方法的比较,以吸引不同的利益相关者群体在优先考虑的PrEP实施策略在资源有限的环境中进行测试:一个跨部门的研究
Sarah Hicks1,2, Felix Abuna3, Ben Odhiambo3
1Department of Epidemiology, University of Washington, Seattle, WA, USA. smd722@uw.edu.
Implementation science communications
|July 12, 2023
概括
优先考虑艾滋病毒暴露前预防 (PrEP) 交付策略至关重要. 小组讨论和过去经验调查显示了温和的同意,而策略捆绑是无效的.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 在优先考虑HIV暴露前预防 (PrEP) 交付的实施策略方面缺乏共识.
- 需要有效的优先级方法,特别是在资源有限的环境中.
研究的目的:
- 为了比较不同方法的协议和实际实用性,以优先考虑PrEP输送策略.
- 评估方法包括过去的经验调查,小组排名和走区图.
主要方法:
- 肯尼亚的各种利益相关者 (N=182) 优先考虑了16种PrEP交付策略,使用四种方法:过去经验调查,小组前后排名和走区图.
- 肯德尔的相关性分析评估了方法之间的一致性.
- 参与者还试图通过电话和在线调查捆绑策略.
主要成果:
- 小组排名显示出最强的相关性 (Tau:0.648,p<0.001).
- 在去区图/过去经验调查和小组后的排名之间观察到适度的相关性.
- 通过电话/在线调查捆绑策略是无效的,因为选项订单偏差.
结论:
- 对于经验丰富和缺乏经验的利益相关者来说,可行性是制定战略优先级的关键因素.
- 与个人排名相比,小组讨论突出了与个人排名相比适度不同的优先事项.
- 战略捆绑虽然资源密集度较低,但被证明是无效的;建议对优先级方法进行进一步的研究.
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