A conceptual analysis of SBIRT implementation alongside the continuum of PrEP awareness: domains of fit and feasibility.
A conceptual analysis of SBIRT implementation alongside the continuum of PrEP awareness: domains of fit and feasibility.
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DOI：
10.3389/fpubh.2023.1310388
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发表时间：
2023
影响因子：
5.2
通讯作者：
Barve, Shirish
中科院分区：
文献类型：
--
作者：
Harris, Lesley M.;Kerr, Jelani C.;Skidmore, Blake D.;Ghare, Smita;Reyes-Vega, Andrea;Remenik-Zarauz, Vania;Samanapally, Harideep;Anwar, Rana Usman;Rijal, Rishikesh;Bryant, Kendall;Hall, Martin T.;Barve, Shirish
关键词：
筛查、短暂干预和转诊治疗(SBIRT)是一种补充干预措施，可纳入暴露前预防(PrEP)护理连续体，补充临床护理和社区工作中专注于预防人类免疫缺陷病毒(HIV)的倡议和努力。参考变化的跨理论模型和PrEP意识连续体，这一概念分析强调了SBIRT如何扩大正在进行的艾滋病毒预防举措，并提供了一个独特的机会来解决已发现的差距。SBIRT的机制通过(A)实施普遍筛查(S)，(B)实施以激励性访谈为基础的简短干预(BI)，旨在帮助个人认识到PrEP在他们生活中的重要性，(C)提供肯定和支持性转诊到治疗(RT)以获得临床PrEP护理，以及(D)采用以患者为中心和去歧视的方法，显示了适合和可行的前景。SBIRT处于独特的地位，可以帮助解决PrEP意识和启动工作面临的复杂挑战。采用SBIRT模式整合和扩大艾滋病毒预防工作值得进一步研究。
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a supplementary intervention that can be incorporated into the Pre-Exposure Prophylaxis (PrEP) Care Continuum, complementing initiatives and endeavors focused on Human Immunodeficiency Virus (HIV) prevention in clinical care and community-based work. Referencing the Transtheoretical Model of Change and the PrEP Awareness Continuum, this conceptual analysis highlights how SBIRT amplifies ongoing HIV prevention initiatives and presents a distinct chance to address identified gaps. SBIRT's mechanisms show promise of fit and feasibility through (a) implementing universal Screening (S), (b) administering a Brief Intervention (BI) grounded in motivational interviewing aimed at assisting individuals in recognizing the significance of PrEP in their lives, (c) providing an affirming and supportive Referral to Treatment (RT) to access clinical PrEP care, and (d) employing client-centered and destigmatized approaches. SBIRT is uniquely positioned to help address the complex challenges facing PrEP awareness and initiation efforts. Adapting the SBIRT model to integrate and amplify HIV prevention efforts merits further examination.
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