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使用情景视频和戏剧测试方法改编同伴导航模式,以提高肯尼亚和加拿大街头青少年获得艾滋病毒护理的机会。

Using scenario videos with Theatre Testing method to adapt a peer navigation model to improve street-connected youth's access to HIV care in Kenya and Canada.

机构信息

Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.

Centre for Addiction and Mental Health, Institute for Mental Health Policy Research, Toronto, ON, Canada.

出版信息

Front Public Health. 2022 Nov 3;10:975117. doi: 10.3389/fpubh.2022.975117. eCollection 2022.

Abstract

Theatre testing (TT) method demonstrates whole or portions of an evidence-based intervention to stakeholders to elicit feedback on context-specific adaptations and future implementation. The Peer Navigator Project (PNP) studied the adaptation and implementation of Peer Navigators in five urban sites to increase street-connected youth (SCY) access to HIV prevention, testing, and treatment in Canada and Kenya. TT was used with SCY, healthcare providers, and community stakeholders to collect feedback on the optimal characteristics of the PNs (e.g., social identities) and their professional activities and responsibilities in each site. Sites scripted unique scenarios of PNs supporting SCY and interacting with social service providers. Local actors were employed, and the scenarios were filmed and edited into videos alongside audience discussion questions. Videos were screened to separate audiences of SCY ( = 40), healthcare providers ( = 12), and community stakeholders ( = 59). Facilitated discussion about the scenarios were recorded as data, and transcripts were analyzed thematically by the research team. The scenario videos are presented as a unique adaptation to the TT method. The adaptations were time-consuming and limited the ability to present responsive changes while presenting the method to different audiences. They were also effective at maintaining presentation fidelity and eliciting diverse and meaningful responses from different stakeholder groups. One site successfully adapted the method for use in a physically distanced manner that complied with COVID-19 public health regulations. TT using video scenarios is an engaging approach that garners rich responses from diverse stakeholder groups about the adaptation of evidence-based interventions preparing for implementation in international settings.

摘要

剧场测试 (TT) 方法向利益相关者展示基于证据的干预措施的全部或部分内容,以征求他们对特定背景下的适应性调整和未来实施的反馈。同伴导航员项目 (PNP) 在五个城市地点研究了同伴导航员的适应性和实施情况,以增加街头青少年 (SCY) 在加拿大和肯尼亚获得艾滋病毒预防、检测和治疗的机会。TT 用于与 SCY、医疗保健提供者和社区利益相关者合作,收集关于 PN 的最佳特征的反馈(例如,社会身份)及其在每个地点的专业活动和职责。各地点编写了 PN 支持 SCY 并与社会服务提供者互动的独特场景。聘请了当地演员,并将场景拍摄并编辑成视频,同时附上观众讨论问题。向 SCY(=40)、医疗保健提供者(=12)和社区利益相关者(=59)的观众放映了视频。记录了关于场景的讨论情况,作为数据进行分析,并由研究小组进行主题分析。这些情景视频是 TT 方法的独特改编。这些改编既耗时又限制了在向不同受众展示方法的同时呈现响应性变化的能力。它们还有效地保持了演示的保真度,并从不同的利益相关者群体中引出了多样化且有意义的回应。有一个地点成功地改编了该方法,以便在符合 COVID-19 公共卫生规定的情况下进行物理距离的使用。使用视频情景的 TT 是一种引人入胜的方法,可以从不同的利益相关者群体中获得有关在国际环境中实施基于证据的干预措施的适应性调整的丰富回应。

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