接受和致力于赋权干预,以减少艾滋病毒污名化和促进社区性:实施研究议定书
Josephine Pui-Hing Wong1, Alan Tai-Wai Li2, Carla T Hilario3
1Daphne Rockwell School of Nursing, Toronto Metropolitan University, 350 Victoria St, Toronto, ON, M5B 2K3, Canada, 1 416-979-5000.
JMIR research protocols
|January 26, 2026
概括
本研究介绍了接受和致力于赋权 (ACE) 的干预措施,以减少加拿大的种族化移民中艾滋病污名. 该计划旨在增强心理灵活性和集体赋权,消除艾滋病毒预防和护理的障碍.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 心理学 心理学 心理学
背景情况:
- 在加拿大,种族化移民面临着不成比例的艾滋病毒感染率,在这些人群中,2022年的新病例占69.5%.
- 与种族主义,性别压迫,同性恋恐惧症和经济边缘化相交的耻辱加剧了艾滋病毒的脆弱性.
- 耻辱和歧视阻碍了有效的艾滋病毒预防,检测,治疗和护理计划.
研究的目的:
- 在加拿大六个城市的种族化移民社区减少与艾滋病毒相关的耻辱感.
- 实施和评估接受和承诺赋权 (ACE) 在线干预.
- 评估社区需求,建立能力,评估实施,并传播发现.
主要方法:
- 使用PRISM和RE-AIM框架进行适应,实施和评估.
- 第一个阶段:调查的组织和参与的服务提供者/社区成员 (n=90) 评估需求.
- 第二阶段:改进了ACE干预,并进行了训练教练 (TTT) 计划 (n=48). 第三阶段:使用混合方法进行在线ACE干预 (n=288).
主要成果:
- 由于COVID-19大流行和伦理审批,ACE项目实施面临2年的延迟.
- 为项目咨询委员会招募了8名社区领导人,并确保了19个合作组织.
- 第1阶段数据收集于2025年3月完成;数据分析和知识翻译正在进行中.
结论:
- 预计将产生关于ACE干预在减少艾滋病毒污名化的有效性方面的关键知识.
- 预计将在现实环境中确定在种族化移民中实施ACE的促进者和障碍.
- 该研究旨在推进研究,政策和实践,以减少弱势群体的艾滋病污名.
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