使用激励面试来增加艾滋病毒prep启动和坚持:一个范围审查
Derek T Dangerfield1, Gerrin Davis2, Vinciya Pandian2
1Department of Prevention and Community Health, George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave NW, Washington, DC, 20052, USA. ddanger2@gwu.edu.
概括
激励面试 (MI) 可以改善艾滋病毒预防的暴露前预防 (PrEP) 使用. 然而,各种各样的干预细节限制了对MI的理解.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 艾滋病毒预防研究 预防研究
背景情况:
- 暴露前预防 (PrEP) 有效降低艾滋病毒风险,但在脆弱人群中,吸收和坚持是不理想的.
- 动机面试 (MI) 显示了增强艾滋病毒预防行为的前景,但它对PrEP启动和坚持的具体影响需要进一步调查.
- 现有的研究缺乏关于改善PrEP利用的基于MI的干预措施的基本组成部分的全面细节.
研究的目的:
- 进行基于MI的干预措施的范围审查,旨在改善PrEP启动和坚持.
- 识别和检查关键干预组件,包括会议特征,辅导员属性和面试内容.
- 综合有关MI在PrEP策略中的应用和有效性的发现.
主要方法:
- 在PubMed,CINAHL Plus,Embase和Web of Science数据库中进行了系统的搜索.
- 包括在2012年至2023年间发表的文章,使用MI用于PrEP启动或坚持.
- 七项研究符合审查的纳入标准.
主要成果:
- 干预组件差异很大,心脏冲击的持续时间从15分钟到60分钟不等.
- 在不同研究中,辅导员的特征 (凭证,人口统计) 和MI内容 (PrEP教育,障碍物识别,战略开发) 是不同的.
- 研究中的异质性和缺乏详细的报告限制了对MI有效性和可复制性的评估.
结论:
- 激励面试是旨在加强PrEP启动和坚持的干预措施中的一个有价值的组成部分.
- 干预设计和报告的变化阻碍了对MI有效性的最终评估和成功策略的复制.
- 需要通过标准化报告进行进一步的研究,以优化基于MI的干预措施,以促进PrEP的吸收和坚持.
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