社区服务提供者应对与艾滋病相关的神经认知挑战所采用的策略:一项定性研究。
Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study.
作者信息
Liboro Renato M, Rourke Sean B, Ibañez-Carrasco Francisco, Eaton Andrew, Pugh Daniel, Medina Claudia, Rae Allan, Shuper Paul A, Ross Lori E
机构信息
1 Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
2 Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
出版信息
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958218822336. doi: 10.1177/2325958218822336.
BACKGROUND
HIV-associated neurocognitive disorders and other causes of neurocognitive challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience neurocognitive challenges increasingly require social support and mental health services from community-based providers in the HIV sector.
METHODS
Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed to determine the strategies they used to support PLWH experiencing neurocognitive difficulties. Thematic analysis was conducted to determine key themes from the interview data.
RESULTS
Three types of strategies were identified: (a) intrapersonal, (b) interpersonal, and (c) organizational. Intrapersonal strategies involved learning and staying informed about causes of neurocognitive challenges. Interpersonal strategies included providing practical assistance, information, counseling, and/or referrals to PLWH. Organizational strategies included creating dedicated support groups for PLWH experiencing neurocognitive challenges, partnering with other organizations with services not available within their own organization, and advocating for greater access to services with expertise and experience working with PLWH.
CONCLUSION
Through concerted efforts in the future, it is likely that empirically investigating, developing, and customizing these strategies specifically to address HIV-associated neurocognitive challenges will yield improved social support and mental health outcomes for PLWH.
背景
在发达国家,与艾滋病病毒相关的神经认知障碍以及艾滋病病毒感染者(PLWH)所面临的其他神经认知挑战仍是公共卫生问题。因此,面临神经认知挑战的艾滋病病毒感染者越来越需要艾滋病领域社区服务提供者提供的社会支持和心理健康服务。
方法
对加拿大安大略省22个艾滋病服务组织的33名服务提供者进行了访谈,以确定他们用于支持面临神经认知困难的艾滋病病毒感染者的策略。通过主题分析从访谈数据中确定关键主题。
结果
确定了三种类型的策略:(a)个人层面的,(b)人际层面的,以及(c)组织层面的。个人层面的策略包括了解并随时知晓神经认知挑战的成因。人际层面的策略包括为艾滋病病毒感染者提供实际帮助、信息、咨询和/或转介服务。组织层面的策略包括为面临神经认知挑战的艾滋病病毒感染者设立专门的支持小组,与自身组织内没有相关服务的其他组织建立合作关系,以及倡导增加获得具备与艾滋病病毒感染者合作专业知识和经验的服务的机会。
结论
通过未来的共同努力,专门针对与艾滋病病毒相关的神经认知挑战对这些策略进行实证研究、开发和定制,可能会改善艾滋病病毒感染者的社会支持和心理健康状况。
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