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实施科学方案:评估以证据为基础的干预措施,以改善在 Ryan White HIV/AIDS 计划环境中接受治疗的艾滋病毒感染者的护理。

Implementation Science Protocol: evaluating evidence-informed interventions to improve care for people with HIV seen in Ryan White HIV/AIDS program settings.

机构信息

Division of Prevention Science, University of California San Francisco, San Francisco, CA, USA.

HIV AIDS Bureau, Human Resources and Services Administration, San Francisco, CA, USA.

出版信息

AIDS Care. 2021 Dec;33(12):1551-1559. doi: 10.1080/09540121.2020.1861585. Epub 2021 Jan 11.

Abstract

In 2017, the Health Resources and Services Administration's HIV/AIDS Bureau funded an Evaluation Center (EC) and a Coordinating Center for Technical Assistance (CCTA) to oversee the rapid implementation of 11 evidence-informed interventions at 26 HIV care and treatment providers across the U.S. This initiative aims to address persistent gaps in HIV-related health outcomes emerging from social determinants of health that negatively impact access to and retention in care. The EC adapted the Conceptual Model of Implementation Research to develop a Hybrid Type III, multi-site mixed-methods evaluation, described in this paper. The results of the evaluation will describe strategies associated with uptake, implementation outcomes, as well as HIV-related health outcomes for clients engaged in the evidence-informed interventions. This approach will allow us to understand in detail the processes that sites undergo to implement these important intervention strategies for high priority populations.

摘要

2017 年,卫生资源与服务管理局的艾滋病防治局资助了一个评估中心(EC)和一个技术援助协调中心(CCTA),以监督在美国 26 个艾滋病毒护理和治疗提供者中迅速实施 11 项基于证据的干预措施。这项倡议旨在解决与健康的社会决定因素有关的艾滋病毒相关健康结果方面持续存在的差距,这些差距对获得和维持护理产生负面影响。EC 采用实施研究概念模型来制定混合 III 型、多地点混合方法评估,本文对此进行了描述。评估的结果将描述与参与基于证据的干预措施的客户的采用、实施结果以及与艾滋病毒相关的健康结果相关的策略。这种方法将使我们能够详细了解站点实施这些针对高优先级人群的重要干预策略的过程。

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