The Healthy Living Project: An individually tailored, multidimensional intervention for HIV-infected persons

The Healthy Living Project: An individually tailored, multidimensional intervention for HIV-infected persons
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DOI:
10.1521/aeap.17.2.21.58691
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发表时间:
2005-02-01
影响因子:
1.8
通讯作者:
Morin, SF
Morin, SF
中科院分区:
医学4区
文献类型:
--
作者:
Gore-Felton, C;Rotheram-Borus, MJ;Morin, SF

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NIMH健康生活项目(HLP)是一项针对艾滋病毒感染者的随机行为干预试验,招募了943名个体,包括来自洛杉矶、密尔沃基、纽约和旧金山弗朗西斯科的女性、异性恋男性、注射吸毒者和男男性行为者。干预,这是基于定性的形成性研究和Ewart的社会行动理论,解决了艾滋病毒感染者的三个相互关联的方面:压力和应对,传播风险行为和药物依从性。15个90分钟的结构化会议,分为3个模块,每个模块5个会议,提供给个人。课程是为使用角色扮演、解决问题和目标设定技术的结构中的个人量身定制的。一个“人生计划”--或者说与个人奋斗相关的总体目标--在整个过程中提供了连续性。由于这是一个正在进行的项目,疗效尚未确定,我们不报告干预结果。然而,干预的目的是有用的预防病例管理,设置重复的一对一的接触是可能的,在结构化的,但高度个性化的干预方法是可取的。
The NIMH Healthy Living Project (HLP), a randomized behavioral intervention trial for people living with HIV, enrolled 943 individuals, including women, heterosexual men, injection drug users, and men who have sex with men from Los Angeles, Milwaukee, New York, and San Francisco. The intervention, which is based on qualitative formative research and Ewart's Social Action Theory, addresses three interrelated aspects of living with HIV: stress and coping, transmission risk behavior, and medication adherence. Fifteen 90-minute structured sessions, divided into 3 modules of five sessions each, are delivered to individuals. Sessions are tailored to individuals within a structure that uses role-plays, problem solving, and goal setting techniques. A 'Life Project'- or overarching goal related to personal striving-provides continuity throughout sessions. Because this is an ongoing project with efficacy yet to be established, we do not report intervention outcomes. However, the intervention was designed to be useful for prevention case management, settings where repeated one-on-one contact is possible, and where a structured but highly individualized intervention approach is desired.