Norton Wynne E, Amico K Rivet, Cornman Deborah H, Fisher William A, Fisher Jeffrey D
Department of Psychology, University of Connecticut, 2006 Hillside Road, Unit 1248, Storrs, CT 06269, USA.
AIDS Behav. 2009 Jun;13(3):424-9. doi: 10.1007/s10461-009-9556-8. Epub 2009 Apr 10.
In the past 25 years, a tremendous amount of time and resources have been committed to developing evidence-based HIV prevention interventions. More recently, there have been noteworthy efforts to develop an infrastructure and related policies to promote the dissemination (i.e., "the targeted distribution of information and intervention materials to a specific public health or clinical practice audience") of evidence-based interventions. Despite these advances, however, we have had comparatively little success in the effective implementation (i.e., "the use of strategies to adopt and integrate evidence-based health interventions and change practice patterns within specific settings") of such interventions in everyday practice or community settings. The objective of the current paper is to highlight select and initial areas of research that are critically needed to advance the state-of-the-science of implementation of HIV prevention interventions in our broader efforts to curb the epidemic worldwide.
在过去25年里,人们投入了大量时间和资源来开发循证 HIV 预防干预措施。最近,为建立促进循证干预措施传播(即“向特定公共卫生或临床实践受众有针对性地分发信息和干预材料”)的基础设施及相关政策做出了显著努力。然而,尽管取得了这些进展,我们在日常实践或社区环境中有效实施(即“采用策略在特定环境中采用和整合循证健康干预措施并改变实践模式”)此类干预措施方面取得的成功相对较少。本文的目的是突出在我们遏制全球艾滋病流行的更广泛努力中,推进 HIV 预防干预措施实施科学发展急需的选定初始研究领域。