来自社区卫生工作者领导的艾滋病毒预防和护理干预措施在乌干达农村的激励性采访经验:一个定性研究
Holly Nishimura1, Rose Pollard Kaptchuk2, Ismail Mbabali3
1Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
AIDS care
|September 15, 2023
概括
社区卫生工作者有效地使用了激励性采访技术来加强艾滋病毒预防和治疗的参与. 这种方法被证明是可行的,并在乌干达农村渔民社区得到了好评.
科学领域:
- 全球健康 全球健康
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 激励面试 (MI) 和社区卫生工作者 (CHW) 对于改善全球艾滋病毒结果至关重要.
- 关于在资源有限的环境中与CHW实施MI策略的研究有限.
- 这项研究通过检查CHW和客户对HIV服务MI知情咨询的经验来解决这一差距.
研究的目的:
- 检查社区卫生工作者实施MI知情咨询的经验.
- 了解客户接待和参与MI知情咨询的情况.
- 评估CHW领导的MI的可行性和有效性,以预防艾滋病毒和治疗.
主要方法:
- 在乌干达的mLAKE集群随机试验中进行的定性研究.
- 与8名社区卫生工作者和51名客户进行了深入采访.
- 对面试成绩单进行主题分析,以确定实施策略和主题.
主要成果:
- 医疗保健工作者成功地利用了特定的MI策略,如唤起,指导,积极倾听和开放式问题.
- 医疗保健工作者通过合作,权力共享,信任和不评判关系来展示MI精神.
- 客户接受了MI知情咨询,促进了对艾滋病毒服务参与的行为改变.
结论:
- 没有先前MI经验的社区卫生工作者可以在资源较少的环境中有效地实施MI知情咨询.
- 由CHW领导的MI知情咨询是促进艾滋病毒预防和护理的可行和有效策略.
- 这种方法对全球资源有限,艾滋病毒流行地区充满希望.
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