在肯尼亚使用基于证据的实施策略的调整和修改报告框架 (FRAME-IS) 进行青少年过渡套餐 (ATP) 提供商主导的适应移动电话交付:一种混合方法方法
Dorothy Imbuka Mangale1, Alvin Onyango2, Cyrus Mugo2,3
1Department of Global Health, University of Washington, Seattle, USA. dmangale@uw.edu.
Implementation science communications
|August 14, 2023
概括
在COVID-19大流行期间,通过电话调整艾滋病毒护理服务对艾滋病毒感染者 (YLH) 青少年来说是可行的和有效的,通过提供者驱动的修改来确保护理的连续性.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
背景情况:
- 由于COVID-19大流行,艾滋病毒感染者青年 (YLH) 的常规艾滋病毒服务中断.
- 针对艾滋病毒感染青少年的青少年过渡到成人护理 (ATTACH) 研究测试了由医疗保健工作者 (HCW) 提供的干预 (ATP).
- 医疗保健工作者调整了ATP用于电话交付,以保持护理的连续性.
研究的目的:
- 描述实时,提供商驱动的青少年过渡套餐 (ATP) 适用于电话交付的调整.
- 评估这些适应措施的可行性和有效性,以维持对年轻人的艾滋病毒护理.
主要方法:
- 持续质量改进 (CQI) 会议与10个地点的HCW举行.
- 使用计划-做-学习-行动 (PDSA) 周期和录音讨论.
- 使用基于证据的实施策略的调整和修改报告框架 (FRAME-IS) 编码的调整.
主要成果:
- 确定了72个调整 (32个是独一无二的),主要是修改上下文 (53%),内容 (49%) 和评估 (13%).
- 适应旨在增加覆盖范围,忠实性和上下文适应性.
- 大多数调整 (96%) 增加了可行性,83%使得电话交付更容易为HCWs.
结论:
- 通过电话交付的调整是可行的,并且有效地维持了疫情期间对YLH的HIV护理连续性.
- 环境修改是最常见的适应类型.
- FRAME-IS框架有效地表征了调整,尽管需要进一步的用例.
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