Peterson James, Cota Michelle, Gray Holly, Bazerman Lauri, Kuo Irene, Kurth Ann, Beckwith Curt
a Department of Epidemiology and Biostatistics , The George Washington University Milken Institute School of Public Health , Washington , District of Columbia , USA.
J Health Commun. 2015;20(3):245-51. doi: 10.1080/10810730.2014.927036. Epub 2014 Dec 20.
Innovative interventions increasing linkage, adherence, and retention in care among HIV-infected persons in the criminal justice system are needed. The authors conducted a qualitative study to investigate technology-based tools to facilitate linkage to community-based care and viral suppression for HIV-infected jail detainees on antiretroviral medications being released to the community. The authors conducted 24 qualitative interview-12 in Rhode Island and 12 in Washington, DC-among recently incarcerated HIV-infected persons to elicit their perceptions on the use of technology tools to support linkage to HIV care among criminal justice populations. This article discusses participants' perceptions of the acceptability of technological tools such as (a) a computer-based counseling and (b) text messaging interventions. The participants reported positive experiences when previewing the technology-based tools to facilitate linkage to HIV care and adherence to HIV medications. Successful linkage to care has been shown to improve HIV-associated and non-HIV-associated health outcomes, as well as prevent criminal recidivism and facilitate reentrants' successful and meaningful transition. These findings can be used to inform the implementation of interventions aimed at promoting adherence to antiretroviral medications and linkage to care for HIV-infected persons being released from the correctional setting.
需要创新干预措施，以提高刑事司法系统中艾滋病毒感染者获得医疗服务的联系率、依从性和留存率。作者开展了一项定性研究，以调查基于技术的工具，这些工具可促进正在接受抗逆转录病毒药物治疗、即将获释进入社区的艾滋病毒感染在押人员与社区医疗服务的联系，并实现病毒抑制。作者对最近被监禁的艾滋病毒感染者进行了24次定性访谈（罗德岛12次，华盛顿特区12次），以了解他们对使用技术工具支持刑事司法人群与艾滋病毒医疗服务建立联系的看法。本文讨论了参与者对诸如（a）基于计算机的咨询和（b）短信干预等技术工具可接受性的看法。参与者在预览这些基于技术的工具以促进与艾滋病毒医疗服务的联系及坚持服用艾滋病毒药物方面报告了积极的体验。已证明成功获得医疗服务可改善与艾滋病毒相关及非艾滋病毒相关的健康结果，预防再次犯罪，并促进刑满释放人员成功且有意义地过渡。这些研究结果可用于为旨在促进抗逆转录病毒药物依从性以及帮助从惩教机构获释的艾滋病毒感染者获得医疗服务的干预措施的实施提供参考。
