O'Brien Kelly K, Wilkins Annette, Zack Elisse, Solomon Patricia
School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
AIDS Educ Prev. 2011 Oct;23(5):457-68. doi: 10.1521/aeap.2011.23.5.457.
Our purpose was to develop process recommendations and guiding principles for future clinical practice guidelines in HIV rehabilitation. We conducted a scoping study that included focus group and interview consultations with 28 participants including people living with HIV, researchers, clinicians, educators, and policy stakeholders with expertise in HIV and rehabilitation. We used qualitative content analysis techniques to identify emergent themes related to the development of clinical practice guidelines. Results included seven recommendations for the process of developing clinical practice guidelines in HIV rehabilitation that spanned areas of flexibility, scope, adopting existing evidence from concurrent health conditions, format, interprofessional approach to development and implementation, terminology, and knowledge translation. Three guiding principles emerged to inform the philosophical approach for guideline development. These findings serve as a foundation for the development of clinical practice guidelines in HIV rehabilitation to enhance the care and treatment of people living with HIV.
我们的目的是为未来的HIV康复临床实践指南制定流程建议和指导原则。我们开展了一项范围界定研究,其中包括与28名参与者进行焦点小组讨论和访谈咨询,这些参与者包括HIV感染者、研究人员、临床医生、教育工作者以及在HIV和康复领域具有专业知识的政策利益相关者。我们运用定性内容分析技术来确定与临床实践指南制定相关的新出现主题。结果包括针对HIV康复临床实践指南制定流程的七条建议,涵盖灵活性、范围、采用并发健康状况的现有证据、形式、跨专业制定和实施方法、术语以及知识转化等领域。出现了三条指导原则,为指南制定的哲学方法提供指导。这些研究结果为制定HIV康复临床实践指南奠定了基础,以加强对HIV感染者的护理和治疗。