Youth engagement in developing an implementation science research agenda on adolescent HIV testing and care linkages in sub-Saharan Africa.
Youth engagement in developing an implementation science research agenda on adolescent HIV testing and care linkages in sub-Saharan Africa.
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DOI：
10.1097/qad.0000000000001509
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发表时间：
2017-07-01
期刊：
影响因子：
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通讯作者：
Kerrigan D
中科院分区：
文献类型：
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作者：
Denison JA;Pettifor A;Mofenson LM;Kasedde S;Marcus R;Konayuma KJ;Koboto K;Ngcobo ML;Ndleleni N;Pulerwitz J;Kerrigan D
随着国际倡议寻求解决这一人群中的艾滋病毒危机，青年参与设计、实施和评估方案的重要性得到了更多的关注。然而，青少年往往不被纳入艾滋病毒实施科学研究，也没有机会为制定与艾滋病毒有关的研究议程作出贡献。项目支助业务艾滋病研究(SOAR)是美国国际开发署资助的全球业务研究项目，让感染艾滋病毒的青年参加一次会议，以制定一项战略执行科学研究议程，以改善青少年艾滋病毒护理连续成果，包括艾滋病毒检测和咨询(HTC)以及与护理的联系。Soar项目召集了50名专家参加了为期两天的会议，其中包括四名艾滋病毒携带者。与会者审查了文献，提出了研究问题，并投票决定将这些问题作为实施科学研究议程的优先事项。这篇文章介绍了让青年参与的过程，他们如何塑造了讨论的进程，以及由此产生的在会议上确定的优先研究空白。青年的参与影响了工作组的讨论和执行科学议程的制定。发现的研究差距包括如何吸引弱势青少年，确定污名、同龄人和自我测试在塑造青少年HTC行为方面的作用，以及检查不同HTC的成本和与护理战略的联系。与会者制定了研究议程，以指导今后实施科学研究，以改善撒哈拉以南非洲青少年的艾滋病毒结果。这一进程突出了青年在制定执行科学研究议程方面的重要性，以及青年更多参与的必要性。
The importance of youth engagement in designing, implementing and evaluating programs has garnered more attention as international initiatives seek to address the HIV crisis among this population. Adolescents, however, are not often included in HIV implementation science research and have not had opportunities to contribute to the development of HIV-related research agendas. Project Supporting Operational AIDS Research (SOAR), a United States Agency for International Development-funded global operations research project, involved youth living with HIV in a meeting to develop a strategic implementation science research agenda to improve adolescent HIV care continuum outcomes, including HIV testing and counseling (HTC) and linkage to care. Project SOAR convened a 2-day meeting of 50 experts, including four youth living with HIV. Participants examined the literature, developed research questions, and voted to prioritize these questions for the implementation science research agenda. This article presents the process of involving youth, how they shaped the course of discussions, and the resulting priority research gaps identified at the meeting. Youth participation influenced working group discussions and the development of the implementation science agenda. Research gaps identified included how to engage vulnerable adolescents, determining the role that stigma, peers, and self-testing have in shaping adolescent HTC behaviors, and examining the costs of different HTC and linkage to care strategies. The meeting participants developed the research agenda to guide future implementation science research to improve HIV outcomes among adolescents in sub-Saharan Africa. This process highlighted the importance of youth in shaping implementation science research agendas and the need for greater youth engagement.