美国 HIV 同伴健康工作者培训策略和方法的趋势：文献的范围综述。

Trends in U.S. HIV Peer Health Worker Training Strategies and Approaches: A Scoping Review of the Literature.

机构信息

Maurade Gormley, PhD, CPNP, is an Assistant Professor, School of Nursing, University of Connecticut, Storrs, Connecticut, USA. Claire Loughran, MPH, is a Project Manager, Rory Meyers College of Nursing, New York University, New York, New York, USA. Jill Conte, MA, MSLS, is an Associate Curator, Division of Libraries, New York University, New York, New York, USA. Ann-Margaret Dunn Navarra, PhD, CPNP-PC, FAAN, is an Associate Professor, Rory Meyers College of Nursing, New York University, New York, New York, USA.

出版信息

J Assoc Nurses AIDS Care. 2023;34(4):331-348. doi: 10.1097/JNC.0000000000000415. Epub 2023 May 23.

DOI:10.1097/JNC.0000000000000415

PMID:37224079

Abstract

Peer health workers (peers) are commonly engaged interventionists in the HIV care spectrum. The objective of this scoping review was to examine the range of evidence on training strategies and approaches for peer-led HIV behavioral interventions in the United States. Four electronic databases (Medline, CINAHL, EMBASE, and PsycINFO) were searched for peer-reviewed published literature (2010-2021) of peer-led HIV behavioral interventions directed to improving antiretroviral therapy adherence and/or retention in care. Eighteen studies met the inclusion criteria. Eleven studies referenced manualized training materials, and nine used role-play as part of their curricula. Peer training content and duration varied across studies, as well as evaluation of intervention fidelity, and peer competency. Findings highlight heterogeneity in peer training strategies and approaches. The expansion and sustainability of peer engagement in the HIV care continuum will require greater consensus among members of the research community on best practices for training.

摘要

同伴健康工作者（同伴）通常是 HIV 护理领域的干预者。本范围综述的目的是审查美国针对同伴主导的 HIV 行为干预的培训策略和方法的证据范围。四个电子数据库（Medline、CINAHL、EMBASE 和 PsycINFO）搜索了 2010 年至 2021 年期间发表的同行评议文献，内容为同伴主导的 HIV 行为干预，旨在提高抗逆转录病毒治疗的依从性和/或保持在护理中。有 18 项研究符合纳入标准。11 项研究参考了规范化培训材料，9 项研究在课程中使用角色扮演。同伴培训的内容和持续时间因研究而异，干预的保真度和同伴能力的评估也是如此。研究结果突出了同伴培训策略和方法的异质性。要使同伴在 HIV 护理连续体中的参与得到扩大和可持续发展，研究界成员就培训的最佳实践需要达成更大共识。