试点随机对照试验通过项目ECHO®在马来西亚的临床医生减少与艾滋病毒相关的耻辱
Valerie A Earnshaw1, Zachary K Collier2, Pui Li Wong3,4
1Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA.
AIDS care
|July 30, 2025
概括
这项研究测试了一项远程培训计划,以减少马来西亚临床医生中艾滋病污名. 虽然所有测试的程序都改善了结果,但没有耻辱减少工具 (PEHP) 的版本对参与者来说是最可接受的.
科学领域:
- 公共卫生 公共卫生
- 医学教育 医学教育
- 减少耻辱的减少
背景情况:
- 临床医生对艾滋病毒相关的耻辱加剧了艾滋病毒检测和预防方面的全球差异.
- 可扩展的干预措施对于在全球范围内接触临床医生至关重要,特别是在像马来西亚这样具有重大结构性耻辱的地区.
研究的目的:
- 评估远程培训干预措施的有效性,其中包括临床医生的耻辱减少工具.
- 为了比较一个耻辱减少增强计划 (PEHP-SR) 与一个标准计划 (PEHP) 和一个现有的课程 (HC).
主要方法:
- 随机对照试验涉及马来西亚78名临床医生,持续了9个月.
- 干预措施包括艾滋病毒预防和耻辱减少项目ECHO (PEHP-SR),没有耻辱工具的PEHP和HIV Connect (HC).
- 量化调查和定性焦点小组评估了实施,耻辱和临床结果.
主要成果:
- 定量数据表明PEHP是最可接受和最合适的干预措施.
- 这三种干预条件都显示了对耻辱和临床结果的改善.
- 定性数据为PEHP-SR的有效性和潜在的未测量的益处提供了细微的见解.
结论:
- 需要可扩展的干预措施来解决全球卫生保健专业人员之间与艾滋病毒相关的耻辱感.
- 需要进一步的研究来完善和优化远程培训计划,以减少艾滋病毒护理中的耻辱.
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