Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes

Abstract Background Advances and proliferation of technologies such as mobile phones may provide opportunities to improve access to HIV/STI services and reach young people with high risk for HIV and STI. However, the reach, uptake, and sustainability of mobile health (mHealth) HIV/STI interventions...

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Autores principales:	Ucheoma Nwaozuru, Chisom Obiezu-Umeh, Thembekile Shato, Florida Uzoaru, Stacey Mason, Victoria Carter, Sunita Manu, Karan Modi, Jessica Parker, Oliver Ezechi, Juliet Iwelunmor
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Mobile health Young people HIV/STI prevention Implementation outcomes Mobile phone Low- and middle-income countries Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/de1605dbd60f48e0a354bcb221423e80
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spelling	oai:doaj.org-article:de1605dbd60f48e0a354bcb221423e802021-11-07T12:04:06ZMobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes10.1186/s43058-021-00230-w2662-2211https://doaj.org/article/de1605dbd60f48e0a354bcb221423e802021-11-01T00:00:00Zhttps://doi.org/10.1186/s43058-021-00230-whttps://doaj.org/toc/2662-2211Abstract Background Advances and proliferation of technologies such as mobile phones may provide opportunities to improve access to HIV/STI services and reach young people with high risk for HIV and STI. However, the reach, uptake, and sustainability of mobile health (mHealth) HIV/STI interventions targeting young people aged 10–24 years in low- and middle-income countries (LMICs) are largely unknown. To address this gap and to inform implementation science research, a review was conducted to summarize what is known, and what we need to know about implementing mhealth interventions for HIV/STI prevention targeting young people in LMICs. Methods We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this review. Drawing upon Proctor’s eight implementation outcome measures, we evaluated the acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, and sustainability of m-health HIV/STI interventions targeting young people in LMICs. The search was performed from September 2020–January 2021 and updated on March 1, 2021, in Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, SCOPUS, Global Health, and Web of Science. Eligible studies were required to include an HIV/STI prevention outcome, target young people aged 10–24 years, include a comparison/control group, and reporting of atleast one implementation outcome as outlined by Proctor. Results A total of 1386 articles were located, and their titles and abstracts were screened. Of these, 57 full-text articles were reviewed and subsequently, and 11 articles representing 6 unique interventions were included in the systematic review. Acceptability 6 (100%), appropriateness 6 (100%), and feasibility 5(83%) were the most frequently evaluated implementation outcomes. Adoption 2 (33%), fidelity 1 (17%), and cost 1 (17%) were rarely reported; penetration and sustainability were not reported. Conclusions This review contributes to implementation science literature by synthesizing key implementation outcomes of mHealth HIV/STI interventions targeting young people in LMICs. Future research is needed on m-health HIV/STI implementation outcomes, particularly the penetration, cost, and long-term sustainability of these interventions. Doing so will enhance the field’s understanding of the mechanisms by which these interventions lead or do not lead to changes in high HIV/STI risk and vulnerability among young people in LMICs.Ucheoma NwaozuruChisom Obiezu-UmehThembekile ShatoFlorida UzoaruStacey MasonVictoria CarterSunita ManuKaran ModiJessica ParkerOliver EzechiJuliet IwelunmorBMCarticleMobile healthYoung peopleHIV/STI preventionImplementation outcomesMobile phoneLow- and middle-income countriesMedicine (General)R5-920ENImplementation Science Communications, Vol 2, Iss 1, Pp 1-16 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mobile health Young people HIV/STI prevention Implementation outcomes Mobile phone Low- and middle-income countries Medicine (General) R5-920
spellingShingle	Mobile health Young people HIV/STI prevention Implementation outcomes Mobile phone Low- and middle-income countries Medicine (General) R5-920 Ucheoma Nwaozuru Chisom Obiezu-Umeh Thembekile Shato Florida Uzoaru Stacey Mason Victoria Carter Sunita Manu Karan Modi Jessica Parker Oliver Ezechi Juliet Iwelunmor Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes
description	Abstract Background Advances and proliferation of technologies such as mobile phones may provide opportunities to improve access to HIV/STI services and reach young people with high risk for HIV and STI. However, the reach, uptake, and sustainability of mobile health (mHealth) HIV/STI interventions targeting young people aged 10–24 years in low- and middle-income countries (LMICs) are largely unknown. To address this gap and to inform implementation science research, a review was conducted to summarize what is known, and what we need to know about implementing mhealth interventions for HIV/STI prevention targeting young people in LMICs. Methods We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this review. Drawing upon Proctor’s eight implementation outcome measures, we evaluated the acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, and sustainability of m-health HIV/STI interventions targeting young people in LMICs. The search was performed from September 2020–January 2021 and updated on March 1, 2021, in Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, SCOPUS, Global Health, and Web of Science. Eligible studies were required to include an HIV/STI prevention outcome, target young people aged 10–24 years, include a comparison/control group, and reporting of atleast one implementation outcome as outlined by Proctor. Results A total of 1386 articles were located, and their titles and abstracts were screened. Of these, 57 full-text articles were reviewed and subsequently, and 11 articles representing 6 unique interventions were included in the systematic review. Acceptability 6 (100%), appropriateness 6 (100%), and feasibility 5(83%) were the most frequently evaluated implementation outcomes. Adoption 2 (33%), fidelity 1 (17%), and cost 1 (17%) were rarely reported; penetration and sustainability were not reported. Conclusions This review contributes to implementation science literature by synthesizing key implementation outcomes of mHealth HIV/STI interventions targeting young people in LMICs. Future research is needed on m-health HIV/STI implementation outcomes, particularly the penetration, cost, and long-term sustainability of these interventions. Doing so will enhance the field’s understanding of the mechanisms by which these interventions lead or do not lead to changes in high HIV/STI risk and vulnerability among young people in LMICs.
format	article
author	Ucheoma Nwaozuru Chisom Obiezu-Umeh Thembekile Shato Florida Uzoaru Stacey Mason Victoria Carter Sunita Manu Karan Modi Jessica Parker Oliver Ezechi Juliet Iwelunmor
author_facet	Ucheoma Nwaozuru Chisom Obiezu-Umeh Thembekile Shato Florida Uzoaru Stacey Mason Victoria Carter Sunita Manu Karan Modi Jessica Parker Oliver Ezechi Juliet Iwelunmor
author_sort	Ucheoma Nwaozuru
title	Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes
title_short	Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes
title_full	Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes
title_fullStr	Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes
title_full_unstemmed	Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes
title_sort	mobile health interventions for hiv/sti prevention among youth in low- and middle-income countries (lmics): a systematic review of studies reporting implementation outcomes
publisher	BMC
publishDate	2021
url	https://doaj.org/article/de1605dbd60f48e0a354bcb221423e80
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Mobile health interventions for HIV/STI prevention among youth in low- and middle-income countries (LMICs): a systematic review of studies reporting implementation outcomes

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