Positive attitudes toward adoption of a multi-component intervention strategy aimed at improving HIV outcomes among adolescents and young people in Nampula, Mozambique: perspectives of HIV care providers.
Positive attitudes toward adoption of a multi-component intervention strategy aimed at improving HIV outcomes among adolescents and young people in Nampula, Mozambique: perspectives of HIV care providers.
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DOI：
10.1186/s12913-023-09630-1
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发表时间：
2023-06-06
影响因子：
2.8
通讯作者：
Abrams, Elaine J.
中科院分区：
文献类型：
--
作者：
Mogoba, Phepo;Lesosky, Maia;Mukonda, Elton E.;Zerbe, Allison;Falcao, Joana;Zandamela, Ricardino;Myer, Landon;Abrams, Elaine J.
关键词：
服务提供者对干预措施的态度对于在医疗保健环境中采用和实施新的干预措施至关重要，但在艾滋病病毒（HIV）背景下的评估证据仍然有限。本研究是CombinADO整群随机试验（ClinicalTrials.gov NCT04930367）的一部分，该试验旨在研究一个多成分干预组合（CombinADO策略）在改善莫桑比克感染艾滋病病毒的青少年和年轻成人（AYAHIV）的艾滋病治疗效果方面的有效性。在本文中，我们介绍了关键利益相关者对在当地卫生服务中采用研究干预措施的态度的研究结果。
2021年9月至12月期间，我们对参与CombinADO试验的12个卫生机构中为AYAHIV提供和监督艾滋病治疗的59名关键利益相关者进行了有目的抽样的横断面调查，这些利益相关者完成了一份关于在卫生机构中采用试验干预组合的态度的9项量表。数据是在研究的实施前阶段收集的，包括个体利益相关者和机构层面的特征。我们使用广义线性回归来检验利益相关者态度得分与利益相关者和机构层面特征的关联。
总体而言，在这种环境下的服务提供利益相关者对在研究诊所各站点采用干预组合报告了积极的态度；总体平均总态度得分为35.0（[标准差]=2.59，范围=[30 - 41]）。所评估的研究组合（对照或干预条件）以及参与诊所中提供抗逆转录病毒治疗（ART）护理的医护人员数量是预测利益相关者中较高态度得分的唯一显著解释变量（β = 1.57，95%置信区间 = 0.34 - 2.80，p = 0.01；β = 1.57，95%置信区间 = 0.06 - 3.08，p = 0.04）。
本研究发现莫桑比克楠普拉为AYAHIV提供艾滋病治疗的医护人员对采用多成分的CombinADO研究干预措施持积极态度。我们的研究结果表明，适当的培训和人力资源的可获得性可能通过影响医护人员的态度，在促进医疗保健服务采用新的多成分干预措施方面具有重要作用。
Service providers' attitudes toward interventions are essential for adopting and implementing novel interventions into healthcare settings, but evidence of evaluations in the HIV context is still limited. This study is part of the CombinADO cluster randomized trial (ClinicalTrials.gov NCT04930367), which is investigating the effectiveness of a multi-component intervention package (CombinADO strategy) aimed at improving HIV outcomes among adolescents and young adults living with HIV (AYAHIV) in Mozambique. In this paper we present findings on key stakeholder attitudes toward adopting study interventions into local health services. Between September and December 2021, we conducted a cross-sectional survey with a purposive sample of 59 key stakeholders providing and overseeing HIV care among AYAHIV in 12 health facilities participating in the CombinADO trial, who completed a 9-item scale on attitudes towards adopting the trial intervention packages in health facilities. Data were collected in the pre-implementation phase of the study and included individual stakeholder and facility-level characteristics. We used generalized linear regression to examine the associations of stakeholder attitude scores with stakeholder and facility-level characteristics. Overall, service-providing stakeholders within this setting reported positive attitudes regarding adopting intervention packages across study clinic sites; the overall mean total attitude score was 35.0 ([SD] = 2.59, Range = [30–41]). The study package assessed (control or intervention condition) and the number of healthcare workers delivering ART care in participating clinics were the only significant explanatory variables to predict higher attitude scores among stakeholders (β = 1.57, 95% CI = 0.34–2.80, p = 0.01 and β = 1.57, 95% CI = 0.06–3.08, p = 0.04 respectively). This study found positive attitudes toward adopting the multi-component CombinADO study interventions among HIV care providers for AYAHIV in Nampula, Mozambique. Our findings suggest that adequate training and human resource availability may be important in promoting the adoption of novel multi-component interventions in healthcare services by influencing healthcare provider attitudes.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
影响因子：
7.2
作者：
Aarons, Gregory A.;Glisson, Charles;Landsverk, John A.
通讯作者：
Landsverk, John A.
影响因子：
3.2
作者：
Brooke-Sumner, Carrie;Petersen-Williams, Petal;Myers, Bronwyn
通讯作者：
Myers, Bronwyn
DOI：
10.1023/b:mhsr.0000024351.12294.65
发表时间：
2004-06-01
期刊：
Mental health services research
影响因子：
--
作者：
Aarons, Gregory A
通讯作者：
Aarons, Gregory A