一个创伤告知艾滋病毒干预 (LinkPositively) 改善艾滋病毒护理的黑人妇女受影响的人际暴力:试点随机对照试验的协议
Jamila K Stockman1, Katherine M Anderson1,2, Alexandra Fernandez DeSoto1
1Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, United States.
JMIR research protocols
|July 5, 2023
概括
这项研究测试了LinkPositively,这是一项针对艾滋病毒感染者和人际暴力的黑人妇女的基于网络的干预. 该计划旨在通过技术和同行支持改善艾滋病毒护理参与度和结果.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒预防科学 预防科学
- 数字健康干预措施 数字健康干预措施
背景情况:
- 在美国,黑人女性面临着不成比例的艾滋病毒负担,近60%的新诊断.
- 诸如人际暴力和药物滥用等综合症使黑人妇女的艾滋病毒结果变得更糟.
- 现有的艾滋病毒服务往往缺乏对黑人妇女的文化,性别和创伤信息的方法.
研究的目的:
- 确定LinkPositively干预措施对艾滋病毒感染和人际暴力的黑人妇女的可行性和可接受性.
- 检查LinkPositively对艾滋病毒护理保留,抗逆转录病毒治疗坚持和病毒抑制的初步影响.
- 评估社会支持作为改变干预影响机制的作用.
主要方法:
- 一项试点随机对照试验,涉及80名成年黑人妇女感染艾滋病毒,在加利福尼亚州经历了人际暴力.
- 该LinkPositively干预包括同行导航,视频会议,以及一个带有社交网络,资源和药物提醒的移动应用程序.
- 参与者被随机分配到干预或标准护理,在3个月和6个月后进行随访,使用调查和头发样本分析来确定遵守.
主要成果:
- 该LinkPositively应用程序于2021年7月完成.
- 截至2023年5月,在97名接受查的妇女中,有27名 (28%) 被录取.
- 预计初步结果将在2024年发布.
结论:
- 该LinkPositively试验利用技术和同行支持以创伤告知的方式来增强黑人妇女的HIV护理参与度.
- 这种干预有潜力改善黑人妇女的艾滋病毒治疗结果,黑人妇女是一个关键的边缘化人口.
- 成功实施可以通过解决综合症和改善对这一群体的护理,推进艾滋病毒预防科学.
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