Abel Elizabeth, Hopson Laura, Delville Carol
School of Nursing, The University of Texas at Austin, Austin, Texas, USA.
J Am Acad Nurse Pract. 2006 Nov;18(11):534-43. doi: 10.1111/j.1745-7599.2006.00169.x.
The purpose of this pilot study was twofold: first, to modify Stuifbergen's health promotion intervention initially developed for women with multiple sclerosis for use among women with human immunodeficiency virus or acquired immunodeficiency syndrome (HIV/AIDS) and to evaluate the feasibility of the newly modified health promotion intervention named "Put Health Into Living" (PHIL). The pilot study was completed in two phases.
In phase I, data were derived from a literature review, a focus group of women with HIV/AIDS (n= 7), a panel of experts who reviewed the intervention for content, and three female community workers who evaluated the intervention for the context of living with HIV/AIDS, cultural relevancy, and literacy. During phase II, a pretest/posttest one-group design was used to determine the feasibility of the study methods, content, and format of the health promotion intervention among 10 women with HIV/AIDS.
The pilot study demonstrated the importance of a health promotion intervention for a vulnerable population. Participants verbalized the benefits of attending a health promotion program to gain knowledge and skills to promote their health. One woman said, "I have been positive for 20 years now and no one has talked to me just about my overall health." Participants indicated the PHIL intervention offered a supportive group environment, an overall health focus, and an acceptable format.
Health promotion is a desirable goal for persons living with a chronic disease, and the PHIL intervention has the potential to benefit persons living with HIV/AIDS if subsequent evidence is found in further testing of the intervention.
这项试点研究有两个目的:第一,对最初为多发性硬化症女性开发的斯图伊费尔根健康促进干预措施进行修改,以便在感染人类免疫缺陷病毒或获得性免疫缺陷综合征(HIV/AIDS)的女性中使用,并评估新修改的名为“将健康融入生活”(PHIL)的健康促进干预措施的可行性。试点研究分两个阶段完成。
在第一阶段,数据来自文献综述、一个HIV/AIDS女性焦点小组(n = 7)、一个审查干预措施内容的专家小组,以及三名评估干预措施在HIV/AIDS生活背景、文化相关性和识字率方面情况的女性社区工作者。在第二阶段,采用前测/后测单组设计来确定该研究方法、健康促进干预措施的内容和形式在10名HIV/AIDS女性中的可行性。
试点研究证明了针对弱势群体进行健康促进干预的重要性。参与者表达了参加健康促进项目以获取促进健康的知识和技能的好处。一名女性说:“我感染HIV已经20年了,从来没有人只和我谈论过我的整体健康状况。”参与者表示,PHIL干预措施提供了一个支持性的群体环境,并以整体健康为重点,且形式可接受。
健康促进是慢性病患者的一个理想目标,如果在对该干预措施的进一步测试中发现后续证据,PHIL干预措施有可能使HIV/AIDS患者受益。