建立实施策略的证据标准:对艾滋病毒服务的德尔菲研究
Virginia Mckay1, Alithia Zamantakis2, Ana Michaela Pachicano2
1Washington University in Saint Louis.
Research square
|March 11, 2024
概括
一个新的最佳实践章节评估了艾滋病毒实施战略的证据. 该工具是使用专家共识和试点测试开发的,为从业者确保可靠地评估战略质量和影响.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 缺乏具体标准阻碍了对实施研究的评估和对实践者推有影响力的战略.
- 现有的标题主要关注干预层面的证据,而不是战略层面的评估.
- 需要一个工具来评估艾滋病毒服务中支持实施战略的质量和证据.
研究的目的:
- 开发和验证一个标题来评估支持实施战略的证据.
- 创建一个工具,帮助从业者选择有影响力的实施策略.
- 提高实施研究的质量,特别是在艾滋病毒的背景下.
主要方法:
- 一个三个阶段的开发过程,包括文献综述,关键信息人采访,以及两轮与专家的e-Delphi.
- 根据初步研究和专家反,制定标准草案.
- 将标题应用于18个暴露前预防 (PrEP) 实施策略,以评估可靠性.
主要成果:
- 最佳实践表格由五个评估领域开发:研究设计,实施结果,限制和严格性,战略规范和公平性.
- 四个证据水平得到证实:最佳实践,有希望的实践,需要更多证据和有害的实践.
- 在应用该标题来评估实施战略时,获得了高可靠性 (98%).
结论:
- 开发了一个新的最佳实践表,以评估支持实施艾滋病毒服务战略的证据.
- 该标题证明了可靠的应用,并可以指导从业者选择有影响力的策略.
- 虽然专用于艾滋病毒,但该标题可以适应评估其他卫生领域的实施策略.
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