Long Amanda, Mbabali Ismail, Hutton Heidi E, Thomas Alvin G, Bugos Eva, Mulamba Jeremiah, Amico Kathy Rivet, Nalugoda Fred, Gray Ronald H, Wawer Maria J, Nakigozi Gertrude, Chang Larry W
1 Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Amanda Long and Ismail Mbabali contributed equally to this article and are co-first authors.
J Int Assoc Provid AIDS Care. 2017 Sep/Oct;16(5):499-505. doi: 10.1177/2325957417709089. Epub 2017 May 22.
Innovative approaches are needed to increase engagement in HIV treatment and prevention services, particularly in HIV hot spots. Here, we detail our design, training approach, and early implementation experiences of a community-based HIV intervention called "health scouts." The intervention, utilizing a novel, theory-based approach, trained 10 community residents in an HIV hot spot fishing community to use motivational interviewing strategies and a mobile phone-based counseling application. During the first 3 months, 771 residents (median 82/health scout, range 27-160) were counseled. A directly observed Motivational Interviewing Treatment Integrity scale-based evaluation found adequate performance (median score 20/25, range 11-23). The health scout intervention was feasible to implement in a high HIV-prevalence fishing community, and its impact on HIV care outcomes will be evaluated in an ongoing cluster randomized trial. If found to be effective, it may be an important strategy for responding to HIV in high-burden settings.
需要创新方法来提高对艾滋病毒治疗和预防服务的参与度，尤其是在艾滋病毒高发地区。在此，我们详细介绍一种名为“健康侦察员”的社区艾滋病毒干预措施的设计、培训方法及早期实施经验。该干预措施采用一种新颖的、基于理论的方法，在一个艾滋病毒高发的渔业社区培训了10名社区居民，让他们使用动机性访谈策略和一款基于手机的咨询应用程序。在最初的3个月里，为771名居民提供了咨询服务（中位数为每位健康侦察员82人，范围为27 - 160人）。一项基于直接观察的动机性访谈治疗完整性量表的评估发现表现良好（中位数分数为20/25，范围为11 - 23）。健康侦察员干预措施在艾滋病毒高流行的渔业社区实施是可行的，其对艾滋病毒护理结果的影响将在正在进行的整群随机试验中进行评估。如果被证明有效，它可能是在高负担环境中应对艾滋病毒的一项重要策略。
