女性参与药物治疗中的动机和获得护理:一个连续的,混合方法的方法
Lilo Blank1, Sanjukta Bandyopadhyay1, Hongmei Yang1
1University of Rochester Medical Center, Rochester, New York, USA.
Journal of community psychology
|October 4, 2023
概括
这项试点研究发现,妇女倡议支持健康 (WISH) 干预措施对妇女在药物治疗法院 (DTC) 是可行的. 干预改善了管理同时发生的HIV/HCV和物质使用障碍 (SUD) 的动机.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 健康心理学 心理健康心理学
背景情况:
- 药物治疗法庭 (DTC) 主要针对物质使用障碍 (SUD),经常忽视同时发生的HIV和C型肝炎病毒 (HCV) 感染.
- 需要采取干预措施,在DTC人群中解决SUD和病毒感染问题.
- 自决理论 (SDT) 为理解与健康相关的动机提供了一个框架.
研究的目的:
- 探索妇女倡议支持健康 (WISH) 干预措施的可行性和初步成果.
- 评估WISH对管理同时出现的HIV/HCV和SUD的健康相关动机的影响.
- 检查SDT结构在激励DTC中的女性减少健康风险方面的作用.
主要方法:
- 一项试点可行性研究,涉及DTC的79名女性,她们完成了一项关于未来干预的动机和意愿的调查.
- 一个为期6个会议的同行主导的激励增强干预 (WISH) 对22名患有SUD和HIV或HCV的女性.
- 利用基于SDT的措施来评估动机,感知能力和自主性.
主要成果:
- 发现WISH干预的招聘策略是可行的.
- 基于SDT的激励措施显示了该人群内部的内部一致性.
- 感知到的能力和自主性与减少艾滋病毒/HCV/SUD风险的动机有关.
- 在DTC参与者中的女性接受了干预,并在基于SDT的动机方面表现出一致的结果.
结论:
- 愿意干预是一个可行的和可接受的方法,在DTC妇女与同时发生的SUD和HIV/HCV.
- 在这个人群中,SDT原则可以有效地增强对健康行为改变的动机.
- 这些试点研究为未来关于DTC女性获得医疗保健动机的研究提供了基础.
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