变革理论为艾滋病毒感染者开发健康和福祉复杂干预措施
Janey Sewell1, Alison Rodger1, Lorraine Sherr1
1Institute for Global Health, University College London, London, UK.
AIDS care
|December 2, 2025
概括
艾滋病毒感染者精神健康状况不佳. 正在开发和评估一种新的以人为中心的护理方法,使用健康指导和社会处方来改善这一群体的福祉.
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 护理 护理
背景情况:
- 艾滋病毒感染者中精神健康状况不佳的高患病率.
- 心理健康挑战加剧了结构性不平等,耻辱和并发症.
- 现有的护理模式可能无法充分解决艾滋病毒感染者的整体福祉问题.
研究的目的:
- 为艾滋病毒感染者开发一种新的以个人为中心的干预措施.
- 将健康指导和社会处方纳入艾滋病毒护理.
- 改善艾滋病毒感染者的心理健康和福祉.
主要方法:
- 使用了变化理论 (ToC) 方法.
- 与来自艾滋病毒领域的39个多学科利益相关者进行了两次研讨会.
- 利益相关者的意见指导了干预的设计,目标人群,培训需求和评估指标.
主要成果:
- 创建了一个变化理论 (ToC) 地图,详细说明干预组件和预期结果.
- 确定了目标人群 (艾滋病毒感染者) 和必要的医疗人员培训.
- 开发了用于干预监测和评估的过程指标.
结论:
- ToC方法促进了对艾滋病毒感染者进行相关心理社会干预的共同开发.
- 该干预目前正在"为艾滋病毒感染者提供心理干预:随机评估证据 (SPHERE) "试验中进行评估.
- 涉及英格兰八家艾滋病毒诊所的SPHERE试验始于2025年,旨在为这种新的护理方法提供证据.
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