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中国北京一项基于文本的新诊断 HIV 阳性男男性行为者外展干预临床试验的实施模式和内容探索。

Exploration of Implementation Patterns and Content from a Text-Based Outreach Intervention Clinical Trial for Newly Diagnosed, HIV-Positive MSM in Beijing, China.

机构信息

Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA.

Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, USA.

出版信息

AIDS Behav. 2019 May;23(5):1158-1165. doi: 10.1007/s10461-018-2287-y.

DOI:10.1007/s10461-018-2287-y
PMID:30288683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6566097/
Abstract

The Multi-component HIV Intervention Packages for Chinese MSM (China MP3) project sought to facilitate engagement in care and initiation of antiretroviral therapy among newly HIV-diagnosed men who have sex with men in Beijing, China through the implementation of in-person peer-counseling (PC) and a weekly short message service (SMS)-based outreach text with as-needed follow-up during the first 12-months of living with HIV. Implementation of the interactive text-based intervention used a 'ticket system' to monitor and document responses to texted check-ins and PC follow-up. Using this tracking system, we characterized the 1521 tickets generated during the China-MP3 intervention across 184 intervention participants. A wide variety of topics were the focus of interactions prompted by texted outreach although most appeared to focus on issues related to ART and CD4 and viral load. Almost all participants engaged in at least one SMS-related discussion. Sending regular check-ins may offer unique opportunities to newly diagnosed MSM to ask questions or gather support between face-to-face visits.

摘要

多组分 HIV 干预方案(China MP3)项目旨在通过实施面对面同伴咨询(PC)和每周基于短信服务(SMS)的外展短信,以及在感染 HIV 的头 12 个月内按需提供后续服务,促进中国北京新诊断的男男性行为者(MSM)参与治疗并开始接受抗逆转录病毒治疗。互动式基于文本的干预措施的实施使用了“票务系统”来监测和记录对短信签到和 PC 随访的回复。使用这个跟踪系统,我们对在 China-MP3 干预期间产生的 1521 张票进行了特征描述,这些票涉及 184 名干预参与者。虽然大多数短信外展的互动似乎都集中在与 ART 和 CD4 以及病毒载量相关的问题上,但短信外展的主题多种多样。几乎所有参与者都至少进行了一次与短信相关的讨论。定期发送检查可能为新诊断的 MSM 提供独特的机会,以便在面对面访问之间提出问题或寻求支持。

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