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21
May, 2013
Tuesday

hiv

Standardized Functions for Smartphone Applications: Examples from Maternal and Child Health

Rotheram-Borus MJ et al, International Journal of Telemedicine and Applications, 2012

Millennium Development Goals (MDGs) are unlikely to be met in most low- and middle-income countries (LMIC). Smartphones and smartphone proxy systems using simpler phones, equipped with the capabilities to identify location/time and link to the web, are increasingly available and likely to provide an excellent platform to support healthcare self-management, delivery, quality, and supervision. Smart phones allow information to be delivered by voice, texts, pictures, and videos as well as be triggered by location and date. Prompts and reminders, as well as real-time monitoring, can improve quality of health care.
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Published: 2012 |
Keyword(s): Content Specifications, Diabetes Mellitus, Evidence Base, HIV, Mobile phones, Self-monitoring, South-Africa, Telemedicine

An Electronic Medical Record (EMR) Implementation Framework for HIV Care and Treatment Facilities in Ethiopia

Gebre-Mariam M et al, ElectronicHealthcare, 11(1)

Purpose:
Implementing electronic medical record (EMR) systems is a complex process that is receiving more focus in developing countries to help understaffed and overcrowded health facilities deal with the HIV/AIDS epidemic. Despite growing evidence of EMR systems implementation in various developing countries to support acute and chronic disease management, use of these systems by clinicians for patient monitoring and management is limited in many sub-Saharan African countries.
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Published: 25 June 2012 |
Keyword(s): Electronic Health Records, Electronic Medical Records, Ethiopia, HIV, Implementation

Cell Phone-Based and Internet-Based Monitoring and Evaluation of the National Antiretroviral Treatment Program During Rapid Scale-Up in Rwanda: TRACnet, 2004-2010

Nsanzimana S et al, Journal of Acquired Immune Deficiency Syndromes, 59(2)

BACKGROUND
Monitoring and evaluation of antiretroviral treatment (ART) scale-up has been challenging in resource-limited settings. We describe an innovative cell-phone-based and internet-based reporting system (TRACnet) utilized in Rwanda.

METHODS
From January 2004 to June 30, 2010, all health facilities with ART services submitted standardized monthly aggregate reports of key indicators. National cohort data were analyzed to examine trends in characteristics of patients initiating ART and cumulative cohort outcomes. Estimates of HIV-infected patients eligible for ART were obtained from Joint United Nations Program on HIV/AIDS (Estimation and Projection Package-Spectrum, 2010).
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Published: 1 February 2012 |
Keyword(s): Africa, HIV, mHealth, Monitoring

Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS

Herwehe J et al, J Am Med Inform Assoc, 2011

Louisiana is severely affected by HIV/AIDS, ranking fifth in AIDS rates in the USA. The Louisiana Public Health Information Exchange (LaPHIE) is a novel, secure bi-directional public health information exchange, linking statewide public health surveillance data with electronic medical record data. LaPHIE alerts medical providers when individuals with HIV/AIDS who have not received HIV care for >12 months are seen at any ambulatory or inpatient facility in an integrated delivery network.
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Published: 28 October 2011 |
Keyword(s): Electronic Health Records, Health Information Exchange, HIV, Public Health, United States

Use of electronic personal health record systems to encourage HIV screening: an exploratory study of patient and provider perspectives

McInnes DK et al, BMC Research Notes, 4(1)

BACKGROUND:
When detected, HIV can be effectively treated with antiretroviral therapy. Nevertheless in the U.S. approximately 25% of those who are HIV-infected do not know it. Much remains unknown about how to increase HIV testing rates. New Internet outreach methods have the potential to increase disease awareness and screening among patients, especially as electronic personal health records (PHRs) become more widely available. In the US Department of Veterans Affairs medical care system, 900,000 veterans have indicated an interest in receiving electronic health-related communications through the PHR. Therefore we sought to evaluate the optimal circumstances and conditions for outreach about HIV screening. In an exploratory, qualitative research study we examined patient and provider perceptions of Internet-based outreach to increase HIV screening among veterans who use the Veterans Health Administration (VHA) health care system.
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Published: 15 August 2011 |
Keyword(s): Communication, Electronic Health Records, HIV, Personal Health Records, United States

Impact of a mHealth Intervention for Peer Health Workers on AIDS Care in Rural Uganda: A Mixed Methods Evaluation of a Cluster-Randomized Trial

Chang LW et al, AIDS and Behavior, 2011

Mobile phone access in low and middle-income countries is rapidly expanding and offers an opportunity to leverage limited human resources for health. We conducted a mixed methods evaluation of a cluster-randomized trial exploratory substudy on the impact of a mHealth (mobile phone) support intervention used by community-based peer health workers (PHW) on AIDS care in rural Uganda. 29 PHWs at 10 clinics were randomized by clinic to receive the intervention or not.
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Published: 8 July 2011 |
Keyword(s): HIV, mHealth, Rural, Uganda

A pilot programme using mobile phones for HIV prevention

Juzang I et al, J Telemed Telecare, 17(3)

We explored the feasibility of engaging young black men in a 12-week text messaging programme about HIV prevention. There were two non-randomized groups of 30 young men each. The participants were aged 16-20 years, self-identifying as black or African-American, sexually active, who owned a mobile phone and lived in Philadelphia. They received three text messages per week for 12 weeks. People in the intervention group received text messages about HIV prevention, while those in the control group received text messages about nutrition.
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Published: 1 April 2011 |
Keyword(s): Behavior, Cellular Phone, HIV, mHealth, SMS, United States

Project Masihambisane: a cluster randomised controlled trial with peer mentors to improve outcomes for pregnant mothers living with HIV

Rotheram-Borus M-J et al, Trials, 12

BACKGROUND
Pregnant women living with HIV (WLH) face daily challenges maintaining their own and their babies’ health and mental health. Standard Prevention of Maternal to Child Transmission (PMTCT) programs are not designed to address these challenges.
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Published: 4 January 2011 |
Keyword(s): Cellular Phone, HIV, mHealth, Pregnancy, Prenatal Care, South-Africa

A text message-based intervention to bridge the healthcare communication gap in the rural developing world

Mahmud N et al, Technology and Health Care, 18(2)

Healthcare delivery in the rural developing world is limited by a severe shortage of health workers as well as profound communicative and geographic barriers. Understaffed hospitals are forced to provide care for patients that reside at a great distance from the institutions themselves, sometimes more than 100 miles away. Community health workers (CHWs), volunteers from local villages, have been integral in bridging this patient-physician gap, but still lose enormous of amounts of time in transit between hospital and village.
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Published: 10 May 2010 |
Keyword(s): Adherence, Cellular Phone, Developing Countries, HIV, SMS

Virtual hospital for HIV patients halves consultation times

A home telemedicine system for patients with stable HIV infection has proved popular among patients and has reduced consultation times by half, say doctors in Barcelona and Madrid.
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Published: 18 March 2011 |
Keyword(s): HIV, Spain, Telemedicine, Virtual Hospital

Cell phone usage among adolescents in Uganda: acceptability for relaying health information

Mitchell KJ et al, Health Education Research, 2011

The increase in cell phone use has manifested a growing interest in using this technology for health promotion. The portability and ‘always on’ features of the cell phone, along with increasing capability for the devices to carry and transfer data suggest that they will reach more people than computers and the Internet in coming years. Self-reported quantitative survey data from 1503 secondary school students in Mbarara, Uganda collected in 2008-2009 suggest that 27% currently have cell phones and about half (51%) of all students and 61% of those who owned a cell phone believe that they would access a text messaging-based HIV prevention program if it were available.
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Published: 2 May 2011 |
Keyword(s): Adolescent, Cellular Phone, Health Information, HIV, mHealth, SMS, Uganda

Mobile Phones for Health Education in the Developing World: SMS as a User Interface

Danis CM et al, ACM DEV 10, 2010

Uganda suffers from a severe shortage of professional healthcare workers. Thus, programs aimed at prevention of disease are an important complement to the limited healthcare delivery system. We analyze two deployments of an SMS-based HIV/AIDS education system that uses a quiz format to assess people’s knowledge of the disease, including its causes and methods of prevention. The deployments were to two groups in Uganda, one a sample of mobile phone users who live in a town in northwest Uganda; the other, workers at three factories in central and southeastern Uganda.
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Published: December 2010 |
Keyword(s): Developing Countries, HIV, mHealth, SMS, Uganda

Evaluation of computer-generated reminders to improve CD4 laboratory monitoring in sub-Saharan Africa: a prospective comparative study

Were MC et al, J Am Med Inform Assoc, 18(2)

Objective
Little evidence exists on effective interventions to integrate HIV-care guidelines into practices within developing countries. This study tested the hypothesis that clinical summaries with computer-generated reminders could improve clinicians’ compliance with CD4 testing guidelines in the resource-limited setting of sub-Saharan Africa.

Design
A prospective comparative study of two randomly selected outpatient adult HIV clinics in western Kenya. Printed summaries with reminders for overdue CD4 tests were made available to clinicians in the intervention clinic but not in the control clinic.
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Published: 1 March 2011 |
Keyword(s): Alerts and Reminders, Electronic Health Records, Electronic Medical Records, HIV, Kenya, OpenMRS, Physicians

A new multidisciplinary home care telemedicine system to monitor stable chronic human immunodeficiency virus-infected patients: a randomized study

León A. et al, PloS One, 6(1)

Background
Antiretroviral therapy has changed the natural history of human immunodeficiency virus (HIV) infection in developed countries, where it has become a chronic disease. This clinical scenario requires a new approach to simplify follow-up appointments and facilitate access to healthcare professionals.
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Published: 21 January 2011 |
Keyword(s): HIV, Spain, Telemedicine, Virtual Hospital

Short message service reminder intervention doubles sexually transmitted infection/HIV re-testing rates among men who have sex with men

Bourne C et al, Sexually Transmitted Infections, 2011

Objectives
To evaluate the impact of a short message service (SMS) reminder system on HIV/sexually transmitted infection (STI) re-testing rates among men who have sex with men (MSM).

Methods
The SMS reminder programme started in late 2008 at a large Australian sexual health clinic. SMS reminders were recommended 3-6 monthly for MSM considered high-risk based on self-reported sexual behaviour. The evaluation compared HIV negative MSM who had a HIV/STI test between 1 January and 31 August 2010 and received a SMS reminder (SMS group) with those tested in the same time period (comparison group) and pre-SMS period (pre-SMS group, 1 January 2008 and 31 August 2008) who did not receive the SMS. HIV/STI re-testing rates were measured within 9 months for each group. Baseline characteristics were compared between study groups and multivariate logistic regression used to assess the association between SMS and re-testing and control for any imbalances in the study groups.
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Published: 4 February 2011 |
Keyword(s): Australia, HIV, SMS

Case Study: An Ethics Case Study of HIV Prevention Research on Facebook: The Just/Us Study

Bull SS et al, Journal of Pediatric Psychology, 2011

OBJECTIVE:
To consider issues related to research with youth on social networking sites online.

METHODS:
Description of the data collection process from 1,588 participants in a randomized controlled trial testing the efficacy of HIV prevention education delivered on Facebook. Using respondent-driven sampling, staff-recruited participants are encouraged to recruit up to three friends to enroll in the study.
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Published: 3 February 2011 |
Keyword(s): Behaviour, Confidentiality, Consent, Ethics, facebook, HIV, Research, Security, Social Networks

Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial

Lester RT et al, The Lancet, 2010

Background
Mobile (cell) phone communication has been suggested as a method to improve delivery of health services. However, data on the effects of mobile health technology on patient outcomes in resource-limited settings are limited. We aimed to assess whether mobile phone communication between health-care workers and patients starting antiretroviral therapy in Kenya improved drug adherence and suppression of plasma HIV-1 RNA load.
[ More ]

Published: 10 November 2010 |
Keyword(s): Cellular Phone, HIV, Kenya, mHealth, SMS

A Comparison of the Adoption of Electronic Health Records in North Carolina and South Carolina HIV Systems

Belden CM, Proeschold-Bell RJ. Southern Medical Journal, 2010

Background:
The electronic exchange of health records has been a notable topic in recent years in the effort to improve the quality of healthcare delivery and reduce administrative burden. Interviews and documents from stakeholders in human immunodeficiency virus (HIV) care, and HIV information technology were collected between November 2004 through March 2005 to conduct a qualitative policy analysis on the adoption of an electronic health record (EHR) system among HIV care providers in North Carolina and South Carolina.
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Published: 20 September 2010 |
Keyword(s): Adoption, Electronic Health Records, HIV, Implementation, United States

Innovation in sexually transmitted disease and HIV prevention: internet and mobile phone delivery vehicles for global diffusion

Swendeman D, Rotheram-Borus MJ. Current Opinion in Psychiatry, 23(2)

PURPOSE OF REVIEW:
Efficacious behavioral interventions and practices have not been universally accepted, adopted, or diffused by policy makers, administrators, providers, advocates, or consumers. Biomedical innovations for sexually transmitted disease (STD) and HIV prevention have been embraced but their effectiveness is hindered by behavioral factors. Behavioral interventions are required to support providers and consumers for adoption and diffusion of biomedical innovations, protocol adherence, and sustained prevention for other STDs. Information and communication technology such as the Internet and mobile phones can deliver behavioral components for STD/HIV prevention and care to more people at less cost.
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Published: March 2010 |
Keyword(s): Cellular Phone, HIV, Internet, mHealth, Self Care, Sexually Transmitted Diseases, United States

HIV patients’ willingness to share personal health information electronically

Teixeira PA et al, Patient Education and Counseling, 2010

Objective
To assess the attitudes of persons living with HIV/AIDS (PLWH) towards having their personal health information (PHI) stored and shared electronically.
[ More ]

Published: 17 August 2010 |
Keyword(s): CCD, Health Information Exchange, HIV, Personal Health Information, Physician-Patient Relationship, United States

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