强制还是关怀：针对患有精神疾病的HIV感染者依从性干预的根本悖论。
Coercion or Caring: The Fundamental Paradox for Adherence Interventions for HIV+ People with Mental Illness.
作者信息
Eisenberg Marlene M, Hennessy Michael, Coviello Donna, Hanrahan Nancy, Blank Michael B
机构信息
Department of Psychiatry, University of Pennsylvania, 3535 Market Street, Philadelphia, PA, 19104, USA.
Annenberg School of Communications, University of Pennsylvania, Philadelphia, PA, USA.
出版信息
AIDS Behav. 2017 Jun;21(6):1530-1539. doi: 10.1007/s10461-016-1517-4.
To determine if an escalating HIV treatment adherence intervention would be considered by participants from a caring or coercive perspective, perceived coercion was examined in 238 community-based dually diagnosed individuals (HIV+ and a serious mental illness) randomized to a treatment-as-usual (TAU) control group or preventing AIDS through health for HIV+ persons (PATH+) Intervention that increased intervention intensity when adherence fell below 80 %. Minor differences were observed in perceived coercion between the PATH+ Intervention and Control groups with perceived coercion marginally higher in the PATH+ group. Latent growth curve analyses indicate that perceived coercion was not related to duration of the intervention for either the PATH+ or Control group. The experience of coercion by HIV+ individuals receiving community-based mental health services was not related to the intensity or duration of delivered services.
为了从关怀或强制的角度确定参与者是否会考虑逐步加强的艾滋病毒治疗依从性干预措施，我们对238名社区双诊断个体（艾滋病毒呈阳性且患有严重精神疾病）进行了感知强制力的调查，这些个体被随机分配到常规治疗（TAU）对照组或通过艾滋病毒感染者健康促进预防艾滋病（PATH+）干预组，当依从性低于80%时，干预强度会增加。PATH+干预组和对照组在感知强制力方面观察到细微差异，PATH+组的感知强制力略高。潜在增长曲线分析表明，对于PATH+组或对照组，感知强制力与干预持续时间均无关。接受社区心理健康服务的艾滋病毒阳性个体的强制体验与所提供服务的强度或持续时间无关。
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