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针对新确诊的男男性行为者的简短风险降低干预措施的开发与可行性研究

THE DEVELOPMENT AND FEASIBILITY OF A BRIEF RISK REDUCTION INTERVENTION FOR NEWLY HIV-DIAGNOSED MEN WHO HAVE SEX WITH MEN.

作者信息

Sikkema Kathleen J, Hansen Nathan B, Kochman Arlene, Santos Jonathan, Watt Melissa H, Wilson Patrick A, Delorenzo Allyson, Laudato Jay, Mayer Gal

机构信息

Duke University, Department of Psychology and Neuroscience.

出版信息

J Community Psychol. 2011 Aug 1;39(6):717-732. doi: 10.1002/jcop.20463.

Abstract

Men who have sex with men (MSM) represent more than half of all new HIV infections in the United States. Utilizing a collaborative, community based approach, a brief risk reduction intervention was developed and pilot tested among newly HIV-diagnosed MSM receiving HIV care in a primary care setting. Sixty-five men, within 3 months of diagnosis, were randomly assigned to the experimental condition or control condition and assessed at baseline, 3-month, and 6-month follow-up. Effect sizes were calculated to explore differences between conditions and over time. Results demonstrated the potential effectiveness of the intervention in reducing risk behavior, improving mental health, and increasing use of ancillary services. Process evaluation data demonstrated the acceptability of the intervention to patients, clinic staff, and administration. The results provide evidence that a brief intervention can be successfully integrated into HIV care services for newly diagnosed MSM and should be evaluated for efficacy.

摘要

男男性行为者(MSM)在美国所有新增艾滋病毒感染病例中占比超过一半。采用一种基于社区的协作方法,开发了一种简短的风险降低干预措施,并在初级保健机构中接受艾滋病毒治疗的新诊断MSM中进行了试点测试。65名在诊断后3个月内的男性被随机分配到实验组或对照组,并在基线、3个月和6个月随访时进行评估。计算效应量以探讨不同组之间以及随时间的差异。结果表明该干预措施在降低风险行为、改善心理健康和增加辅助服务使用方面具有潜在效果。过程评估数据表明该干预措施对患者、诊所工作人员和管理人员具有可接受性。结果提供了证据,表明简短干预可以成功整合到新诊断MSM的艾滋病毒护理服务中,并且应该对其疗效进行评估。

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