Abstract

This paper aims to evaluate the effectiveness of telephone use for the adherence of people with HIV/AIDS to antiretroviral therapy. A systematic review was carried out in the following databases: Latin American and Caribbean Literature in Health Sciences (Lilacs/ Bireme), SCOPUS, Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed), Web of Science; and in the Scientific Electronic Library Online (SciELO) and Cochrane libraries, using the following descriptors: "HIV", "Cell Phones", "Acquired Immunodeficiency Syndrome" and "Antiretroviral Therapy, Highly Active". We gathered a sample of 17 papers. The proposed cellphone interventions were the use of cellular applications, Short Message Service, and telephone calls. In most studies, telephone use has had a significant impact on adherence to treatment. The evaluation of the studies showed good methodological quality and adequate allocation secrecy. Self-reported adherence emerged among the adherence measuring methods. Cellphone use was effective in improving adherence to antiretroviral therapy for people living with HIV.

Highlights

  • This paper aims to evaluate the effectiveness of telephone use for the adherence of people with HIV/AIDS to antiretroviral therapy

  • The advancement of antiretroviral therapy (ART) reduced the morbidity and mortality associated with infection and increased the life expectancy of people living with HIV/ AIDS (PLWHA)[1]

  • All studies consisted of clinical trials and covered a total of 2,720 adults with HIV using ART, published from 2010 to 2017

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Summary

Introduction

The advancement of antiretroviral therapy (ART) reduced the morbidity and mortality associated with infection and increased the life expectancy of people living with HIV/ AIDS (PLWHA)[1]. The effectiveness of ART can only be achieved through good adherence to drugs[2], in order to prevent viral resistance, the appearance of opportunistic diseases, increased virus transmission, higher probability of developing to the final stage of the disease and the reduced survival[3]. An interest in the use of Information and Communication Technologies (ICTs) has occurred in recent years, and ICTs have had a significant impact on the quality of services and people’s lifestyles. Their implementation in the health sector is emerging as one of the areas with the highest growth rates today. Among the primary technologies are electronic devices such as the telephone, which has gained popularity and stands out as a strong ally in the treatment of chronic diseases[7]

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