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针对乌干达青少年的STARx的调整和验证

Melissa A Saftner¹, Tom D Ngabirano², Scovia Nalugo Mbalinda²

¹University of Minnesota School of Nursing, 308 Harvard St SE, Minneapolis, MN 55455, USA.

Health care transitions

|October 6, 2025

概括

乌干达STARx工具有效地评估了乌干达艾滋病毒感染者 (YPLHIV) 年轻人的过渡准备. 这种经过验证的工具支持持续的艾滋病毒治疗,并改善过渡到成人服务的青少年的健康结果.

科学领域:

青少年健康青少年健康
艾滋病毒/艾滋病研究研究
医疗保健服务研究医疗服务研究

背景情况:

在乌干达,为超过17万名艾滋病毒感染者 (YPLHIV) 的年轻人提供了挑战,从儿科转向成人艾滋病毒护理.
评估青少年对过渡的准备对于发展适当和持续的艾滋病毒治疗至关重要.

研究的目的:

适应和验证乌干达YPLHIV的自主管理和过渡到成年人与Rx=治疗 (STARx) 测量工具.
确保该工具在当地环境中的相关性和准确性,以评估过渡准备.

主要方法:

与10名YPLHIV (15-20岁) 进行认知访谈,将STARx工具适应乌干达的环境.
经过调整的STARx-乌干达工具使用电子平板电脑验证了154例YPLHIV.
通过探索性因子分析和可靠性测试来评估心理测量属性,包括内部一致性,因子结构和并发有效性.

主要成果:

斯塔克斯-乌干达工具显示了令人满意的内部一致性 (克朗巴赫的α=0.73).
因素分析确定了五个因素模型:提供者沟通,疾病知识,自我管理,药物管理和约会期间的参与.
该工具显示了并发有效性,更高的准备性得分与更好的医疗利用相关 (更少的错过预约,改善抗逆转录病毒治疗的坚持).

结论:

乌干达STARx工具是一个可靠和有效的措施,用于评估乌干达YPLHIV的过渡准备.
修改,包括简化的规模和当地术语,提高了该工具的清晰度和相关性.
STARx-乌干达可以指导医疗保健提供者改善青少年艾滋病毒治疗的连续性.

关键词:

青少年青少年青少年艾滋病毒护理艾滋病毒护理撒哈拉以南非洲地区.过渡过渡过渡过渡乌干达乌干达乌干达乌干达乌干达

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