DESIGNING AN INDIVIDUALLY TAILORED MULTILEVEL INTERVENTION TO INCREASE ENGAGEMENT IN HIV AND SUBSTANCE USE TREATMENT AMONG PEOPLE WHO INJECT DRUGS WITH HIV: HPTN 074
DESIGNING AN INDIVIDUALLY TAILORED MULTILEVEL INTERVENTION TO INCREASE ENGAGEMENT IN HIV AND SUBSTANCE USE TREATMENT AMONG PEOPLE WHO INJECT DRUGS WITH HIV: HPTN 074
复制标题
DOI：
10.1521/aeap.2019.31.2.95
复制
发表时间：
2019-04-01
影响因子：
1.8
通讯作者：
Latkin, Carl A.
中科院分区：
文献类型：
--
作者：
Lancaster, Kathryn E.;Miller, William C.;Latkin, Carl A.
注射毒品者在接受抗逆转录病毒治疗（ART）和药物辅助治疗（MAT）方面面临障碍。我们详细介绍了设计，快速准备和适应，并在多种环境中系统实施灵活，个性化的PWID干预：印度尼西亚，乌克兰和越南。HPTN 074集成系统导航和咨询，以促进进入和遵守ART和MAT。现场一级的干预指导涉及深入访谈（IDI）PWID和他们的支持者和现场特定的文件审查。IDIs强调ART错误信息和社会支持对坚持的重要性。文件审查揭示了卫生保健系统障碍的差异，需要采取灵活和量身定制的干预措施，以解决关键结果。实施工作包括根据参与者的需要定期听取反复适应的情况汇报，包括加强咨询会议和补贴抗逆转录病毒疗法前的测试。HPTN 074提供了一个独特的框架，实施灵活和可扩展的干预措施，以改善多种环境下PWID的ART和MAT结局。
People who inject drugs (PWID) face barriers to engagement in antiretroviral treatment (ART) and medication-assisted treatment (MAT). We detail the design, rapid preparation and adaptation, and systematic implementation of a flexible, individually tailored intervention for PWID in multiple settings: Indonesia, Ukraine, and Vietnam. HPTN 074 integrated systems navigation and counseling to facilitate entry and adherence to ART and MAT. Site-level guidance on the intervention involved in-depth interviews (IDIs) among PWID and their supporters and site-specific document review. IDIs emphasized ART misinformation and importance of social support for adherence. The document review revealed differences in health care system barriers, requiring an intervention that was flexible and tailored enough to address key outcomes. Implementation included regular debriefs for iterative adaptations based on participants' needs, including booster counseling sessions and subsidizing pre-ART testing. HPTN 074 provides a unique framework implementing a flexible and scalable intervention to improve ART and MAT outcomes among PWID across multiple settings.