Assessing the sensibility and utility of a short-form version of the HIV Disability Questionnaire in clinical practice settings in Canada, Ireland and the USA: a mixed methods study.

Assessing the sensibility and utility of a short-form version of the HIV Disability Questionnaire in clinical practice settings in Canada, Ireland and the USA: a mixed methods study.
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评估简短版艾滋病毒残疾问卷在加拿大、爱尔兰和美国临床实践环境中的敏感性和实用性:一项混合方法研究。

DOI:
10.1136/bmjopen-2022-062008
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发表时间:
2022-09-29
期刊:
影响因子:
2.9
通讯作者:
Davis, Aileen M.
Davis, Aileen M.
中科院分区:
医学3区
文献类型:
--
作者:
O'Brien, Kelly K.;Solomon, Patricia;Carusone, Soo Chan;Erlandson, Kristine M.;Bergin, Colm;Bayoumi, Ahmed M.;Hanna, Steven E.;Harding, Richard;Brown, Darren A.;Vera, Jaime H.;Boffito, Marta;Murray, Carolann;Aubry, Rachel;O'Shea, Noreen;St Clair-Sullivan, Natalie;Boyd, Mallory;Swinton, Marilyn;Torres, Brittany;Davis, Aileen M.

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艾滋病病毒残疾问卷(SF-HDQ)的制定是为了衡量六个领域的健康挑战的存在,严重性和偶发性。我们的目的是评估SF-HDQ在临床实践中的敏感性,实用性和实施。混合方法研究设计,包括半结构式访谈和问卷管理。我们在加拿大、爱尔兰和美国招募了成年HIV感染者和HIV临床医生。我们以电子方式管理SF-HDQ,然后进行情感问卷(表面和内容效度,易用性,格式),并进行半结构化访谈,以探讨SF-HDQ在临床实践中的实用性和实施。敏感性阈值为≥80%项目的中位数得分>5/7(HIV感染者)和>4/7(HIV临床医生)。定性访谈数据进行了分析,使用直接内容分析。对于18/19(95%)个项目,中位敏感性评分>5(成人HIV感染者; n=29)和>4(HIV临床医生; n=16)。访谈数据表明,SF-HDQ代表了艾滋病毒感染者和其他并发健康状况的健康相关挑战;捕捉了艾滋病毒的日常发作性质;易于使用。临床效用包括测量健康挑战和随时间的变化,指导转诊到专家和服务,设定目标,促进沟通和促进多学科的护理方法。实施的考虑因素包括灵活的、以人为本的管理方法,以及根据个人喜好传达分数。SF-HDQ具有敏感性和实用性,可在三个国家的成人艾滋病毒感染者和艾滋病毒临床医生的临床环境中使用。
The Short-Form HIV Disability Questionnaire (SF-HDQ) was developed to measure the presence, severity and episodic nature of health challenges across six domains. Our aim was to assess the sensibility, utility and implementation of the SF-HDQ in clinical practice. Mixed methods study design involving semistructured interviews and questionnaire administration. We recruited adults living with HIV and HIV clinicians in Canada, Ireland and the USA. We electronically administered the SF-HDQ followed by a Sensibility Questionnaire (face and content validity, ease of usage, format) and conducted semistructured interviews to explore the utility and implementation of the SF-HDQ in clinical practice. The threshold for sensibility was a median score of >5/7 (adults living with HIV) and>4/7 (HIV clinicians) for ≥80% of items. Qualitative interview data were analysed using directed content analysis. Median sensibility scores were >5 (adults living with HIV; n=29) and >4 (HIV clinicians; n=16) for 18/19 (95%) items. Interview data indicated that the SF-HDQ represents the health-related challenges of living with HIV and other concurrent health conditions; captures the daily episodic nature of HIV; and is easy to use. Clinical utility included measuring health challenges and change over time, guiding referral to specialists and services, setting goals, facilitating communication and fostering a multidisciplinary approach to care. Considerations for implementation included flexible, person-centred approaches to administration, and communicating scores based on personal preferences. The SF-HDQ possesses sensibility and utility for use in clinical settings with adults living with HIV and HIV clinicians in three countries.
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