Methodological Approaches to Measuring Engagement in HIV/STI Digital Health Interventions: A Systematic Review. – UROP Symposium

Methodological Approaches to Measuring Engagement in HIV/STI Digital Health Interventions: A Systematic Review.

Rebecca Pulliam

Research Mentor(s): David Cordova
Program: WAGSFP
Authors: Rebecca Pulliam, Sarah Khreizat, David Cordova, PhD.

Abstract

Background:
HIV/sexually transmitted infections (STIs) remain significant public health concerns in the United States, and mHealth behavioral interventions have widely increased over the last decade. Although technology-based interventions are efficacious in preventing and reducing HIV/STI, relatively little is known about the methods of measuring and conceptualizing engagement levels in mHealth interventions.

Objective:
The aim of this review is to identify and examine the methods of engagement measurement in technology-based HIV/STI preventive youth health interventions.

Methods:
We searched electronic databases (ie, PubMed, Proquest, Google Scholar) to identify studies between January 2013 and June 2023. Technology-based interventions that measured engagement and targeted youth HIV/STI risk behaviors as well as sexual risk and HIV/STI testing were included.

Results:
Our search revealed a total of 4 articles that measured engagement levels in their virtual health interventions. Three of which were studies with an RCT design and one was a review comprised of 4 mHealth interventions. The interventions all measured engagement levels using different methods of paradata. Engagement was measured through methods such as amount of time spent on the intervention, number of log ins, frequency of use, depth of interaction, and completion of activities.

Conclusions:
Although technology-based interventions have begun to measure engagement through different methods, there remains no consistent practice and thus further research is needed.

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