Telephone consultation for improving health of people living with or at risk of HIV: a systematic review.

<h4>Background</h4>Low cost, effective interventions are needed to deal with the major global burden of HIV/AIDS. Telephone consultation offers the potential to improve health of people living with HIV/AIDS cost-effectively and to reduce the burden on affected people and health systems....

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Autores principales:	Michelle H M M T van Velthoven, Lorainne Tudor Car, Josip Car, Rifat Atun
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7557620dc2314df482dafb423ef0e008
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spelling	oai:doaj.org-article:7557620dc2314df482dafb423ef0e0082021-11-18T07:18:24ZTelephone consultation for improving health of people living with or at risk of HIV: a systematic review.1932-620310.1371/journal.pone.0036105https://doaj.org/article/7557620dc2314df482dafb423ef0e0082012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22615751/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Low cost, effective interventions are needed to deal with the major global burden of HIV/AIDS. Telephone consultation offers the potential to improve health of people living with HIV/AIDS cost-effectively and to reduce the burden on affected people and health systems. The aim of this systematic review was to assess the effectiveness of telephone consultation for HIV/AIDS care.<h4>Methods</h4>We undertook a comprehensive search of peer-reviewed and grey literature. Two authors independently screened citations, extracted data and assessed the quality of randomized controlled trials which compared telephone interventions with control groups for HIV/AIDS care. Telephone interventions were voice calls with landlines or mobile phones. We present a narrative overview of the results as the obtained trials were highly heterogeneous in design and therefore the data could not be pooled for statistical analysis.<h4>Results</h4>The search yielded 3321 citations. Of these, nine studies involving 1162 participants met the inclusion criteria. The telephone was used for giving HIV test results (one trial) and for delivering behavioural interventions aimed at improving mental health (four trials), reducing sexual transmission risk (one trial), improving medication adherence (two trials) and smoking cessation (one trial). Limited effectiveness of the intervention was found in the trial giving HIV test results, in one trial supporting medication adherence and in one trial for smoking cessation by telephone.<h4>Conclusions</h4>We found some evidence of the benefits of interventions delivered by telephone for the health of people living with HIV or at risk of HIV. However, only limited conclusions can be drawn as we only found nine studies for five different interventions and they mainly took place in the United States. Nevertheless, given the high penetration of low-cost mobile phones in countries with high HIV endemicity, more evidence is needed on how telephone consultation can aid in the delivery of HIV prevention, treatment and care.Michelle H M M T van VelthovenLorainne Tudor CarJosip CarRifat AtunPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 5, p e36105 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Michelle H M M T van Velthoven Lorainne Tudor Car Josip Car Rifat Atun Telephone consultation for improving health of people living with or at risk of HIV: a systematic review.
description	<h4>Background</h4>Low cost, effective interventions are needed to deal with the major global burden of HIV/AIDS. Telephone consultation offers the potential to improve health of people living with HIV/AIDS cost-effectively and to reduce the burden on affected people and health systems. The aim of this systematic review was to assess the effectiveness of telephone consultation for HIV/AIDS care.<h4>Methods</h4>We undertook a comprehensive search of peer-reviewed and grey literature. Two authors independently screened citations, extracted data and assessed the quality of randomized controlled trials which compared telephone interventions with control groups for HIV/AIDS care. Telephone interventions were voice calls with landlines or mobile phones. We present a narrative overview of the results as the obtained trials were highly heterogeneous in design and therefore the data could not be pooled for statistical analysis.<h4>Results</h4>The search yielded 3321 citations. Of these, nine studies involving 1162 participants met the inclusion criteria. The telephone was used for giving HIV test results (one trial) and for delivering behavioural interventions aimed at improving mental health (four trials), reducing sexual transmission risk (one trial), improving medication adherence (two trials) and smoking cessation (one trial). Limited effectiveness of the intervention was found in the trial giving HIV test results, in one trial supporting medication adherence and in one trial for smoking cessation by telephone.<h4>Conclusions</h4>We found some evidence of the benefits of interventions delivered by telephone for the health of people living with HIV or at risk of HIV. However, only limited conclusions can be drawn as we only found nine studies for five different interventions and they mainly took place in the United States. Nevertheless, given the high penetration of low-cost mobile phones in countries with high HIV endemicity, more evidence is needed on how telephone consultation can aid in the delivery of HIV prevention, treatment and care.
format	article
author	Michelle H M M T van Velthoven Lorainne Tudor Car Josip Car Rifat Atun
author_facet	Michelle H M M T van Velthoven Lorainne Tudor Car Josip Car Rifat Atun
author_sort	Michelle H M M T van Velthoven
title	Telephone consultation for improving health of people living with or at risk of HIV: a systematic review.
title_short	Telephone consultation for improving health of people living with or at risk of HIV: a systematic review.
title_full	Telephone consultation for improving health of people living with or at risk of HIV: a systematic review.
title_fullStr	Telephone consultation for improving health of people living with or at risk of HIV: a systematic review.
title_full_unstemmed	Telephone consultation for improving health of people living with or at risk of HIV: a systematic review.
title_sort	telephone consultation for improving health of people living with or at risk of hiv: a systematic review.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/7557620dc2314df482dafb423ef0e008
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Telephone consultation for improving health of people living with or at risk of HIV: a systematic review.

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