Sherriff Nigel, Huber Jorg, McGlynn Nick, Llewellyn Carrie, Pollard Alex, Lorente Nicolas, Folch Cinta, Cawley Caoimhe, Panochenko Oksana, Krone Michael, Dutarte Maria, Casabona Jordi
School of Health Sciences, University of Brighton, Brighton, United Kingdom.
Centre for Transforming Sexuality & Gender, University of Brighton, Brighton, United Kingdom.
JMIR Res Protoc. 2020 Feb 18;9(2):e15012. doi: 10.2196/15012.
The term "community health worker" (CHW) can apply to a wide range of individuals providing health services and support for diverse populations. Very little is known about the role of CHWs in Europe working in nonclinical settings who promote sexual health and prevent HIV and other sexually transmitted infections (STIs) among gay, bisexual, and other men who have sex with men (MSM).
This paper describes the development and piloting of the first European Community Health Worker Online Survey (ECHOES) as part of the broader European Union-funded ESTICOM (European Surveys and Trainings to Improve MSM Community Health) project. The questionnaire aimed to assess the knowledge, attitudes, and practices of CHWs providing sexual health services to gay, bisexual, and other MSM in European settings.
ECHOES comprises three superordinate domains divided into 10 subsections with 175 items (routed) based on a scoping exercise and literature review, online prepiloting, and Europe-wide consultation. Additional piloting and cognitive debriefing interviews with stakeholders were conducted to identify comprehension issues and improve the clarity, intelligibility, accessibility, and acceptability of the survey. Psychometric properties, including internal consistency of the standardized scales used as part of the survey were examined. The final survey was available to 33 countries in 16 languages.
Recruitment closed on January 31, 2018. Data from 1035 CHWs were available for analysis after application of the exclusion criteria. The findings of the ECHOES survey and the wider ESTICOM project, are now available from the ESTICOM website and/or by contacting the first author.
The findings of this survey will help characterize, for the first time, the diverse role of CHWs who provide sexual health services to gay, bisexual, and other MSM in Europe. Importantly, the data will be used to inform the content and design of a dedicated training program for CHWs as part of the larger ESTICOM project and provide recommendations for MSM-specific strategies to improve sexual health in general and to reduce the incidence and prevalence of HIV, viral hepatitis, and other STIs in particular.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/15012.
“社区卫生工作者”（CHW）一词可适用于为不同人群提供卫生服务和支持的广泛个体。对于在欧洲非临床环境中工作、促进男同性恋、双性恋和其他与男性发生性关系者（MSM）的性健康并预防艾滋病毒和其他性传播感染（STI）的社区卫生工作者的作用，人们了解甚少。
本文描述了首个欧洲社区卫生工作者在线调查（ECHOES）的开发和试点情况，该调查是更广泛的由欧盟资助的ESTICOM（改善男男性行为者社区卫生的欧洲调查和培训）项目的一部分。该问卷旨在评估在欧洲环境中为男同性恋、双性恋和其他男男性行为者提供性健康服务的社区卫生工作者的知识、态度和实践。
ECHOES包括三个上级领域，根据范围界定活动和文献综述、在线预试点以及全欧洲范围的磋商，分为10个小节，共175个项目（按路径设置）。与利益相关者进行了额外的试点和认知反馈访谈，以识别理解问题并提高调查的清晰度、易懂性、可及性和可接受性。对作为调查一部分使用的标准化量表的心理测量特性，包括内部一致性进行了检查。最终调查以16种语言提供给33个国家。
招募于2018年1月31日结束。在应用排除标准后，有1035名社区卫生工作者的数据可供分析。ECHOES调查以及更广泛的ESTICOM项目的结果，现在可从ESTICOM网站获取和/或通过联系第一作者获得。
这项调查的结果将首次有助于描述在欧洲为男同性恋、双性恋和其他男男性行为者提供性健康服务的社区卫生工作者的多样作用。重要的是，这些数据将用于为作为更大的ESTICOM项目一部分的社区卫生工作者专门培训计划的内容和设计提供信息，并为针对性男男性行为者的战略提供建议，以总体改善性健康，特别是降低艾滋病毒、病毒性肝炎和其他性传播感染的发病率和流行率。
国际注册报告识别号（IRRID）：RR1-10.2196/15012。
