Cultural adaptation of an evidence-based nursing intervention to improve medication adherence among people living with HIV/AIDS (PLWHA) in China.
Cultural adaptation of an evidence-based nursing intervention to improve medication adherence among people living with HIV/AIDS (PLWHA) in China.
复制标题
循证护理干预的文化适应，以提高中国艾滋病毒/艾滋病患者 (PLWHA) 的用药依从性。
DOI：
10.1016/j.ijnurstu.2012.08.018
复制
发表时间：
2013
影响因子：
8.1
通讯作者：
Danvers,Karina
中科院分区：
文献类型：
--
作者：
Williams,AnnB;Wang,Honghong;Burgess,Jane;Li,Xianhong;Danvers,Karina
背景调整护理干预措施以适应新人群的需求和文化（文化适应）是实施和传播过程中重要的早期步骤。虽然文化适应的必要性已被广泛接受，但基于研究的战略尚未得到很好的阐述。慢性病药物治疗不依从性是一个全球性问题，现有循证干预措施的文化适应可能会有所帮助。 目的本文旨在描述循证护理干预措施的文化适应，以提高艾滋病毒/艾滋病患者的用药依从性，并为跨文化和跨国界的干预措施适应提供建议。地点：该干预措施在北美的一项随机对照试验中证明了有效性，并针对中国中南部湖南省的文化和社会背景进行了调整。数据来源适应过程由干预利益相关者进行，包括原始干预研究小组、拟议的适应小组和社区咨询委员会的成员，包括艾滋病毒/艾滋病患者、家庭成员和目标临床地点的卫生保健工作者。程序适应过程由描述新人群和环境的定量和定性数据驱动，并以文化原则为指导。根据预防科学研究进行的调整。结果 对干预措施的主要调整是将家庭成员纳入干预活动，以回应家庭在中国农村的文化和社会重要性。在适应性干预措施的试点测试中，与对照组相比，接受干预组的自我报告药物依从性显着改善（p=0.01）。护理干预措施文化适应的建议包括（1）从一开始就让利益相关者参与； (2) 评估人口、需求和背景； (3) 评估要调整的干预措施，同时注意已证明有效的原始研究的细节； (4) 将原始干预措施的重要要素与拟议的新人群和环境的重要要素进行比较，以确定适应的主要要点； (5) 明确识别干预保真度与文化适应需求之间紧张的根源； (6) 记录适应过程，试点适应的干预措施，并在大规模传播和实施之前评估其有效性。
BACKGROUNDAdapting nursing interventions to suit the needs and culture of a new population (cultural adaptation) is an important early step in the process of implementation and dissemination. While the need for cultural adaptation is widely accepted, research-based strategies for doing so are not well articulated. Non-adherence to medications for chronic disease is a global problem and cultural adaptation of existing evidence-based interventions could be useful.OBJECTIVESThis paper aims to describe the cultural adaptation of an evidence-based nursing intervention to improve medication adherence among people living with HIV/AIDS and to offer recommendations for adaptation of interventions across cultures and borders. SITE: The intervention, which demonstrated efficacy in a randomized controlled trial in North America, was adapted for the cultural and social context of Hunan Province, in south central China.SOURCES OF DATAThe adaptation process was undertaken by intervention stakeholders including the original intervention study team, the proposed adaptation team, and members of a Community Advisory Board, including people living with HIV/AIDS, family members, and health care workers at the target clinical sites.PROCEDURESThe adaptation process was driven by quantitative and qualitative data describing the new population and context and was guided by principles for cultural adaptation drawn from prevention science research.RESULTSThe primary adaptation to the intervention was the inclusion of family members in intervention activities, in response to the cultural and social importance of the family in rural China. In a pilot test of the adapted intervention, self-reported medication adherence improved significantly in the group receiving the intervention compared to the control group (p=0.01). Recommendations for cultural adaptation of nursing interventions include (1) involve stakeholders from the beginning; (2) assess the population, need, and context; (3) evaluate the intervention to be adapted with attention to details of the original studies that demonstrated efficacy; (4) compare important elements of the original intervention with those of the proposed new population and context to identify primary points for adaptation; (5) explicitly identify sources of tension between intervention fidelity and cultural adaptive needs; (6) document the process of adaptation, pilot the adapted intervention, and evaluate its effectiveness before moving to dissemination and implementation on a large scale.
登录
查看更多内容
DOI：
10.1097/qai.0b013e3181fba6ab
发表时间：
2010-12-15
影响因子：
3.6
作者：
de Boer, I. Marion;Prins, Jan M.;Nieuwkerk, Pythia T.
通讯作者：
Nieuwkerk, Pythia T.
影响因子：
2.9
作者：
Kumpfer, Karol L.;Pinyuchon, Methinin;Whiteside, Henry O.
通讯作者：
Whiteside, Henry O.
评论：并非所有态度都是平等的。
影响因子：
7.7
作者：
L. Sechrest
通讯作者：
L. Sechrest
厨房餐桌智慧：弗雷里式药物依从性方法
DOI：
10.1016/j.jana.2004.11.001
发表时间：
2005
期刊：
Journal of the Association of Nurses in AIDS Care
影响因子：
--
作者：
A. Williams;J. Burgess;K. Danvers;Joanna Malone;Subrena D Winfield;Loretta J. Saunders
通讯作者：
Loretta J. Saunders
DOI：
10.1097/qai.0b013e3181605df1
发表时间：
2008-03-01
影响因子：
3.6
作者：
Wingood, Gina M.;DiClemente, Ralph J.
通讯作者：
DiClemente, Ralph J.