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telemedicine hiv

Martin Njoroge, Dejan Zurovac, Esther A A Ogara, Jane Chuma, Doris Kirigia
BACKGROUND: The growth of Information and Communication Technology in Kenya has facilitated implementation of a large number of eHealth projects in a bid to cost-effectively address health and health system challenges. This systematic review aims to provide a situational analysis of eHealth initiatives being implemented in Kenya, including an assessment of the areas of focus and geographic distribution of the health projects. The search strategy involved peer and non-peer reviewed sources of relevant information relating to projects under implementation in Kenya...
February 10, 2017: BMC Research Notes
Jane Moeckli, Kenda R Stewart, Sarah Ono, Bruce Alexander, Tyler Goss, Marissa Maier, Phyllis C Tien, M Bryant Howren, Michael E Ohl
PURPOSE: Extension for Community Health Outcomes (ECHO) is a provider-level telemedicine model successfully applied to hepatitis C care, but little is known about its application to Human Immunodeficiency Virus (HIV) care. We performed a mixed-methods evaluation of 3 HIV ECHO programs in the Veterans Health Administration, focusing on uptake by primary care clinics and veterans. METHODS: Administrative data were used to assess program uptake, including adoption (ie, proportion of primary care clinics participating) and reach (ie, proportion of eligible veterans participating)...
August 24, 2016: Journal of Rural Health
Chen Zhao, Xinyu Liu
This paper presents a portable paper-based microfluidic platform for multiplexed electrochemical detection of antibody markers of human immunodeficiency virus (HIV) and hepatitis C virus (HCV) in serum samples. To our best knowledge, this is the first paper-based electrochemical immunosensing platform, with multiplexing and telemedicine capabilities, for diagnosing HIV/HCV co-infection. The platform consists of an electrochemical microfluidic paper-based immunosensor array (E-μPIA) and a handheld multi-channel potentiostat, and is capable of performing enzyme-linked immunosorbent assays simultaneously on eight samples within 20 min (using a prepared E-μPIA)...
March 2016: Biomicrofluidics
Johanna Maria Axelsson, Sofie Hallager, Toke S Barfod
A high degree of adherence to antiretroviral therapy (ART) in patients infected with human immunodeficiency virus (HIV) is necessary for long term treatment effects. This study explores the role of timing of ART intake, the information patients received from health workers, local adherence patterns, barriers to and facilitators of ART among 28 HIV-positive adults at the Senkatana HIV Clinic in Maseru, Lesotho. This qualitative, semi-structured interview study was carried out during February and March of 2011 and responses were analyzed inspired by the Grounded Theory method...
August 6, 2015: Journal of Health, Population, and Nutrition
Joanne Elizabeth Peter, Peter Barron, Yogan Pillay
No abstract text is available yet for this article.
January 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Casey L Penn
No abstract text is available yet for this article.
October 2015: Journal of the Arkansas Medical Society
Terry J Hannan
The management of health care delivery requires the availability of effective 'information management' tools based on e-technologies [eHealth]. In developed economies many of these 'tools' are readily available whereas in Low and Middle Income Countries (LMIC) there is limited access to eHealth technologies and this has been defined as the "digital divide". This paper provides a short introduction to the fundamental understanding of what is meant by information management in health care and how it applies to all social economies...
2015: World Hospitals and Health Services: the Official Journal of the International Hospital Federation
Erika Montanaro, Lynn E Fiellin, Tamer Fakhouri, Tassos C Kyriakides, Lindsay R Duncan
BACKGROUND: Videogame interventions are becoming increasingly popular as a means to engage people in behavioral interventions; however, strategies for examining data from such interventions have not been developed. OBJECTIVE: The objective of this study was to describe how a technology-based intervention can yield meaningful, objective evidence of intervention exposure within a behavioral intervention. This study demonstrates the analysis of automatic log files, created by software from a videogame intervention, that catalog game play and, as proof of concept, the association of these data with changes in substance use knowledge as documented with standardized assessments...
October 28, 2015: Journal of Medical Internet Research
Kevin Fiscella, Michele Boyd, Julian Brown, Jennifer Carroll, Andrea Cassells, Roberto Corales, Wendi Cross, Nayef El'Daher, Subrina Farah, Steven Fine, Richard Fowler, Ashley Hann, Amneris Luque, Jennifer Rodriquez, Mechelle Sanders, Jonathan Tobin
BACKGROUND: Patient empowerment represents a potent tool for addressing racial, ethnic and socioeconomic disparities in health care, particularly for chronic conditions such as HIV infection that require active patient engagement. This multimodal intervention, developed in concert with HIV patients and clinicians, aims to provide HIV patients with the knowledge, skills, attitudes and tools to become more activated patients. METHODS/DESIGN: Randomized controlled trial of a multimodal intervention designed to activate persons living with HIV...
October 16, 2015: BMC Public Health
Oni J Blackstock, Chinazo O Cunningham, Lorlette J Haughton, Ruby Y Garner, Chris Norwood, Keith J Horvath
No abstract text is available yet for this article.
January 2016: Journal of the Association of Nurses in AIDS Care: JANAC
Guillermo Martínez Pérez, Bella Hwang, Helen Bygrave, Emilie Venables
Text messages (SMS) are being increasingly integrated into HIV programs across Southern Africa to improve patient adherence, linkage to care and provide psycho-social support. Careful attention needs to be paid to the design of SMS-based interventions for clients of HIV-care services to ensure that any potential harm, such as unwanted disclosure of HIV status, is minimized. In this article we propose a set of best practice recommendations to ensure that any SMS-based intervention considers ethical principles to safeguard safety, autonomy and confidentiality of its targeted HIV-positive beneficiaries...
2015: Pan African Medical Journal
Jessica L Montoya, David Wing, Adam Knight, David J Moore, Brook L Henry
A randomized controlled trial is being conducted in the United States to test the efficacy of a personalized interactive mobile health intervention (iSTEP) designed to increase physical activity (PA) and improve neurocognitive functioning among HIV-positive persons. This article describes an initial qualitative study performed to develop iSTEP for the HIV-positive population, including assessment of PA barriers and facilitators. Two focus groups, with 9 and 12 unique HIV-positive individuals, respectively, were administered to evaluate barriers limiting PA and potential iSTEP content created to encourage greater PA...
November 2015: Journal of the International Association of Providers of AIDS Care
Melanie C M Murray, Sara O'Shaughnessy, Kirsten Smillie, Natasha Van Borek, Rebecca Graham, Evelyn J Maan, Mia L van der Kop, Karen Friesen, Arianne Albert, Sarah Levine, Neora Pick, Gina Ogilvie, Deborah Money, Richard Lester
Though evidence shows that Mobile health (mHealth) interventions can improve adherence and viral load in HIV-positive persons, few have studied the health care providers' (HCP) perspective. We conducted a prospective mixed methods pilot study using the WelTel intervention wherein HIV-positive participants (n = 25) received weekly interactive text messages for 6 months. Text message response rate and topic data were collected to illustrate the HCP experience. The aim of this study is to explore intervention acceptability and feasibility from the HCP perspective through a baseline focus group and end of study interviews with HCP impacted by the intervention...
October 2015: AIDS and Behavior
Afton Chavez, Ryan Littman-Quinn, Kagiso Ndlovu, Carrie L Kovarik
The following correspondence provides an overview of TV White Space (TVWS) technology, regulations, and potential applications to the health care sector. This report also introduces "Project Kgolagano," a Botswana-based initiative representing the first endeavour to utilize TVWS internet connection for practising telemedicine. TV "white space" refers to the previously unused, wasted spectrum within TV radiofrequency channels that can now be leveraged to obtain broadband internet access. TVWS represents a less costly, faster, and farther-reaching internet connection that is a promising option for connecting the previously unconnected populations of remote and underserved areas...
June 2016: Journal of Telemedicine and Telecare
Sarang Deo, Lindy Crea, Jorge Quevedo, Jonathan Lehe, Lara Vojnov, Trevor Peter, Ilesh Jani
The objective of this study was to quantify the impact of a new technology to communicate the results of an infant HIV diagnostic test on test turnaround time and to quantify the association between late delivery of test results and patient loss to follow-up. We used data collected during a pilot implementation of Global Package Radio Service (GPRS) printers for communicating results in the early infant diagnosis program in Mozambique from 2008 through 2010. Our dataset comprised 1757 patient records, of which 767 were from before implementation and 990 from after implementation of expedited results delivery system...
September 1, 2015: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Rebecca Schnall, Marlene Rojas, Jasmine Travers, William Brown, Suzanne Bakken
Mobile health (mHealth) technology presents opportunities to enhance chronic illness management, which is especially relevant for persons living with HIV (PLWH). Since mHealth technology comprises evolving and adaptable hardware and software, it provides many challenging design problems. To address this challenge, our methods were guided by the Information System Research (ISR) framework. This paper focuses on the Design Cycle of the ISR framework in which we used user-centered distributed information design methods and participatory action research methods to inform the design of a mobile application (app) for PLWH...
2014: AMIA ... Annual Symposium Proceedings
Sophie Arie
No abstract text is available yet for this article.
2015: BMJ: British Medical Journal
Kathryn E Muessig, Cedric H Bien, Chongyi Wei, Elaine J Lo, Min Yang, Joseph D Tucker, Ligang Yang, Gang Meng, Lisa B Hightow-Weidman
BACKGROUND: Human immunodeficiency virus (HIV) infection disproportionately affects men who have sex with men (MSM). Over half of all HIV-positive MSM in China may not know their HIV status. Mobile phones and Web interventions (eHealth) are underutilized resources that show promise for supporting HIV education, testing, and linkage to care. OBJECTIVE: This mixed-methods study among MSM in China assessed technology utilization and eHealth acceptability for sexual health care...
2015: Journal of Medical Internet Research
Ivy Mushamiri, Chibulu Luo, Casey Iiams-Hauser, Yanis Ben Amor
BACKGROUND: The Millennium Villages Project (MVP) implemented in Western Kenya a mobile Health tool that uses text messages to coordinate Community Health Worker (CHW) activities around antenatal care (ANC) and Prevention of Mother-to-Child Transmission of HIV (PMTCT), named the ANC/PMTCT Adherence System (APAS). METHODS: End-user changes in health-seeking behavior in ANC and postnatal care (PNC) were investigated following registration of 800 women into APAS. These investigations employed interviews of pregnant women or new mothers (n = 67) and CHWs (n = 20)...
2015: BMC Public Health
Mark J Siedner, Data Santorino, Jessica E Haberer, David R Bangsberg
BACKGROUND: Despite investments in infrastructure and evidence for high acceptability, few mHealth interventions have been implemented in sub-Saharan Africa. OBJECTIVE: We sought to (1) identify predictors of uptake of an mHealth application for a low-literacy population of people living with HIV (PLWH) in rural Uganda and (2) evaluate the efficacy of various short message service (SMS) text message formats to optimize the balance between confidentiality and accessibility...
March 24, 2015: Journal of Medical Internet Research
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