使用青少年艾滋病毒心理社会缩风险评估工具预测失去了后续状态:来自乌干达混合方法前性队列研究的结果
Naomi Medina-Jaudes1, Dennis Adoa2, Amanda Williams1
1Clinton Health Access Initiative, Boston, MA.
Journal of acquired immune deficiency syndromes (1999)
|January 5, 2024
概括
乌干达开发了一种评估艾滋病毒感染青少年心理社会风险的新工具 (ALHIV). 虽然没有预测消耗,但它有助于识别ALHIV在护理期间的心理社会问题.
科学领域:
- 青少年健康 青少年健康
- 艾滋病毒/艾滋病研究研究
- 心理社会支持 心理社会支持
背景情况:
- 对艾滋病毒感染青少年 (ALHIV) 护理的低保留率有助于乌干达的病毒载荷抑制.
- 青少年脱离艾滋病毒护理是一个重大的公共卫生问题,影响治疗结果.
- 了解心理社会因素对于改善ALHIV患者的护理参与至关重要.
研究的目的:
- 为15-19岁的艾滋病毒感染青少年开发心理社会风险评估工具.
- 评估开发的工具对ALHIV的消耗风险的预测准确度.
- 确定ALHIV所面临的心理社会挑战,以告知有针对性的干预措施.
主要方法:
- 在乌干达的20个设施中进行了一项混合方法前性队列研究.
- 青少年心理社会消耗风险评估工具是通过重点小组和采访开发和改进的.
- 使用诊断准确性测试来评估该工具对磨损的预测能力.
主要成果:
- 创建了一个20个问题工具;在597名注册ALHIV中,有6%的ALHIV被丢失到后续.
- 该工具对磨损的预测性能显示,曲线下的面积为0.58.
- 预测消耗的灵敏度和特异性分别为55%和61%,使用6.0的切断得分.
结论:
- 青少年心理社会消耗风险评估工具没有有效地预测ALHIV中的消耗.
- 该工具在识别ALHIV体验的心理社会问题方面被证明是有价值的.
- 该工具可能适合在临床环境中进行常规管理,以指导ALHIV的心理社会支持.
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