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Effectiveness, Acceptability and Feasibility of Technology-Enabled Health Interventions for Adolescents Living with HIV in Low- and Middle-Income Countries: A Systematic Review

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  • Talitha Crowley

    (School of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town 7535, South Africa)

  • Charné Petinger

    (School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town 7535, South Africa)

  • Azia Ivo Nchendia

    (School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town 7535, South Africa)

  • Brian van Wyk

    (School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town 7535, South Africa)

Abstract

Background: Adolescents living with HIV (ALHIV) are challenged to remain adherent and engaged in HIV care. Technology-enabled interventions can be used to optimize healthcare delivery to adolescents. The largest proportion of ALHIV resides in sub-Saharan Africa. This review synthesized the evidence for the effectiveness, acceptability, and feasibility of technology-enabled health interventions for ALHIV in low and middle-income countries (LMIC). Methods: Eight electronic databases (Ebscohost, CINAHL, ERIC, MEDLINE, PubMed, SCOPUS, Science Direct, and Sabinet) and Google Scholar were searched to identify studies in LMIC published from 2010 to 2022. Quantitative and qualitative studies reporting on technology-enabled health interventions for predominantly adolescents (10–19 years) were included. The review was performed, and findings were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols. The review was registered with PROSPERO: CRD42022336330. Results: There is weak evidence that technology-enabled health interventions for ALHIV in LMIC improve treatment outcomes. However, most interventions appear to be acceptable and feasible. Conclusion: There is a need to ensure that technology-enabled interventions have a strong theoretical base. Larger studies with rigorous evaluation designs are needed to determine the effects of these interventions on the health outcomes of ALHIV in LMIC.

Suggested Citation

  • Talitha Crowley & Charné Petinger & Azia Ivo Nchendia & Brian van Wyk, 2023. "Effectiveness, Acceptability and Feasibility of Technology-Enabled Health Interventions for Adolescents Living with HIV in Low- and Middle-Income Countries: A Systematic Review," IJERPH, MDPI, vol. 20(3), pages 1-18, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2464-:d:1051464
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    References listed on IDEAS

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    1. Linnemayr, S. & Huang, H. & Luoto, J. & Kambugu, A. & Thirumurthy, H. & Haberer, J.E. & Wagner, G. & Mukasa, B., 2017. "Text messaging for improving antiretroviral therapy adherence: No effects after 1 year in a randomized controlled trial among adolescents and young adults," American Journal of Public Health, American Public Health Association, vol. 107(12), pages 1944-1950.
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