Grimley Diane M, Bachmann Laura H, Jenckes Mollie W, Erbelding Emily J
Department of Health Behavior, School of Public Health, University of Alabama at Birmingham, RPHB 227, 1530 3rd Ave. South, Birmingham, AL, USA.
AIDS Behav. 2007 Sep;11(5 Suppl):S39-47. doi: 10.1007/s10461-006-9196-1. Epub 2006 Dec 6.
HIV prevention efforts are often difficult to emphasize in settings delivering comprehensive HIV care due to factors such as time constraints and differing priorities about the use of clinical time. To assist clinicians within dedicated HIV clinics to offer prevention strategies, investigators at two universities in the United States (Johns Hopkins University and the University of Alabama at Birmingham) have developed and implemented similar, audio-computerized-assisted, self-interviewing systems that have been programmed to assess individual patient risk factors and identify based on the patient's self-assessment, the patient's behavioral stage or, readiness for changing, each identified target behavior. Following the assessment, the systems provide printouts of key elements of this information along with individualized, theory-based intervention strategies to the medical provider. This paper will describe our efforts in developing provider-delivered, individualized, stage-based interventions intended to reduce high-risk behaviors among HIV-infected persons.
由于时间限制以及临床时间使用的不同优先级等因素，在提供全面艾滋病毒护理的环境中，艾滋病毒预防工作往往难以得到重视。为了帮助专门的艾滋病毒诊所的临床医生提供预防策略，美国两所大学（约翰霍普金斯大学和阿拉巴马大学伯明翰分校）的研究人员开发并实施了类似的音频计算机辅助自我访谈系统，这些系统已被编程用于评估个体患者的风险因素，并根据患者的自我评估确定患者的行为阶段或改变的准备程度，以及每种确定的目标行为。评估之后，系统会向医疗服务提供者提供该信息关键要素的打印件以及基于理论的个性化干预策略。本文将描述我们在开发由医疗服务提供者提供的、个性化的、基于阶段的干预措施方面所做的努力，这些措施旨在减少艾滋病毒感染者的高危行为。
