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基于网络的干预措施在慢性人类免疫缺陷病毒感染患者中的评估:一项随机对照试验的方案。

Evaluation of a web-based intervention in patients with chronic human immunodeficiency virus infection: Protocol for a randomized controlled trial.

机构信息

Department of infectious disease, Changshan County People's Hospital, Zhejiang, China.

出版信息

Medicine (Baltimore). 2020 Dec 18;99(51):e23683. doi: 10.1097/MD.0000000000023683.


DOI:10.1097/MD.0000000000023683
PMID:33371109
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7748183/
Abstract

BACKGROUND: The infection of human immunodeficiency virus (HIV) is 1 of the major causes of morbidity and mortality in the world. People with chronic diseases have a higher risk of depression. The HIV people are more likely to suffer from depression. Appropriate psychosocial interventions are effective, but their accessibility is limited by the resources needed for their transmission. Thus, it makes sense to develop more cost-effective alternatives, for instance the web-based intervention (WBI), which may be effective for the well-being and depression. The aim of our program is to explore the effects of a WBI on depressive symptoms and well-being in HIV-infected patients. METHOD: It is a randomized controlled experiment to be conducted from February 2021 to July 2021. It was permitted through the Ethics Committee of Changshan County People's Hospital (no.60928376). This study includes 100 HIV patients. Inclusion criteria: (1)18 + years, on effective antiretroviral therapy≥ 1 year before inclusion. Exclusion criteria: patients with severe kidney, liver, lung, and heart diseases. Patients are divided randomly into the study group and control group, each group is assigned 50. The primary results are subjective well-being and depressive symptoms, while the secondary result involves the patients' satisfaction with life. RESULTS: The following Table 1 will exhibit the comparison of outcomes between 2 groups. CONCLUSION: HIV infected patients can benefit from WBI, which can be utilized as an adjunct to medical treatment. TRIAL REGISTRATION NUMBER: researchregistry6215.

摘要

背景:人类免疫缺陷病毒(HIV)感染是世界上发病率和死亡率的主要原因之一。患有慢性病的人患抑郁症的风险更高。HIV 感染者更有可能患抑郁症。适当的社会心理干预是有效的,但由于传播所需的资源有限,其可及性受到限制。因此,开发更具成本效益的替代方案是有意义的,例如基于网络的干预(WBI),它可能对幸福感和抑郁有效。我们计划的目的是探索 WBI 对 HIV 感染患者抑郁症状和幸福感的影响。

方法:这是一项从 2021 年 2 月至 2021 年 7 月进行的随机对照试验。该试验得到了常山县人民医院伦理委员会的许可(编号 60928376)。该研究包括 100 名 HIV 患者。纳入标准:(1)年龄 18 岁以上,在纳入前 1 年接受有效的抗逆转录病毒治疗。排除标准:有严重肾、肝、肺和心脏病的患者。患者随机分为研究组和对照组,每组各 50 例。主要结果是主观幸福感和抑郁症状,次要结果是患者对生活的满意度。

结果:表 1 将展示两组结果的比较。

结论:WBI 可以使 HIV 感染患者受益,可以作为医疗治疗的辅助手段。

注册号:researchregistry6215.

相似文献

[1]
Evaluation of a web-based intervention in patients with chronic human immunodeficiency virus infection: Protocol for a randomized controlled trial.

Medicine (Baltimore). 2020-12-18

[2]
A web-based intervention trial for depressive symptoms and subjective well-being in patients with chronic HIV infection.

AIDS Care. 2014

[3]
Clinical and cost-effectiveness of guided internet-based interventions in the indicated prevention of depression in green professions (PROD-A): study protocol of a 36-month follow-up pragmatic randomized controlled trial.

BMC Psychiatry. 2019-9-9

[4]
Antiretroviral therapy (ART) for treating HIV infection in ART-eligible pregnant women.

Cochrane Database Syst Rev. 2010-3-17

[5]
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Trials. 2021-9-3

[6]
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Trials. 2020-6-3

[7]
Effectiveness of a Web-Based Intervention to Support Medication Adherence Among People Living With HIV: Web-Based Randomized Controlled Trial.

JMIR Public Health Surveill. 2020-4-20

[8]
A randomized, double-blind, placebo-controlled phase III clinical trial to evaluate the efficacy and safety of SARS-CoV-2 vaccine (inactivated, Vero cell): a structured summary of a study protocol for a randomised controlled trial.

Trials. 2021-4-13

[9]
Population-based interventions for reducing sexually transmitted infections, including HIV infection.

Cochrane Database Syst Rev. 2004

[10]
An Internet-based self-help intervention for people with HIV and depressive symptoms: study protocol for a randomized controlled trial.

Trials. 2016-3-31

本文引用的文献

[1]
Depression and HIV Disease Progression: A Mini-Review.

Clin Pract Epidemiol Ment Health. 2019-12-31

[2]
HIV prevention intervention for substance users: a review of the literature.

Subst Abuse Treat Prev Policy. 2019-1-3

[3]
Toward an enhanced understanding of psychological resilience for HIV youth populations.

AIDS Care. 2018

[4]
Managing antiretroviral therapy in the elderly HIV patient.

Expert Rev Clin Pharmacol. 2018-11-26

[5]
Measuring HIV Persistence on Antiretroviral Therapy.

Adv Exp Med Biol. 2018

[6]
Mental health and substance use in HIV-infected adolescents.

Curr Opin HIV AIDS. 2018-5

[7]
Mental health challenges among adolescents living with HIV.

J Int AIDS Soc. 2017-5-16

[8]
Review: Comprehensive review on treatment of HIV.

Pak J Pharm Sci. 2016-7

[9]
Depression in HIV infected patients: a review.

Curr Psychiatry Rep. 2015-1

[10]
Depression and anxiety.

Med J Aust. 2013-9-16

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