扩大短期酒精干预措施以预防越南的艾滋病毒感染:一个集群随机化,实施试验试验
Sophia M Bartels1, Huong T T Phan2, Heidi E Hutton3
1Department of Health Behavior, The University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, USA. sophiamb@ad.unc.edu.
Implementation science : IS
|June 12, 2024
概括
这项研究测试了一种经验策略,以改善临床医生为艾滋病毒感染者提供短期酒精干预措施. 经验式学习旨在增强临床医生的知识,态度和有关酒精使用的行为.
科学领域:
- 实施科学 实施科学
- 行为科学是一种行为科学.
- 公共卫生 公共卫生
背景情况:
- 基于证据的干预措施 (EBI) 在针对医疗保健提供者中常见的规范性行为时经常面临挑战.
- 临床医生可能对EBI持怀疑态度,如果目标行为,如不健康的酒精使用,是普遍存在的和文化上接受的.
- 不健康的酒精使用对艾滋病毒感染者 (PWH) 构成特殊风险,需要有效的干预措施.
研究的目的:
- 测试一种新的体验性实施策略 (EBAI),以改善临床医生的不健康饮酒知识,态度和行为.
- 评估EBAI与标准便利化相比,在向PWH提供短期酒精干预 (BAI) 中的有效性.
- 评估EBAI对艾滋病毒诊所实施成果和有效性成果的影响.
主要方法:
- 一个混合型3实施-有效性集群随机对照试验,涉及30个ART诊所.
- 将诊所随机分为单独促进或促进加EBAI.
- EBAI涉及临床医生自己经历BAI,作为一种体验式学习形式.
主要成果:
- 该研究将在研究组之间比较实施结果 (可接受性,忠实性,透性,成本,可持续性) 和有效性结果 (病毒抑制,酒精使用).
- 将评估场地级特征对扩大BAI的影响.
- 将评估EBAI对临床医生的酒精使用和临床水平酒精预期的影响.
结论:
- 经验式学习为实施针对临床环境中的规范行为行为改变干预措施提供了一种新的策略.
- 这种方法对于解决导致慢性疾病的生活方式行为可能特别有价值,例如在PWH中不健康的酒精使用.
- 该试验将提供关于克服实施EBI的障碍的见解,当临床医生自己的行为可能不一致时.
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