Effectiveness of digital health interventions on antiretroviral therapy adherence among people living with HIV in India: A systematic review with an RCT-only meta-analysis - Summary - MDSpire
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Effectiveness of digital health interventions on antiretroviral therapy adherence among people living with HIV in India: A systematic review with an RCT-only meta-analysis
To assess the effectiveness of digital health interventions, such as SMS reminders and electronic adherence monitors, on ART adherence among PLHIV in India and to identify the types of digital health technologies employed.
Approach:
Key Findings:
Adherence to ART among PLHIV in India is suboptimal, with various studies reporting adherence rates below the suggested 95%.
Digital health technologies, including SMS reminders and electronic adherence monitors, have shown effectiveness in improving ART adherence.
Barriers to ART adherence include forgetfulness, stigma, lack of support, and financial constraints.
Interpretation:
The review highlights the potential of digital health strategies to enhance ART adherence among PLHIV in India, specifically addressing barriers such as forgetfulness and stigma.
Limitations:
The review may be limited by the availability and quality of studies included, particularly those with small sample sizes.
Variability in digital health interventions and adherence measurement across studies may affect generalizability.
Conclusion:
Digital health interventions could play a crucial role in improving ART adherence among PLHIV in India, warranting further investigation into specific technologies and their integration into healthcare systems.