Meet Me Where I Am: An Evaluation of an HIV Patient Navigation Intervention to Increase Uptake of PrEP Among Black Men Who Have Sex with Men in the Deep South
Meet Me Where I Am: An Evaluation of an HIV Patient Navigation Intervention to Increase Uptake of PrEP Among Black Men Who Have Sex with Men in the Deep South
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DOI：
10.1007/s40615-020-00933-1
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发表时间：
2021-01-05
影响因子：
3.9
通讯作者：
Mena, Leandro A.
中科院分区：
文献类型：
--
作者：
Burns, Paul A.;Omondi, Angela A.;Mena, Leandro A.
美国南部地区是艾滋病毒流行的中心。艾滋病毒对非裔美国人的影响不成比例，特别是与男性发生性行为的黑人男性(黑人男男性接触者)。鉴于黑人MSM的新感染率令人震惊，迫切需要有文化能力的医疗专业人员，他们接受过培训，以解决感染和坚持艾滋病毒预防、护理和治疗服务的独特需求和障碍。利用混合方法研究方法，我们对Meet Me Where Me Are进行了流程评估，这是一个为期6个月、6节的艾滋病毒/艾滋病患者导航培训计划，面向在为密西西比州中部居民提供艾滋病毒服务的组织中工作的医疗专业人员和患者导航员，密西西比州中部是艾滋病毒发病率和流行率较高的地区。每次培训结束后，参与者都会收到一份自填式问卷，以评估培训计划的可接受性、质量和翻译方面。对MMWIA培训的总体积极反馈反映了该计划的可接受性和可行性。与会者发现，培训有效地提供了必要的知识和技能，以提供以患者为中心的艾滋病毒预防相关导航服务。大多数(67%)的参与者表示，他们认为他们可以将所学到的经验应用到他们的医疗保健环境中，以改善获得艾滋病毒预防、护理和治疗服务的机会。如果我们要减少艾滋病毒/艾滋病方面的种族和民族差异，就迫切需要文化上适当的培训计划，旨在提高医疗保健专业人员和卫生系统提供具有文化能力的艾滋病毒预防、护理和治疗服务的能力。
The southern region of the USA is the epicenter of the HIV epidemic. HIV disproportionately affects African Americans, particularly Black men who have sex with men (Black MSM). Given the alarming rates of new infections among Black MSM, there is an urgent need for culturally competent healthcare professionals who are trained to address the unique needs and barriers to uptake and adherence to HIV prevention, care, and treatment services. Utilizing a mixed method research approach, we conducted a process evaluation of Meet Me Where I Am, a 6-month, 6-session HIV/AIDS patient navigation training program for healthcare professionals and patient navigators working in organizations that provide HIV services to residents of central Mississippi, an area with high incidence and prevalence rates of HIV. A self-administered questionnaire after each session was given to participants to assess the acceptability, quality, and translational aspects of the training program. The overall positive feedback on the MMWIA training reflects the program's acceptability and feasibility. Participants found that the training was effective in providing the necessary knowledge and skills to deliver patient-centered HIV prevention-related navigation services. A majority (67%) of participants indicated that they felt they could apply the lessons learned within their healthcare settings to improve access to HIV prevention, care, and treatment services. If we are to reduce racial and ethnic disparities in HIV/AIDS, there is a critical need for culturally appropriate training programs designed to improve the ability of healthcare professionals and health systems to deliver culturally competent HIV prevention, care, and treatment services.