Interventions for families affected by HIV.
Interventions for families affected by HIV.
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对受艾滋病毒影响的家庭的干预措施。
DOI：
10.1007/s13142-011-0043-1
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发表时间：
2011-06
影响因子：
3.6
通讯作者：
Nartey, Myralyn
中科院分区：
文献类型：
--
作者：
Rotheram-Borus, Mary Jane;Swendeman, Dallas;Lee, Sung-Jae;Li, Li;Amani, Bita;Nartey, Myralyn
关键词：
以家庭为基础的干预措施对于人类免疫缺陷病毒(HIV)的检测、预防和护理是有效的，但它们并没有得到广泛传播。了解干预、适应和翻译过程可以支持循证干预(EBI)传播过程。本文提供了一系列针对受艾滋病毒影响的家庭的EBI(FAH)的叙述性回顾，这些EBI在美国、泰国和南非的五个随机对照试验中进行了15年的改编。FAH干预措施针对的是艾滋病毒携带者及其子女或照顾者支持的父母。感染艾滋病毒的父母主要是通过性传播感染的母亲。审查了FAH的EBI，并注意了风险环境和干预特征的共性和差异。利用共同和强大的干预功能、原则、实践要素和交付过程的框架来突出每个地点、时间段和干预交付设置的共性和适应性。医疗保健、住房、食品和金融安全在每个风险环境中都有很大的不同。然而，所有FAH都面临着共同的健康、心理健康、传播和关系方面的挑战。EBI有效地解决了这些共同的挑战，并在不同背景下进行了调整，忠实于强有力的干预原则、程序、因素和做法。干预适应小组有一系列结构性决策点：是否将艾滋病毒与其他当地卫生优先事项纳入主流；选择最佳提供地点(诊所、家庭、社区中心)；以及如何将干预方案转化为当地背景和文化。必须在标准化功能和可靠的原则、流程和实践的层面上复制保真的干预措施，而不是手动操作规程。采用持续的质量改进模式将加强FAH的EBI的快速和全球传播。
Family-based interventions are efficacious for human immunodeficiency virus (HIV) detection, prevention, and care, but they are not broadly diffused. Understanding intervention adaptation and translation processes can support evidence-based intervention (EBI) diffusion processes. This paper provides a narrative review of a series of EBI for families affected by HIV (FAH) that were adapted across five randomized controlled trials in the US, Thailand, and South Africa over 15 years. The FAH interventions targeted parents living with HIV and their children or caregiver supports. Parents with HIV were primarily mothers infected through sexual transmission. The EBIs for FAH are reviewed with attention to commonalities and variations in risk environments and intervention features. Frameworks for common and robust intervention functions, principles, practice elements, and delivery processes are utilized to highlight commonalities and adaptations for each location, time period, and intervention delivery settings. Health care, housing, food, and financial security vary dramatically in each risk environment. Yet, all FAH face common health, mental health, transmission, and relationship challenges. The EBIs efficaciously addressed these common challenges and were adapted across contexts with fidelity to robust intervention principles, processes, factors, and practices. Intervention adaptation teams have a series of structural decision points: mainstreaming HIV with other local health priorities or not; selecting an optimal delivery site (clinics, homes, community centers); and how to translate intervention protocols to local contexts and cultures. Replication of interventions with fidelity must occur at the level of standardized functions and robust principles, processes, and practices, not manualized protocols. Adopting a continuous quality improvement paradigm will enhance rapid and global diffusion of EBI for FAH.
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DOI：
10.1002/bs.3830190102
发表时间：
1974-01-01
期刊：
BEHAVIORAL SCIENCE
影响因子：
--
作者：
DEROGATIS, LR;LIPMAN, RS;COVI, L
通讯作者：
COVI, L
影响因子：
4.2
作者：
Abraham, Charles;Michie, Susan
通讯作者：
Michie, Susan
影响因子：
2.6
作者：
Brown, DR;Sankar, A
通讯作者：
Sankar, A
DOI：
10.2471/blt.04.019448
发表时间：
2006-02-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Doherty, Tanya;Chopra, Mickey;Greiner, Ted
通讯作者：
Greiner, Ted
DOI：
10.1097/chi.0b013e318033ff71
发表时间：
2007-05-01
影响因子：
13.3
作者：
Chorpita, Bruce F.;Becker, Kimberly D.;Daleiden, Eric L.
通讯作者：
Daleiden, Eric L.