Acceptability, Appropriateness, and Preliminary Effects of the PrEP Diffusion Training for Lay HIV Workers: Increased PrEP Knowledge, Decreased Stigma, and Diffusion of Innovation.

Acceptability, Appropriateness, and Preliminary Effects of the PrEP Diffusion Training for Lay HIV Workers: Increased PrEP Knowledge, Decreased Stigma, and Diffusion of Innovation.
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DOI:
10.1007/s10461-021-03248-2
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发表时间:
2021-10
期刊:
影响因子:
4.4
通讯作者:
Meyers K
Meyers K
中科院分区:
医学2区
文献类型:
--
作者:
Wu Y;Yang G;Meyers K

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培训非专业卫生工作者是支持艾滋病毒暴露前预防(PrEP)实施的关键干预战略。然而,对这类培训的评估很少发表。采用多时点调查方法,评价培训干预对中国地区非专业艾滋病从业人员的知识、艾滋病预防污名和实施行为的影响。结果表明,培训具有较高的可接受性和适宜性。预科知识得分从培训前到培训后提高了65%,并在培训后一个月保持在较高水平。我们观察到PrEP污名显著减少,并对实施行为的决定因素产生了积极影响。所有接受调查的非专业艾滋病工作者在培训后一个月报告在社交网络上传播PrEP信息;43%的人报告将PrEP教育融入日常工作。培训是培养非专业艾滋病工作者实施预防接种计划能力的有效策略。较长期的培训后后续行动将是进一步评估实际的PrEP摄取量和PrEP实施的持续效果的理想办法。
Training lay health workers is a critical intervention strategy to support HIV pre-exposure prophylaxis (PrEP) implementation. However, few evaluations of such trainings have been published. We conducted multi-time-point surveys to evaluate the effect of a training intervention on knowledge, PrEP stigma, and implementation behavior among lay HIV workers in China. Results indicated high acceptability and appropriateness of the training. PrEP knowledge score increased by 65% from pre- to post-training, and remained high one-month post-training. We observed a significant decrease in PrEP stigma and a positive influence on determinants of implementation behaviors. All lay HIV workers surveyed one-month after the training reported having disseminated PrEP information in social networks; 43% reported integrating PrEP education into routine work. The training is an effective strategy to build lay HIV workers’ capacity in PrEP implementation. Longer-term post-training follow up would be ideal to further assess actual PrEP uptake and sustained effects on PrEP implementation.
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