HIV Care Providers' Implementation of Routine Alcohol Reduction Support for Their Patients
HIV Care Providers' Implementation of Routine Alcohol Reduction Support for Their Patients
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DOI：
10.1089/apc.2008.0008
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发表时间：
2009-03-01
影响因子：
4.9
通讯作者：
Norman, Robert
中科院分区：
文献类型：
--
作者：
Strauss, Shiela M.;Tiburcio, Nelson J.;Norman, Robert
筛查和短暂干预（SBI）减少酒精是一项重要的健康促进策略，艾滋病毒感染者和艾滋病毒护理提供者处于最佳位置，以支持其患者的减少努力。我们报告了分析结果，这些分析使用了2007年从纽约市大都会地区7家医院艾滋病毒护理中心的提供者（n=115）收集的数据，涉及他们对患者常规使用11种酒精SBI成分。如果提供者(1)有特定的病例量（因此负责较少的患者），(2)更多地了解酒精对艾滋病毒的影响的信息，(3)在目前的职位上至少工作了1年，(4)有更大的自我效能感来支持患者的酒精减少努力，那么他们通常会实施5个或更多的这些酒精SBI组件。研究结果表明，教育所有艾滋病毒护理提供者关于过度饮酒对艾滋病毒患者的负面影响以及酒精性脑卒中的重要性和价值的重要性。研究结果还表明，至少对一些提供者来说，在实施酒精SBI组件时，尤其是通过有针对性的酒精SBI培训，提高自我效能感是有价值的。
Screening and brief intervention (SBI) for alcohol reduction is an important health promoting strategy for patients with HIV, and HIV care providers are optimally situated to support their patients' reduction efforts. We report results from analyses that use data collected from providers (n=115) in 7 hospital-based HIV care centers in the New York City metropolitan area in 2007 concerning their routine use of 11 alcohol SBI components with their patients. Providers routinely implemented 5 or more of these alcohol SBI components if they (1) had a specific caseload (and were therefore responsible for a smaller number of patients), (2) had greater exposure to information about alcohol's effect on HIV, (3) had been in their present positions for at least 1 year, and (4) had greater self efficacy to support patients' alcohol reduction efforts. Findings suggest the importance of educating all HIV care providers about both the negative impact of excessive alcohol use on patients with HIV and the importance and value of alcohol SBIs. Findings also suggest the value of promoting increased self efficacy for at least some providers in implementing alcohol SBI components, especially through targeted alcohol SBI training.