在疟疾预防试验中,社区参与森林游客的参与:实施挑战和影响
Franca Conradis-Jansen1,2, Rupam Tripura2,3, Thomas J Peto2,3
1Heidelberg Institute of Global Health, Medical School, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany.
Malaria journal
|June 8, 2023
概括
一个参与性参与策略有效地招募并保留了柬埔寨疟疾化学预防试验中的森林人. 这种方法建立了信任,克服了挑战,确保了高参与率和坚持甲-卢梅芬 (AL) 或多维生素 (MV) 预防.
科学领域:
- 临床试验和公共卫生
- 热带医学和传染病
背景情况:
- 东南亚的疟疾传播越来越集中在森林环境中.
- 边缘化的森林人口面临着显著的暴露风险.
- 抗疟疾化学预防是这些群体的潜在保护措施.
研究的目的:
- 评估参与森林游客在随机对照试验 (RCT) 的有效性.
- 评估在这一群体中实施抗疟疾化疗预防的实际挑战.
- 为了比较阿尔特梅瑟-卢梅方特林 (AL) 与多维生素 (MV) 预防.
主要方法:
- 通过试验参与率评估参与度 (入学,遵守,药物摄入).
- 记录了参与会议,参与者反和决策过程的详细信息.
- 文件化实施挑战和战略.
主要成果:
- 实现了高试验入学率 (92%) 和完成率 (84%).
- 与复合维生素 (MV) 相比,阿尔泰美特-卢梅方丁 (AL) 与更高的药物停用率 (7%与3%) 有关.
- 女性和没有先前疟疾病史的个人更有可能停止服用药物.
- 参与性参与策略,涉及当地利益相关者和量身定制的沟通至关重要.
结论:
- 一个全面的,参与式的参与策略成功地动员了利益相关者并建立了信任.
- 这种本地适应的方法克服了道德和实际的挑战,导致高试验入学率和坚持.
- 该战略在使边缘化森林人口参与疟疾预防研究方面表现出有效性.
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