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首页> 外文期刊>BMC Infectious Diseases >Effectiveness of mobile text reminder in improving adherence to medication, physical exercise, and quality of life in patients living with HIV: a systematic review
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Effectiveness of mobile text reminder in improving adherence to medication, physical exercise, and quality of life in patients living with HIV: a systematic review

机译：移动文本提醒改善艾滋病毒患者依赖于药物，体育锻炼和生活质量的效果：系统评价

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Mobile text reminder (SMS) system is considered a viable strategy for targeting/facilitating healthy behavioural change including adherence to prescribed physical exercises (PE) and medication (antiretroviral therapy-ART) which should improve the quality of life (Qol) in people living with HIV/AIDS(PLWHA). Thus, the literature was appraised for evidence of SMS effectiveness in improving ART and PE adherence behaviours and QoL in PLWHA. Eight databases–AMED, CINAHL, Cochrane Library, EMBASE, EMCARE, Ovid MEDLINE, PsycINFO, and PubMed-were searched up to December 2020, using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) protocol.This review included only randomised control trials (RCTs) investigating the effectiveness of SMS in improving QoL or PE or ART adherence behaviour or a combination of these variables in PLWHA?18?years. Two independent reviewers determined the eligibility of the studies. Data were extracted and the quality of the study was assessed with the Physiotherapy Evidence Database (PEDro) tool. The primary outcomes were ART and PE adherence behaviours while the secondary outcome was QoL. A pooled estimate of effect was not calculated due to the heterogeneity of methods and outcome measures. Therefore, a narrative synthesis of ten studies that met the inclusion criteria (n?=?1621 participants at study completion) comprising males/females, aged?≥?18?years, was done. There was a significant improvement in ART adherence behaviour except in three underpowered studies. Only the SMS interventions that were developed using the Starks 3-steps Adherence model was associated with positive outcome. The only study that evaluated QoL was underpowered and reported no significant change while there were no RCTs on PE. Effects of SMS intervention trends towards a significant improvement in ART adherence behaviour in PLWHA. It is plausible that SMS reminders developed using the broader framework of the interpersonal health behaviour theory(ies) may have positive outcome. Nevertheless, the observed heterogeneity in the methods/outcome measures warrants a cautious interpretation of the findings. There is a lack/paucity of RCTs and therefore no evidence in support of the effectiveness of SMS intervention in improving PE adherence and QoL. Registration number NPLASY202060016.
机译：移动文本提醒（SMS）系统被认为是瞄准/促进健康行为变革的可行策略，包括遵守规定的体育锻炼（PE）和药物（抗逆转录病毒治疗 - 艺术），这些锻炼（PE）和药物（抗逆转录病毒治疗 - 艺术）应该提高生活中的人们的生活质量（QOL）艾滋病毒/艾滋病（Plwha）。因此，文献被评估了在改善艺术和PE粘附行为和QoL中的SMS效力方面的证据。在2020年12月20日期间，在2020年12月中搜索了八个数据库，CINAHL，Cochrane图书馆，Embase，EMCare，Ovid Medline，Psycinfo和Pubmed-Psycinfo。随机控制试验（RCT）调查SMS在改善QoL或PE或艺术粘附行为中的有效性或在PLWHA中的这些变量的组合; 18岁。两个独立审稿人确定了研究的资格。提取数据并评估了物理治疗证据数据库（PEDRO）工具的研究质量。主要结果是艺术和体育依赖行为，而次要结果是QOL。由于方法和结果措施的异质性而不是计算的汇总估计。因此，叙事合成的十项研究符合纳入标准（n？= 1621名参与者的研究完成），其包括男性/女性，年龄≥18？年龄，已完成。除了三次有动力的研究中，艺术依从性行为有重大改善。只有使用STARKS 3步粘附模型开发的SMS干预才与阳性结果相关。评估QOL的唯一研究受到了疾病的动力，并报告了没有重大变化，而PE上没有RCT。 SMS干预趋势对PLWHA艺术粘附行为显着改善的影响。使用更广泛的人际关系健康行为理论（IE）开发的短信提醒可能具有积极的结果。尽管如此，在方法/结果措施中观察到的异质性要求对结果进行谨慎的解释。 RCT缺乏/缺乏缺乏，因此没有证据证明SMS干预在改善PE申请和QOL方面的有效性。注册号NPLASY202060016。

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