Barriers and facilitators to scaling up Healthy Choices, a motivational interviewing intervention for youth living with HIV.
Barriers and facilitators to scaling up Healthy Choices, a motivational interviewing intervention for youth living with HIV.
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DOI：
10.1186/s12913-022-08453-w
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发表时间：
2022-08-29
影响因子：
2.8
通讯作者：
中科院分区：
文献类型：
--
作者：
这项研究包括社区卫生工作者和他们的监督员从艾滋病毒临床护理团队谁参加了健康的选择干预计划。健康的选择是一种基于动机访谈的干预措施，旨在改善青少年和16-24岁艾滋病毒感染者的药物依从性并减少饮酒。在这项研究中，当地艾滋病毒护理提供者在现实世界的诊所环境中“扩大”了干预措施的范围。提供者（N = 21）完成了半结构化的采访（N = 29），他们的经验与干预规模扩大。在讨论执行干预措施的障碍和促进因素时进行了严格的专题分析。三个主要的主题领域出现的数据：（1）健康选择干预的看法，（2）从事高风险YLH在人的行为干预，（3）对实施干预的观点，使用当地工作人员。结果提供了深入了解实施MI为基础的干预措施，青少年和新兴的成年人在诊所设置使用当地的临床工作人员，而不是专门的研究人员。总的来说，扩大青年干预方案面临的挑战是保持科学的严谨性，提供严格的培训和支持，并提供一个有吸引力和吸引力的方案。在线版本包含补充材料，可通过10.1186/s12913-022-08453-w获得。
This study included Community Health Workers and their supervisors from HIV clinical care teams who participated in the Healthy Choices intervention program. Healthy Choices is a Motivational Interviewing-based intervention aimed at improving medication adherence and reducing alcohol use for adolescents and emerging adults ages 16—24 living with HIV. In this study, the intervention was “scaled up” for delivery by local HIV care providers in real-world clinic settings. Providers (N = 21) completed semi-structured interviews (N = 29) about their experiences with intervention scale-up. Rigorous thematic analyses were conducted within discussions of barriers and facilitators of intervention implementation. Three dominant thematic areas emerged from the data: (1) perceptions of the Healthy Choices intervention, (2) engaging high risk YLH in in-person behavior interventions, and (3) perspectives on implementation of the intervention using local staff. Results offer insights into implementation of MI-based interventions for adolescents and emerging adults in clinic settings using local clinical staff instead of dedicated research staff. Overall, scaled-up intervention programs for youth are challenged to maintain scientific rigor, provide rigorous training and supports, and offer an attractive and engaging program. The online version contains supplementary material available at 10.1186/s12913-022-08453-w.
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DOI：
10.1097/qai.0b013e3181e1e2c0
发表时间：
2010-07
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
DiClemente RJ;Ruiz MS;Sales JM
通讯作者：
Sales JM
影响因子：
4.4
作者：
MacDonell, Karen;Naar-King, Sylvie;Huszti, Heather;Belzer, Marvin
通讯作者：
Belzer, Marvin
影响因子：
4.2
作者：
Azar, Marwan M.;Springer, Sandra A.;Meyer, Jaimie P.;Altice, Frederick L.
通讯作者：
Altice, Frederick L.
影响因子：
4.9
作者：
Murphy, Debra A.;Chen, Xinguang;Parsons, Jeffrey T.
通讯作者：
Parsons, Jeffrey T.
影响因子：
33.9
作者：
Harris, Norma S.;Johnson, Anna Satcher;Hall, H. Irene
通讯作者：
Hall, H. Irene