Prevention Science, Год журнала: 2023, Номер 25(4), С. 650 - 660
Опубликована: Окт. 29, 2023
Язык: Английский
Frontiers in Digital Health, Год журнала: 2024, Номер 6
Опубликована: Март 4, 2024
Unlocking the potential of telehealth in Africa for HIV: opportunities, challenges, and pathways to equitable healthcare delivery
Язык: Английский
Процитировано
5
PLOS Digital Health, Год журнала: 2024, Номер 3(4), С. e0000480 - e0000480
Опубликована: Апрель 3, 2024
New initiates on antiretroviral therapy (ART) are at high risk of treatment discontinuation, putting their health risk. In low- and middle-income countries, like Malawi, appropriate digital applications (apps) must fit into local clinic, connectivity resource constraints. We describe the human centered design (HCD) development process an open-source, hybrid, two-way texting (2wT) system to improve ART retention. detail critical role diverse healthcare workers (HCWs) in HCD inform app usability, create buy-in, ensure optimization for context. optimized 2wT usability acceptability over three phases: 1) informal feedback sessions with stakeholders, 2) a small pilot, 3) key informant interviews. Phase one included four HCWs, including “expert clients”, clinical, technical, supervisory, evaluation teams design. phase 2, pilot 50 participating clients aimed implementation improvement. interviews ten HCWs deepen understanding documenting strengths weaknesses optimization. Multi-phase helped refine language message timing both weekly tailored client-specific visit reminders. The led improvements educational materials guide client responses ease interaction HCWs. interviews, appreciated co-creation process, suggested ways increase access low-literacy or those without consistent phone access, felt integrating other eHealth platforms would scalability. Inclusion across phases design, adaption, increased among this setting. Engaging co-ownership from inception appears successful that will meet HCW needs, therefore, enhance support attend visits remain care.
Язык: Английский
Процитировано
5
AIDS Patient Care and STDs, Год журнала: 2025, Номер unknown
Опубликована: Фев. 10, 2025
Interventions that leverage telehealth technologies have the potential to improve health outcomes among people with HIV who experience multiple complex barriers care. To assess current state of knowledge on interventions for in United States, we searched literature recent (2019–2023) designed along care continuum, including linkage care, retention antiretroviral therapy adherence, and viral suppression. Our search identified 23 interventions. Text messaging was most common delivery mode, followed by videoconferencing, commercially available applications, novel applications. Nine used more than one mode. Common features across address continuum included: self-management monitoring tools; treatment adherence education; resources referrals provision; live ongoing support or urgent issues; videoconference-based coaching, counseling, case management, care; online peer-to-peer support; ecological momentary assessments monitor barriers; game-based elements increase engagement. were reported as acceptable feasible, several showing an effect adherence. Further research is needed fully ending epidemic States.
Язык: Английский
Процитировано
0
BMC Health Services Research, Год журнала: 2025, Номер 25(1)
Опубликована: Апрель 2, 2025
The human immunodeficiency virus (HIV) remains a significant global public health challenge. Despite progress in addressing the pandemic, people living with HIV continue to report challenges accessing testing, care, and treatment services. Telehealth presents promising solution some of these barriers. However, its potential unrealized, particularly low- middle-income settings, partly due insufficient supporting evidence. Our mixed methods study investigated patient perceptions predictors intention use telehealth for follow-up care Uganda. Quantitative data were collected from 266 participants using questionnaire, followed by one-on-one interviews 12 HIV. analysis involved Chi-square tests, t-tests, binary logistic regression, while qualitative analyzed conventional content analysis. findings show that was significantly associated effort expectancy (aOR 1.26, CI 1.13-1.41), facilitating conditions 1.44, 1.19-1.73), estimated monthly income 2.94, 1.05-8.23; aOR 7.29, 1.12-47.49), antiretroviral medication adherence 1.93, 1.12-3.33). Qualitative insights underscore importance digital literacy availability support services enhance utilization telehealth. While performance expectation stigma score did not predict telehealth, perceived be beneficial combating improving access To optimize we recommend measures aimed at economic disparities enhancing among Future research should explore effectiveness empowerment programs promoting investigate impact on models, reduction, linkage retention care.
Язык: Английский
Процитировано
0
Current HIV/AIDS Reports, Год журнала: 2024, Номер 21(2), С. 52 - 61
Опубликована: Март 22, 2024
Язык: Английский
Процитировано
2
Texila international journal of public health, Год журнала: 2023, Номер 11(4), С. 95 - 106
Опубликована: Дек. 29, 2023
The World Health Organisation recommends telehealth as an alternative to help reach remote or underserved areas. Telehealth adoption is therefore key ending the HIV pandemic. Successful implementation and scale-up of heavily rely on stakeholders’ involvement. This study explored perspectives in care Harare. In-depth interviews were conducted with professionals within Ministry Childcare its partners, between May August 2023. Fourteen purposively selected stakeholders interviewed. Thematic approach analysis a coding framework guided by Consolidated Framework for Implementation Research was adopted. Key perceived potentially effective intervention, which can improve health delivery. cited following challenges care: poor internet mobile network; financial challenges; unavailability policies. suggested strategies successful scale-up: multi-sectoral collaboration reliable affordable connectivity; policy formulation, donors’ engagement; recruitment competent staff. findings showed confidence Harare effectively sustain intervention. Despite promising potential, significant hurdles exist should be addressed realise full potential. Further research incorporating end-users recommended, fully understand hence inform policy. Keywords: HIV; Stakeholders; Telehealth; Utilisation.
Язык: Английский
Процитировано
2
Open Forum Infectious Diseases, Год журнала: 2024, Номер 11(2)
Опубликована: Янв. 16, 2024
Abstract In this viewpoint, we discuss retention in care for people with human immunodeficiency virus (HIV) and call into question the methodology used to characterize retention, as well definitions themselves. Optimal HIV (PWH) is defined multiple ways by major healthcare leaders United States, typically focusing on appointment attendance or laboratory work. Yet, these rely in-person encounters, an approach that becoming less common due rise of telehealth visits, particularly light coronavirus disease 2019 pandemic. Our recent work showed relying electronic health records identify PWH who were not retained only failed capture nuances modern medical treatment engagement, but also led misidentification patients’ status limitations record system. As such, recommend a reevaluation how reported.
Язык: Английский
Процитировано
0
BMC Oral Health, Год журнала: 2024, Номер 24(1)
Опубликована: Июнь 8, 2024
Abstract Background Oral lichen planus is a chronic and potentially malignant disorder of oral mucosa. Corticosteroids are used as first-line therapy for patients; however, they have many side effects. Platelet concentrates (platelet-rich plasma platelet-rich fibrin) autologous bioactive materials. This systematic review investigated the effects platelet compared to topical steroids in treating symptomatic patients. Materials methods A literature search was performed PubMed, Web Science, Scopus, Embase, Cochrane randomized controlled trials. Preferred Reporting Items Systematic Reviews meta-analysis guidelines were observed article selection. For pooling studies, using Standardized Mean Differences by random model carried out estimate summary effect sizes treatment planus. Results total six incorporating 109 patients, involved. Both modalities showed statistically significant improvement outcome parameters (lesion size, pain score, Thongprasom score) from baseline end further follow-up visits. There no difference pooled SMD decline patients two groups (SMD = 0.17 (95% CI: -0.47 0.81); I 2 63.6%). The score receiving lower than corticosteroid groups, with size (SMD= -2.88 -5.51 -0.25); 91.7%). Therefore, there between regarding clinical score. Conclusion Autologous concentrates, decreased lesions, scale, but treatments not significant. Thus, could be considered an alternative steroids.
Язык: Английский
Процитировано
0
Sexual Health, Год журнала: 2024, Номер 21(6)
Опубликована: Ноя. 3, 2024
Background The aims of this study were to evaluate the experiences telehealth for routine HIV care and identify preferred models future. Methods Anonymous, online questionnaire among people living with aged 18 years or older. This survey was advertised via posters a QR code in six sexual health clinics one community organisation as well on social media from November 2021 December 2022. Results Of 89 participants, majority males (80/89, 89.9%), between 36 55 old (49/89, 55.1%), spoke English at home (74/89, 84.1%), had been >5 (68/89, 76.4%) reported having consultation since COVID-19 pandemic began (69/89, 77.5%). top three liked aspects were: convenience not leaving work (50/69, 72.5%); less travel time (48/69, 69.6%); avoiding contact other (30/69, 43.5%). dislikes they could be screened sexually transmitted infections (STIs) have physical examination same (29/69, 42.0%); it an impersonal experience (20/69, 29.0%); more difficult discuss concerns (18/69, 26.1%). Among all preference future consultations mix in-person (40/89, 44.9%); however, nearly one-quarter prefer only (20/89, 22.5%). Conclusions Use during has evaluated positively that participated survey. Participants support use conjunction consultations.
Язык: Английский
Процитировано
0
Southwest Journal of Pulmonary Critical Care & Sleep, Год журнала: 2023, Номер 27(3), С. 36 - 39
Опубликована: Сен. 23, 2023
The University of Arizona infectious diseases provides telemedicine clinics to the Department Corrections (DOC) and Pima County Jail. Beginning in January 2020 there was a sharp drop number monthly consultations following public health emergency regarding SARS-CoV-2 pandemic. Only since ending have consults risen each month pre-pandemic numbers. However, nature consult requests has changed. In this report we document change from predominately human immunodeficiency virus (HIV) broader spectrum infectious-related issues, most noteworthy being infective endocarditis, osteomyelitis, chronic hepatitis B C infection, majority cases due intravenous drug injection. Although DOC jail underwent major upheavals intramurally pandemic, medical outcomes with listed above, were excellent. continued provide timely, effective care for inmates.
Язык: Английский
Процитировано
0