为艾滋病毒感染者提供简短的电话激励面试,并有后续问题
E Gutiérrez-Velilla1, R Robles-García2, J J Sánchez-Sosa3
1Centro de Investigación en Enfermedades Infecciosas del Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de Mexico, México.
Journal of clinical psychology in medical settings
|January 24, 2024
概括
激励面试 (MI) 显著改善了艾滋病毒感染者 (PLWHIV) 面临后续问题的预约出席率. 一次远程MI会话提高了患者的动力,减少了错过的医疗预约.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 传染病管理 传染病管理
背景情况:
- 携带艾滋病毒的人 (PLWHIV) 经常经历一系列医疗跟踪的挑战.
- 激励面试 (MI) 在解决慢性疾病管理中的坚持问题方面表现有前途.
研究的目的:
- 评估PLWHIV的动机阶段与医疗后续问题.
- 评估基于电话的单次MI干预措施对参与PLWHIV护理的有效性.
主要方法:
- 评估一次MI干预会话之前和之后的动机阶段.
- 在干预后的六个月内,监测医疗预约出席率.
- 包括39个PLWHIV与医疗后续挑战.
主要成果:
- 超过一半的参与者 (51.3%) 最初处于预观想/观想阶段.
- 71.0%的参与者 (n=22) 在干预后处于高级动机阶段 (z = -4.235,p <.001).
- 大多数参与者成功地参加了随后的医疗预约.
结论:
- 短暂的,远程MI干预是有效的参与PLWHIV在护理,特别是那些在早期的变化.
- MI可以帮助消除参加PLWHIV医疗预约的障碍.
- 这种方法适用于资源较少的环境,以改善艾滋病毒治疗的连续性.
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