在VA艾滋病毒诊所实施合作治疗抑郁症:将抑郁症倡议转化为有效的解决方案 (HITIDES):一个集群随机的3型混合有效性实施试验的协议
Jacob T Painter1,2,3,4, Jeffrey Pyne5,6, Geoffrey Curran7
1HSR&D Center of Innovation Center for Mental Healthcare and Outcomes Research, HSR&D Center of Innovation Center for Mental Healthcare and Outcomes Research, 2200 Fort Roots Dr, North Little Rock, AR, 72114, USA. JTPainter@uams.edu.
这项研究测试了HITIDES计划的两个实施策略,HITIDES计划是一个场外抑郁症护理团队,支持艾滋病毒提供者. 结果将指导更广泛的推广,以改善艾滋病毒感染者的心理健康护理.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
背景情况:
- 抑郁症是艾滋病毒感染者常见的并发症,需要有效的护理模式.
- 协作护理,就像HITIDES干预一样,显示出希望,但在退伍军人卫生管理局 (VHA) 艾滋病毒诊所面临实施挑战.
- 了解必要的实施策略对于广泛采用艾滋病毒感染者的有效抑郁症护理至关重要.
研究的目的:
- 检查VHAHIV诊所中HITIDES干预的两个不同的战略包的实施和有效性.
- 为了比较实施策略的覆盖范围,采用率和成本效益.
- 为大规模推广艾滋病毒感染者增强抑郁和自杀护理提供策略的选择提供信息.
主要方法:
- 一个混合型-3有效性-实施试验,涉及8个VHAHIV诊所.
- 随机分配到两个部门:第一部门 (操作指南,现场冠军,患者参与) 和第二部门 (第一部门战略加上外部辅导员).
- 主要结果是达到;次要结果包括采用,实施剂量,抑郁症状和自杀念头,以及预算影响分析.
主要成果:
- 初步工作表明,实施策略对患者和提供者来说是可以接受的.
- 该研究将评估两个不同的实施战略包的有效性和成本.
- 假设表明,Arm 2可能会产生更大的影响和采用,而Arm 1预计成本更低.
结论:
- 确定的实施战略的有效性和成本尚未确定.
- 该研究将阐明抑郁症护理团队与艾滋病毒护理提供者接触的能力.
- 结果将指导实施策略的选择,以加强VHA中艾滋病毒感染者的抑郁症和自杀护理.
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