Pollio David E, North Carol S, Hudson Ashley M, Hong Barry A
School of Social Work, University of Alabama, Box 870314, Tuscaloosa, AL 35487-0314, USA.
J Clin Psychol Med Settings. 2013 Jun;20(2):156-63. doi: 10.1007/s10880-012-9332-1.
Despite the seriousness of Hepatitis C (HCV), many patients do not receive treatment. One promising means of addressing these issues for medically ill patients is through participation in support group services. This study examined individual-, treatment- and system-level factors associated with enrolling in a support group intervention (psychoeducation) for persons with HCV. A total of 235 research participants were recruited as part of a NIAAA-funded randomized clinical trial for patients with HCV and their family members, with 172 (73.2 %) agreeing to enroll in the psychoeducation trial and 63 (26.8 %) declining. Factors leading to enrollment indicated that individuals without employment, with certain personality structures (low cooperativeness and self-directedness), and traveling greater distance to their group were more likely to agree to participate. Populations being seen in public settings demonstrate a desire for additional support and education, but at the same time these potential participants are faced with challenges to following through and enrolling in the desired services.
尽管丙型肝炎（HCV）病情严重，但许多患者并未接受治疗。对于患病的患者而言，解决这些问题的一个有前景的方法是参与支持小组服务。本研究调查了与参加HCV患者支持小组干预（心理教育）相关的个人、治疗和系统层面的因素。作为美国国立酒精滥用与酒精中毒研究所（NIAAA）资助的针对HCV患者及其家庭成员的随机临床试验的一部分，共招募了235名研究参与者，其中172人（73.2%）同意参加心理教育试验，63人（26.8%）拒绝参加。导致参与的因素表明，没有工作、具有某些人格结构（低合作性和自我导向性）以及前往小组的路途较远的个体更有可能同意参与。在公共环境中接受治疗的人群表现出对额外支持和教育的渴望，但与此同时，这些潜在参与者在坚持并参加所需服务方面面临挑战。
