Johns Hopkins Bloomberg School of Public Health, Health, Behavior, and Society, Baltimore, MD, USA.
Johns Hopkins Bloomberg School of Public Health, Health, Behavior, and Society, 2213 McElderry Street, 2nd Floor, Baltimore, MD, 21212, USA.
AIDS Behav. 2021 Nov;25(11):3472-3481. doi: 10.1007/s10461-021-03275-z. Epub 2021 Apr 28.
HIV prevention and care peer education interventions have demonstrated effectiveness at changing HIV risk and care behaviors among a variety of at-risk populations in different settings. However, little is known about the implementation of this type of intervention in community-based settings. Further, there is limited information available regarding the facilitators and barriers to implementing peer education interventions in community-based settings. In this study, we explore implementation facilitators, barriers, and strategies to overcome these barriers among 12 organizations that implemented the SHIELD intervention, an evidenced-based peer education intervention for people who use drugs. Guided by the Consolidated Framework for Implementation Research, we identified several facilitators and barriers at the outer, inner individuals, and intervention level of the implementation process. Future evidence-based public health programs should, in addition to addressing effectiveness, be relevant to the needs and lives of clients.
艾滋病毒预防和护理同伴教育干预措施已证明在不同环境中对各种高危人群的艾滋病毒风险和护理行为的改变具有有效性。然而，对于这种干预措施在基于社区的环境中的实施情况知之甚少。此外，关于在基于社区的环境中实施同伴教育干预措施的促进因素和障碍的信息有限。在这项研究中，我们探讨了在实施了基于证据的同伴教育干预措施 SHIELD 的 12 个组织中实施的促进因素、障碍以及克服这些障碍的策略，该干预措施针对的是吸毒者。在实施研究综合框架的指导下，我们在实施过程的外部、内部个体和干预层面确定了几个促进因素和障碍。未来的循证公共卫生计划除了要解决效果问题外，还应该与客户的需求和生活相关。
