在解决医疗不信任问题的战略上建立共识,以更好地让优先人群参与艾滋病毒治愈研究
Anastasia Korolkova1, Elizabeth Nguyen2, Ali Ahmed1
1Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California, San Diego.
Behavioral medicine (Washington, D.C.)
|February 9, 2026
概括
建立信任是艾滋病毒治疗研究参与的关键. 将潜在参与者与现有试验成员联系起来,并积极倾听,成为克服医疗不信任的首要策略.
科学领域:
- 医学研究伦理学医学研究伦理学
- 公共卫生倡议 公共卫生倡议
- 艾滋病毒/艾滋病研究研究
背景情况:
- 医疗不信任严重阻碍了与艾滋病毒治疗相关的临床试验的多样性.
- 解决这种不信任对于推动美国的艾滋病毒治疗研究至关重要.
研究的目的:
- 识别和排名克服医疗不信任的策略,以加强参与艾滋病毒治疗研究.
- 在各种各样的专家之间就有效的参与方法建立共识.
主要方法:
- 在54位多学科专家的帮助下,采用了混合的Delphi共识建立过程.
- 专家们完成了三轮调查,对最初的定性响应中确定的定性策略进行了排名.
- 专家小组成员代表了各种利益相关者群体,包括社区成员,研究人员,临床医生和伦理学家.
主要成果:
- 排名最高的策略涉及将符合条件的参与者与现任或前任艾滋病毒治愈试验参与者联系起来,分享经验.
- 积极倾听以解决参与者的问题和担忧也是建立信任的首要策略.
- 虽然总体上达到了共识,但在不同专家组中观察到排名略有差异.
结论:
- 优先考虑同行互动和同情沟通可以有效地缓解医疗不信任.
- 这些战略对于促进更广泛,更公平地参与新型艾滋病毒治疗研究至关重要.
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