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社区参与设计针对无家可归成年人群的丙型肝炎病毒治疗方案。

Engaging the Community in Designing a Hepatitis C Virus Treatment Program for Adults Experiencing Homelessness.

机构信息

University of California, Irvine, Irvine, California, USA.

University of California, Los Angeles, Los Angeles, California, USA.

出版信息

Qual Health Res. 2021 Sep;31(11):2069-2083. doi: 10.1177/10497323211021782. Epub 2021 Jun 30.

Abstract

Despite the availability of cure for hepatitis C virus (HCV), people experiencing homelessness (PEH) are challenged with initiating and completing HCV treatment. The design of culturally sensitive HCV treatment programs is lacking. The objective was to employ community-based participatory research methods to understand perceptions of HCV-positive PEH, and providers, on the design and delivery of a culturally sensitive, nurse-led community health worker (RN/CHW) HCV initiation and completion program. Four focus group sessions were conducted with HCV-positive PEH ( = 30) as well as homeless service providers (HSP; = 7) in Skid Row, Los Angeles. An iterative, thematic approach provided the themes of g: (a) tangible and emotional support; (b) cognitive and behavioral support; and (c) financial and structural resources. The goal of this study is to provide the groundwork for future research of HCV program design to support HCV cure among homeless populations.

摘要

尽管丙型肝炎病毒 (HCV) 的治疗方法已经存在,但无家可归者 (PEH) 在开始和完成 HCV 治疗方面仍面临挑战。缺乏针对文化敏感的 HCV 治疗方案的设计。本研究旨在采用基于社区的参与式研究方法,了解 HCV 阳性 PEH 和提供者对文化敏感、由护士领导的社区卫生工作者 (RN/CHW) HCV 启动和完成方案的设计和实施的看法。在洛杉矶的 Skid Row 地区,对 30 名 HCV 阳性 PEH 和 7 名无家可归服务提供者 (HSP) 进行了四次焦点小组讨论。迭代的主题方法提供了以下主题:(a)有形和情感支持;(b)认知和行为支持;和 (c) 财务和结构资源。本研究的目的是为未来 HCV 方案设计的研究提供基础,以支持无家可归人群中 HCV 的治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ffb/10593144/18a428350b23/nihms-1933849-f0001.jpg

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