Increasing drug users' adherence to HIV treatment: results of a peer-driven intervention feasibility study
Increasing drug users' adherence to HIV treatment: results of a peer-driven intervention feasibility study
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DOI：
10.1016/s0277-9536(01)00167-8
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发表时间：
2002-07-01
影响因子：
5.4
通讯作者：
Selwyn, PA
中科院分区：
文献类型：
--
作者：
Broadhead, RS;Heckathorn, DD;Selwyn, PA
感染艾滋病毒的活跃吸毒者对初级保健的利用率和坚持率都很低。将药物治疗和现场初级保健相结合可以显着减少这些问题，因为它创建了社会支持结构，治疗计划工作人员可以监测患者的依从性并提供持续的鼓励。但在美国，只有极少数艾滋病毒+吸毒者接受这种明显有效的护理形式。我们报告的结果，从一个替代的支持结构，被称为“同行驱动的干预”，作为一个功能等同于药物治疗，增加吸毒者的坚持艾滋病毒治疗的可行性研究。这项为期六个月的研究包括14名在康涅狄格州纽黑文接受艾滋病医疗护理的成年活跃吸毒者。作为一名健康倡导者，每个受试者都被分配并要求每周在该项目的店面与另一名受试者会面一次，以提供同伴支持和咨询。作为一个同龄人，每个受试者被分配并要求每周与另一位健康倡导者会面一次，以获得支持，以保持他或她的医疗保健。没有两个人同时扮演两个角色。倡导者获得了名义上的金钱奖励，因为他们从同行那里得到了积极的回应，他们没有遵守临床预约，对医生的转诊做出了回应，按时选择了Lip处方，并参加了每周与倡导者的会议。研究结果表明，一种替代药物治疗的社会支持结构是可行的，以增加积极吸毒者的坚持医疗保健。应更多地研究利用吸毒者同伴压力促进积极行为改变的创新机制。(C)2002爱思唯尔科技有限公司版权所有。
Active drug users with HIV infection suffer from both low utilization of, and adherence to, primary care. Combining drug treatment and primary care on-site reduces these problems significantly because it creates it social support structure, treatment program staffs can monitor patients' adherence and provide ongoing encouragement. But in the United States, only a very small minority of HIV+ drug users receive this demonstrably effective form of care. We report the results from a feasibility study of an alternative support structure, termed a "peer-driven intervention", that serves as a functional equivalent to drug treatment for increasing drug users' adherence to HIV therapeutics. The six-month study included 14 adult active drug users receiving medical care for HIV disease in New Haven, Connecticut. As a health advocale, each subject was assigned and asked to meet with another subject once a week at the project's storefront to provide peer support and counseling. As a peer, each subject was assigned and asked to meet with another health advocate once a week to receive support in keeping up his or her medical care. No two subjects played both roles for one another. Advocates earned nominal monetary rewards for eliciting positive responses from their peers ill keeping clinical appointments, responding to physicians' referrals, picking Lip prescriptions on time and attending weekly meetings with the advocate. The results of the study suggest that an alternative social Support structure to drug treatment is feasible for increasing active drug users' adherence to medical care. innovative mechanisms that harness drug users' peer pressure to promote positive behavioral changes deserve greater study. (C) 2002 Elsevier Science Ltd. All rights reserved.