鉴定男性有效链接策略 (IDEaL):为个人随机对照试验的研究方案
Kathryn Dovel1,2, Kelvin Balakasi2, Julie Hubbard3
1Division of Infectious Diseases, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA kdovel@mednet.ucla.edu.
BMJ open
|July 12, 2023
概括
这项研究测试了可扩展的干预措施,以改善撒哈拉以南非洲艾滋病毒感染者的抗逆转录病毒疗法 (ART) 计划的6个月保留时间,这些男性目前没有从事护理.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
- 临床试验 临床试验
背景情况:
- 与女性相比,撒哈拉以南非洲的男性在抗逆转录病毒疗法 (ART) 计划中的启动率较低,脱离率更高.
- 迫切需要可扩展的,针对男性的干预措施,以改善男性参与艾滋病毒护理.
研究的目的:
- 评估不同干预强度对与艾滋病毒感染者脱离护理的男性在ART计划中保持6个月的影响.
- 评估这些干预措施的成本效益和安全性.
主要方法:
- 一个有计划的,个别随机的,非盲目的,受控的试验,涉及目前没有参与ART护理的男性.
- 参与者被随机分配到低强度 (一次性咨询),高强度 (立即在设施外启动) 或分阶段的护理臂.
- 主要结果是6个月的护理保留,使用治疗意图原则进行分析,同时考虑双项回归来计算设施级集群.
主要成果:
- 关于6个月保留的初级结果数据正在等待分析.
- 还将评估二次结果,包括成本效益和不良事件.
结论:
- 预计这些发现将为设计和实施有效,可扩展的干预措施提供关键数据,以改善撒哈拉以南非洲艾滋病毒感染者的ART保留率.
- 传播将通过国家/国际论坛和同行评审的出版物进行,以告知全球卫生战略.
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