title: Recent Evidence for Emerging Digital Technologies to Support Global HIV Engagement in Care.
abstract: Antiretroviral therapy is a powerful tool to reduce morbidity and mortality for the 35 million people living with HIV globally. However, availability of treatment alone is insufficient to meet new UNAIDS 90-90-90 targets calling for rapid scale-up of engagement in HIV care to end the epidemic in 2030. Digital technology interventions (mHealth, eHealth, and telehealth) are emerging as one approach to support lifelong engagement in HIV care. This review synthesizes recent reviews and primary studies published since January 2014 on digital technology interventions for engagement in HIV care after diagnosis. Technologies for health provide emerging and proven solutions to support achievement of the United Nations targets for the generalized HIV-affected population. Much of the existing evidence addresses antiretroviral therapy (ART) adherence; however, studies have begun to investigate programs to support linkage and retention in care as well as interventions to engage key populations facing extensive barriers to care.
authors.affiliation: School of Population & Public Health, University of British Columbia, 2206 E Mall, Vancouver, BC, V6T 1Z9, Canada. katejongbloed@gmail.com.
authors.forename: Kate
authors.initials: K
authors.lastname: Jongbloed
authors.affiliation: Faculty of Medicine, University of British Columbia, 2350 Health Sciences Mall, Vancouver, BC, V6T 1Z3, Canada. sunjit17@gmail.com.
authors.forename: Sunjit
authors.initials: S
authors.lastname: Parmar
authors.affiliation: Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, 566-828 West 10th Avenue, Vancouver, BC, V5Z 1L8, Canada. miavanderkop@gmail.com.|Department of Public Health Sciences, Karolinska Institutet, Tomtebodavagen 18a, Campus Solna, Stockholm, Sweden. miavanderkop@gmail.com.
authors.forename: Mia
authors.initials: M
authors.lastname: van der Kop
authors.affiliation: School of Population & Public Health, University of British Columbia, 2206 E Mall, Vancouver, BC, V6T 1Z9, Canada. spittal@sm.hivnet.ubc.ca.
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Spittal
authors.affiliation: Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, 566-828 West 10th Avenue, Vancouver, BC, V5Z 1L8, Canada. rlester@mail.ubc.ca.
authors.forename: Richard T
authors.initials: RT
authors.lastname: Lester
mesh_terms: D019380:Anti-HIV Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D040421:Cell Phone; D015658:HIV Infections / Q000188:drug therapy* / Q000517:prevention & control*; D006801:Humans; D055118:Medication Adherence; D063731:Mobile Applications; D017216:Telemedicine / Q000379:methods*
chemical_list: D019380:Anti-HIV Agents
keywords: Adherence; Digital technology; Engagement; HIV; Key populations; Retention; Telehealth; eHealth; mHealth