Clinician Use of HIV-Related Infographics During Clinic Visits in the Dominican Republic is Associated with Lower Viral Load and Other Improvements in Health Outcomes.

Clinician Use of HIV-Related Infographics During Clinic Visits in the Dominican Republic is Associated with Lower Viral Load and Other Improvements in Health Outcomes.
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DOI:
10.1007/s10461-021-03331-8
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发表时间:
2021-12
期刊:
影响因子:
4.4
通讯作者:
Schnall R
Schnall R
中科院分区:
医学2区
文献类型:
--
作者:
Stonbraker S;Liu J;Sanabria G;George M;Cunto-Amesty S;Alcántara C;Abraído-Lanza AF;Halpern M;Rowell-Cunsolo T;Bakken S;Schnall R

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我们设计了一种信息图干预措施,帮助临床医生向艾滋病毒感染者提供健康信息。在这项研究中,我们评估了我们的干预措施在纳入多米尼加共和国的常规就诊时可以在多大程度上改善客观和主观测量的健康结果(CD4 计数、病毒载量以及与临床医生的接触等)。在这项前测-后测研究中,我们以 3 个月的间隔跟踪参与者 9 个月。医生在参与者的前 3 次就诊期间进行了干预。使用概念模型选择的结果测量在 4 个时间点进行评估。我们通过一般线性回归和 Wilcoxon 符号秩检验评估了结果随时间的变化。参与者 (N = 50) 大部分为女性 (56%),平均感染艾滋病毒时间为 6.3 年 (SD = 6.1)。到研究结束时,除 CD4 计数外的所有结果均显示出统计学上的显着改善。这提供了初步证据,我们的干预可能会改善结果,但需要进一步测试。
We designed an infographic intervention to help clinicians provide health information to persons living with HIV. In this study, we assessed the extent to which our intervention may improve objectively and subjectively measured health outcomes (CD4 count, viral load, and engagement with clinician among others) when integrated into routine visits in the Dominican Republic. In this pretest–posttest study, we followed participants for 9 months at 3-month intervals. Physicians administered the intervention during participants’ first 3 visits. Outcome measures, selected using a conceptual model, were assessed at 4 time points. We assessed changes in outcomes over time with general linear regressions and Wilcoxon Signed-Rank tests. Participants (N = 50) were mostly female (56%) and had been living with HIV for a mean of 6.3 years (SD = 6.1). All outcomes, except CD4 count, demonstrated statistically significant improvements by study end. This provides preliminary evidence our intervention may improve outcomes, but further testing is needed.
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