سامانه همایش های دانشگاه آزاد اسلامی واحد نجف آباد

صفحه اصلی / اولین همایش بین المللی تحول خدمات سلامت: تلفیق مراقبت، درمان، بازتوانی و امیدبخشی

The Role of Text Messaging and Remote Communication Technologies ‎in Improving Retention in Prevention of Mother-to-Child HIV ‎Transmission Care: A Systematic Review

نویسندگان :

Reihane Sharif¹ Reza Abbasi² Nafiseh Jamal³ Shima Anvari⁴

1- دانشگاه علوم پزشکی کاشان 2- دانشگاه علوم پزشکی تربت حیدریه 3- دانشگاه علوم پزشکی کاشان 4- دانشگاه علوم پزشکی کاشان

کلمات کلیدی :

HIV Infections،Telemedicine،Text Messaging،Patient Dropouts،Pregnancy

چکیده :

Background: Retention of women living with HIV in prevention of mother-to-child ‎transmission (PMTCT) programs and timely infant HIV testing remain major challenges in ‎high-burden settings. Remote communication technologies, including SMS and phone ‎calls, have been proposed to improve retention. This study aimed to systematically review ‎randomized controlled trials.‎ Methods: A systematic search was conducted in PubMed, Scopus, and Web of Science ‎using terms related to HIV/PMTCT, remote communication technologies, and ‎retention/adherence. Eligible studies were randomized controlled trials evaluating remote ‎communication interventions among pregnant or postpartum women living with HIV ‎compared with usual care‎; secondary reviews, qualitative studies, non-randomized ‎designs, and unrelated ‎populations were excluded. Study quality was assessed using the ‎Cochrane Risk of Bias 2 (RoB 2) tool.‎ Finding‎: A total of 510 records were identified (Scopus=190, PubMed=118, Web of ‎Science=202). After removing 185 duplicates, 325 records were screened. Sixty-two ‎articles underwent full-text assessment, and 8 randomized controlled trials from 3 ‎countries; Kenya (6), Uganda (1), and South Africa (1) involving more than 5,400 women ‎were included. No trial had an overall low risk of bias; 6 (75%) had some concerns and 2 ‎‎(25%) had a high risk of bias. Only 2 trials (25%) demonstrated significant improvement in ‎retention/infant HIV testing, whereas 4 larger trials (50%) found no significant difference, ‎and 2 small pilot trials (25%) were underpowered. ‎ Conclusion: Available evidence does not demonstrate consistent effectiveness of remote ‎communication technologies for improving retention in PMTCT care. Caution is warranted ‎when generalizing findings from early trials, and targeted interventions for high-risk ‎subgroups should be further investigated.‎