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实施研究以开发针对艾滋病毒感染者的干预措施(PRECluDE 联盟):通过实施研究来防治艾滋病毒感染者的慢性病共病。

ImPlementation REsearCh to DEvelop Interventions for People Living with HIV (the PRECluDE consortium): Combatting chronic disease comorbidities in HIV populations through implementation research.

机构信息

Health Scientist Administrator and AAAS Science and Technology Policy Fellow, Implementation Science Branch (ISB), Center for Translation Research and Implementation Science (CTRIS), National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health (NIH), U.S. Department of Health and Human Services, Bethesda, MD 20892, United States of America; Office of Science Policy (OSP), Office of the Director (OD), National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, MD 20892, United States of America.

Department of Medicine, Case Western Reserve University School of Medicine, University Hospitals Harrington Heart and Vascular Institute, Cleveland, OH 44106, United States of America.

出版信息

Prog Cardiovasc Dis. 2020 Mar-Apr;63(2):79-91. doi: 10.1016/j.pcad.2020.03.006. Epub 2020 Mar 19.

Abstract

Antiretroviral therapy (ART) prevented premature mortality and improved the quality of life among people living with the human immunodeficiency virus (PLWH), such that now more than half of PLWH in the United States are 50 years of age and older. Increased longevity among PLWH has resulted in a significant rise in chronic, comorbid diseases. However, the implementation of guideline-based interventions for preventing, treating, and managing such age-related, chronic conditions among the HIV population is lacking. The PRECluDE consortium supported by the Center for Translation Research and Implementation Science at the National Heart, Lung, and Blood Institute catalyzes implementation research on proven-effective interventions for co-occurring heart, lung, blood, and sleep diseases and conditions among PLWH. These collaborative research studies use novel implementation frameworks with HIV, mental health, cardiovascular, and pulmonary care to advance comprehensive HIV and chronic disease healthcare in a variety of settings and among diverse populations.

摘要

抗逆转录病毒疗法 (ART) 可预防过早死亡并提高人类免疫缺陷病毒 (PLWH) 患者的生活质量,以至于现在美国超过一半的 PLWH 年龄在 50 岁及以上。PLWH 的寿命延长导致慢性合并症显著增加。然而,针对 HIV 人群中与年龄相关的慢性疾病,基于指南的预防、治疗和管理干预措施的实施却严重不足。由国家心肺血液研究所转化研究和实施科学中心支持的 PRECluDE 联盟,为 PLWH 中共同出现的心脏、肺部、血液和睡眠疾病和病症的经过验证的有效干预措施的实施研究提供支持。这些合作研究使用新型的 HIV、心理健康、心血管和肺部护理实施框架,在各种环境和不同人群中推进综合的 HIV 和慢性疾病医疗保健。

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