评估复杂干预:对高收入国家的STI合作伙伴通知随机对照试验中使用的结果进行系统审查
Victoire Sawras1, Sylvie Deuffic-Burban1, Marie Préau2
1Université Paris Cité and Université Sorbonne Paris Nord, Inserm, IAME, Paris, F-75018, France.
BMC public health
|September 22, 2023
概括
对性传播感染 (STIs) 的合作伙伴通知干预措施的评估是复杂的. 这一审查强调了需要更好的结果措施,以了解干预的有效性,并指导未来的研究.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 合作伙伴通知干预措施对于控制细菌性传播感染,艾滋病毒和HCV至关重要.
- 由于复杂的结果测量,评估这些干预措施的有效性存在重大挑战.
研究的目的:
- 系统地审查和评估用于对合作伙伴通知干预措施随机对照试验的结果.
- 分析结果的选择,收集和解释以及它们对研究结果的影响.
主要方法:
- 自2000年以来发表的个体级随机对照试验 (RCT) 的系统审查.
- 包括专注于高收入国家细菌性传播感染,艾滋病毒或性传播HCV的试验.
- 研究结果的叙事审查和内容分析.
主要成果:
- 在包括的9项研究中,发现了16种不同的结局.
- 大多数研究都侧重于合作伙伴通知实践和STI流通,忽视了中间结果.
- 结果收集方法 (例如,采访) 引入了潜在的偏见,对合作伙伴的数据有限.
结论:
- 目前对合作伙伴通知干预措施的结果测量不足以全面了解有效性.
- 需要改进结果选择和数据收集,以更好地解释干预影响.
- 对干预有效性的更深入的洞察力可以促进在不同情况下的复制和适应.
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