, Living Positive Victoria, Melbourne, Australia.
Australian Research Centre in Sex, Health and Society, La Trobe University, Building NR6, Bundoora, VIC, 3086, Australia.
AIDS Behav. 2022 Dec;26(12):4034-4054. doi: 10.1007/s10461-022-03729-y. Epub 2022 Jun 7.
This scoping review maps recent research into peer navigation programs for people living with HIV. Four databases were systematically searched in June 2020. Results were screened according to defined criteria and were not restricted to any design, outcome or country. Six papers drew from randomised control trials, five from quasi-experimental or pragmatic trials, and four panel, eight qualitative, three mixed method and one cross-sectional designs were included for review. Programs incorporated health systems navigation and social support. Authors provided strong theoretical bases for peers to enhance program effects. Studies primarily reported program effects on continuum of care outcomes. Further research is required to capture the role HIV peer navigators play in preventing disease and promoting quality of life, mental health, and disease self-management in diverse settings and populations. Peer programs are complex, social interventions. Future work should evaluate detailed information about peer navigators, their activities, the quality of peer engagement as well as employee and community support structures to improve quality and impact.
本范围综述绘制了最近针对 HIV 感染者的同伴导航计划的研究。2020 年 6 月，系统地在四个数据库中进行了搜索。结果根据既定标准进行筛选，不限于任何设计、结果或国家。六篇论文来自随机对照试验，五篇来自准实验或实用试验，四篇小组、八篇定性、三篇混合方法和一篇横断面设计的论文被纳入综述。这些计划纳入了卫生系统导航和社会支持。作者为同伴增强计划效果提供了强有力的理论基础。研究主要报告了计划对护理连续体结果的影响。需要进一步的研究来捕捉 HIV 同伴导航员在不同环境和人群中预防疾病和促进生活质量、心理健康和疾病自我管理方面的作用。同伴计划是复杂的社会干预措施。未来的工作应该评估有关同伴导航员、他们的活动、同伴参与的质量以及员工和社区支持结构的详细信息，以提高质量和影响力。
