Implementation of HIV prevention interventions with people living with HIV/AIDS in clinical settings: Challenges and lessons learned
Implementation of HIV prevention interventions with people living with HIV/AIDS in clinical settings: Challenges and lessons learned
复制标题
DOI：
10.1007/s10461-007-9233-8
复制
发表时间：
2007-09-01
影响因子：
4.4
通讯作者：
Morin, Stephen
中科院分区：
文献类型：
--
作者：
Koester, Kimberly A.;Maiorana, Andre;Morin, Stephen
在美国，将艾滋病毒预防纳入艾滋病毒感染者的临床护理已成为一项优先事项。作为跨站点评估的一部分，本研究检查了15个临床项目实施干预措施的过程，这些干预措施由卫生资源和服务管理局（HRSA）在临床环境中预防阳性艾滋病毒（PwP）倡议资助。我们对15个项目中的研究人员和干预者进行了61次深入访谈。干预措施的实施是可行的，前提是几个关键要素到位：(1)内部领导克服阻力，培养临床提供者和工作人员的兴趣和动机；(2)充分重视建立临床实践与干预之间的无缝衔接；(3)持续的培训，以满足临床医生和工作人员的需要，因为预防干预措施成为护理的常规组成部分。与临床环境和患者人群相匹配的干预措施对卫生保健提供者、预防干预学家和临床工作人员来说是可行和可接受的。
Integrating HIV prevention into the clinical care of people living with HIV has emerged as a priority in the US As part of a cross-site evaluation this study examined the processes by which 15 clinic-based projects implemented interventions funded under the Health Resources and Services Administration's (HRSA) HIV Prevention with Positives (PwP) in Clinical Settings Initiative. We conducted 61 in-depth inter-views with researchers and interventionists across the 15 projects. Intervention implementation was feasible assuming several key components were in place: (1) internal leadership to overcome resistance and foster interest and motivation among clinical providers and staff; (2) adequate attention to creating seamless flow between clinic practice and intervention; and (3) ongoing training that met clinician and staff needs as prevention interventions become a regular part of care. Interventions well matched to the clinical environment and the patient populations were feasible and acceptable to health care providers, prevention interventionists, and clinic staff.