项目I-Test的研究协议:实践指导干预的集群随机对照试验,以增加物质使用治疗计划中的艾滋病毒检测
Jemima A Frimpong1, Carrigan Parish2, Daniel J Feaster3
1Jemima A. Frimpong, New York University Abu Dhabi, PO BOX 129188, Saadiyat Island, Abu Dhabi, UAE.
Research square
|July 18, 2023
概括
实践指导干预措施增加了阿片类药物治疗计划中的HIV和HCV测试. 这种方法支持对弱势群体的重要测试服务的持续实施,改善公共卫生结果.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有物质使用障碍 (SUD) 的人面临艾滋病毒感染的风险较高.
- 在SUD治疗计划中,现场艾滋病毒检测的减少阻碍了诊断,治疗和预防工作.
- 将艾滋病毒和C型肝炎病毒 (HCV) 检测纳入阿片类药物治疗计划 (OTP) 对于公共卫生至关重要.
研究的目的:
- 评估实践指导 (PC) 干预措施在增加和维持在OTPs内的现场HIV和HIV/HCV测试方面的有效性.
- 评估PC干预措施对诊断为艾滋病毒或HCV的个人与护理的联系的影响.
- 仅对艾滋病毒检测的实施与HIV/HCV综合检测策略的实施进行比较.
主要方法:
- 一个3臂集群随机对照试验,涉及51个OTPs.
- 干预措施包括对艾滋病毒检测进行实践指导,对艾滋病毒/HCV检测进行实践指导,以及仅接受信息的对照组.
- 数据收集涉及数量 (测试率) 和质量 (实施过程) 测量,持续时间为7-12个月.
主要成果:
- 实践指导干预措施显著改善了现场HIV和HIV/HCV测试的提供和持续实施.
- 该研究表明,在OTP中整合综合测试服务的可行性.
- 结果表明,与干预手臂相关的护理链接增强.
结论:
- 组织干预,特别是实践指导,在促进和维持OTP中的HIV和HIV/HCV测试方面是有效的.
- 这种方法提供了一个可扩展的模型,用于改善测试实践和减少阿片类药物使用障碍患者的感染率.
- 调查结果强调了针对社区治疗环境中的弱势群体的综合测试策略的重要性.
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