Zhang Y, Li X. 2017. Uses of information and communication technologies in HIV self-management: A systematic review of global literature. International Journal of Information Management. 37: 75-83. doi: 10.1016/j.ijinfomgt.2016.11.003
Researchers reviewed studies evaluating digital programs for self-management of HIV, focusing on evidence for program effectiveness, benefits and difficulties of using the programs, and knowledge gaps to be addressed by future research. Researchers identified six articles evaluating five web-based (3) or mobile (2) self-management programs for review. All of the studies took place in the United States (3) or Australia (3). Sample sizes ranged from ten to 552. Reviewed programs delivered health assessments and self-management strategies (2), provided digital self-monitoring and self-management functions (2), or provided instruction and social functions to improve self-management (2). Results indicated that the programs improved physical health outcomes (e.g. symptomology, weight, skin problems), psychosocial outcomes (e.g. stress management, emotional wellbeing, relationships); and health knowledge and behaviors (e.g. disclosure of poor health, engagement with health care providers, medication adherence). Concerns for privacy was a common barrier of using a digital platform. Participants most often reported that anonymity was a benefit of using a digital program. Researchers identified a need for more research of digital self-management programs in general, but specific needs for research outside of the US and Australia, large-scale research, research guided by models or theories of behavior, and research that go beyond information gathering and management to foster community within the programs.