在初级保健中增加暴露前预防 (PrEP):使用多阶段优化战略 (MOST) 框架进行多层次干预的研究方案
Elizabeth Lockhart1, DeAnne Turner2, Kate Guastaferro3
1Center for Health Policy and Health Services Research, Henry Ford Health, 1 Ford Pl., Detroit, MI 48202, USA.
这项研究使用多相优化策略 (MOST) 开发了一种多层次干预措施,以增加初级保健提供者的暴露前预防 (PrEP) 处方. 目标是改善优先人口的艾滋病毒预防.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒预防研究 预防研究
- 干预科学 干预科学
背景情况:
- 美国有超过120万人感染艾滋病毒,不成比例地影响关键人群.
- 暴露前预防 (PrEP) 是一种非常有效的艾滋病毒预防工具.
- 障碍阻碍了初级保健提供者 (PCP) 的PrEP处方和患者启动.
研究的目的:
- 确定和优化多层次干预措施,以增加PrEP在初级保健机构的使用率.
- 解决PCP和患者在PREP方面面临的障碍.
- 专注于对PrEP启动的优先人群.
主要方法:
- 使用多相优化策略 (MOST) 框架.
- 整合了患者和提供者反,以定制干预组件.
- 采用2^4的因数设计实验来测试干预组件.
- 包括提供者培训,最佳实践警报,教育视频和风险评估.
- 质量检查了促进者和实施障碍.
主要成果:
- 本协议概述了一项在医疗保健中进行的多层次MOST优化试验.
- 干预组件针对大型医疗保健系统中的提供者和患者.
- 该研究位于艾滋病毒结束流行病优先管辖区.
结论:
- 这种多层次干预旨在显著影响艾滋病毒预防.
- 成功实施可能会导致在医疗保健系统中更广泛的传播.
- 这代表了医疗保健环境中第一个多层次MOST试验之一.
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