smart technologies being implemented create personalized digital behavior interventions. Unsafe sex, along with low physical activity, smoking, alcohol consumption, is linked over half of deaths. Daily, 1 million people globally contract sexually transmitted infections (STIs), including HIV, result in high personal, social, economic costs globally. OBJECTIVE This overview aims synthesize evidence on the effectiveness for preventing STIs/HIV, considering possible influence variables such as intervention content or its application mode. METHODS A literature search until August 31, 2024, was performed four electronic databases this Overview: Cochrane Database Systematic Reviews (CDSR), MEDLINE via PubMed, Epystemonikos, PsyclNFO. No language restrictions were imposed. Data included extracted from all systematic reviews used prevention that their use can prevent STIs and/or reduce risky sexual behavior. Two reviewers independently screened identified articles data related study characteristics techniques, mechanism action types standardized classifications whenever available. The AMSTAR-2 tool evaluate methodological quality studies. RESULTS 3,218 records, 19 met inclusion criteria, encompassing 428 primary studies 117,010 participants. Most focused mobile-based interventions, text messaging (SMS), web-based platforms. most effective BCTs Goal Setting, Feedback Behavior, Prompts/Cues, particularly increasing STI/HIV testing service uptake. However, sustained condom reductions acquisition remained inconsistent. While high-income countries dominated literature, gaps persist low- middle-income settings. Only three explicitly reported TDF frameworks. CONCLUSIONS Digital SMS mobile applications, effectively promote HIV behaviors, yet impact long-term adherence biological outcomes remains uncertain. Future research should prioritize low-resource settings, explore AI-based optimize effectiveness. Addressing gender-disaggregated ensuring equitable access will be essential maximizing public impact. CLINICALTRIAL Registered PROSPERO (CRD42023485887) https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=485887 INTERNATIONAL REGISTERED REPORT RR2-10.5867/medwave.2025.02.3020

Language: Английский

Citations

0