评估多层次干预序列对艾滋病毒感染者的"压力"的有效性:随机对照试验
Toan Ha1, Hui Shi2, Bang Nguyen Pham3
1Department of Infectious Diseases and Microbiology, School of Public Health, University of Pittsburgh, 130 De Soto Street, Pittsburgh, PA, 15261, USA. toan.ha@pitt.edu.
International journal of behavioral medicine
|July 29, 2024
概括
GI-CA-IC干预序列有效地减少了艾滋病毒感染者饮酒男性的紧张. 从小组干预 (GI) 开始,对于管理紧张和改善心理健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 艾滋病毒/艾滋病研究研究
背景情况:
- 紧张是痛苦的文化表现,在印度和南亚普遍存在.
- 酒精消费和艾滋病毒诊断是这些社区男性的重大压力因素.
- 了解有效的应对压力的干预措施对于改善心理健康结果至关重要.
研究的目的:
- 为了比较不同干预序列在减轻紧张的有效性.
- 评估艾滋病毒感染者饮酒男性的多层次干预措施.
- 确定个人咨询,小组干预和集体倡导的最佳顺序.
主要方法:
- 从一项随机试验对ART坚持的二次数据分析.
- 利用多层次干预:个人咨询 (IC),小组干预 (GI) 和集体宣传 (CA).
- 采用了一般线性混合模型来评估24个月内干预对压力的影响.
主要成果:
- 胃肠道-CA-IC序列和同时进行的干预方案显著降低了紧张 (p < 0.01).
- 相反,CA-IC-GI序列与显著更高的张力水平相关 (p = 0.008).
- 超过54%的参与者在基线报告了高压.
结论:
- 干预顺序对于减少艾滋病毒感染者之间的紧张关系至关重要.
- 作为起点的群体干预 (GI) 对于有效的紧张管理至关重要.
- 需要进一步的研究来验证发现,并探索不同的设置.
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