Educational technologies to promote the sexual and reproductive health of women with HIV: an integrative review.
Karyanna Alves de Alencar Rocha, Daniel de Macedo Rocha, Marcela Antonini and 3 others
PMID 40608618WHAT IT FOUND
Text messages, apps and booklets were the main educational technologies used with women living with HIV.
Included studies reported acceptability and some care benefits, but a trial found weekly text messaging did not improve retention in mother-to-child transmission care.
Key findings
01The review included four studies on sexual behaviour and reproductive planning and five studies on pregnancy and postpartum care.
02Programmed text messages were the predominant technology, with applications, software and educational booklets also included.
03The included studies had limitations such as selection bias, limited sample size, poor functioning of mobile technologies, data from a single institution and results that cannot be generalized.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review included four studies on sexual behaviour and reproductive planning and five on pregnancy and postpartum care, so the evidence base is small. It may have missed relevant studies indexed in other databases. Publication bias and institution-specific study characteristics may limit generalizability. Included studies reported selection bias, limited sample size, poor mobile functioning, single-institution data and results that cannot be generalized. The synthesis was descriptive and qualitative, not a pooled estimate.
The easy way to misread this
Do not conclude that HIV text-message programmes reliably improve retention or infant testing. The review included studies with mixed results, and a trial found weekly text messaging did not improve retention in mother-to-child transmission care.