一种同行对同行协作学习方法,用于实施基于证据的干预措施,以改善与艾滋病毒相关的健康结果
Alex S Keuroghlian1,2,3, Linda Marc4,5, Hilary Goldhammer4
1The Fenway Institute, Fenway Health, 1340 Boylston Street, Boston, MA, 02215, USA. akeuroghlian@fenwayhealth.org.
AIDS and behavior
|February 10, 2024
概括
在全国范围内扩大艾滋病毒干预措施需要创新的方法. E2i倡议成功地使用了对等学习来改善艾滋病毒健康结果,减少了对密集专家培训和技术援助的依赖.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
背景情况:
- 全国范围内扩大基于证据的干预措施对于结束艾滋病毒流行病至关重要.
- 组织经常在没有专家培训和技术援助 (TA) 的情况下努力实施干预措施.
- 需要制定战略,解决艾滋病毒健康差异,同时克服实施局限性.
研究的目的:
- 试验一种基于证据的艾滋病毒干预措施的替代实施方法.
- 减少专家培训的重视,并模拟有限的TA组织的现实环境.
- 评估同行对同行学习模型在改善艾滋病毒健康结果方面的有效性.
主要方法:
- 卫生资源和服务管理局艾滋病毒/艾滋病局 (HRSA HAB) 的倡议"利用基于证据的干预措施改善艾滋病毒感染者的艾滋病毒健康结果" (E2i) 进行了试点.
- E2i方法将医疗保健改进研究所的突破系列协作学习模型与HRSA HAB的实施科学框架集成在一起.
- 在25个瑞安·怀特艾滋病毒/艾滋病项目地点实施了11项干预措施,实施了多层次的点对点学习系统,涉及两年一度的学习会议,季度队列电话和每月的E2i电话.
主要成果:
- 同行学习交流发生在干预,地点,员工角色和组织特定层面.
- 该模型促进了现场工作人员的体验式学习和社区建设.
- 现场工作人员为快速循环测试制定了强有力的,特定于现场的行动计划.
结论:
- 同行学习为实施艾滋病毒干预提供了可行的策略,减少了对密集专家培训和TA的依赖.
- 这种方法可以促进艾滋病毒干预措施在全国范围内迅速采用和整合.
- 提高干预效率,同时尽量减少TA需求的策略对于公共卫生倡议至关重要.
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