International Division, JSI, Arlington, VA, United States.
Health Across Humanity, LLC, Boston, MA, United States.
JMIR Res Protoc. 2024 Jul 23;13:e54129. doi: 10.2196/54129.
Person-centered care (PCC) within HIV treatment services has demonstrated potential to overcome inequities in HIV service access while improving treatment outcomes. Despite PCC being widely considered a best practice, no consensus exists on its assessment and measurement. This study in Zambia builds upon previous research that informed development of a framework for PCC and a PCC assessment tool (PCC-AT).
This mixed methods study aims to examine the preliminary effectiveness of the PCC-AT through assessing the association between client HIV service delivery indicators and facility PCC-AT scores. We hypothesize that facilities with higher PCC-AT scores will demonstrate more favorable HIV treatment continuity, viral load (VL) coverage, and viral suppression in comparison to those of facilities with lower PCC-AT scores.
We will implement the PCC-AT at 30 randomly selected health facilities in the Copperbelt and Central provinces of Zambia. For each study facility, data will be gathered from 3 sources: (1) PCC-AT scores, (2) PCC-AT action plans, and (3) facility characteristics, along with service delivery data. Quantitative analysis, using STATA, will include descriptive statistics on the PCC-AT results stratified by facility characteristics. Cross-tabulations and/or regression analysis will be used to determine associations between scores and treatment continuity, VL coverage, and/or viral suppression. Qualitative data will be collected via action planning, with detailed notes collected and recorded into an action plan template. Descriptive coding and emerging themes will be analyzed with NVivo software.
As of May 2024, we enrolled 29 facilities in the study and data analysis from the key informant interviews is currently underway. Results are expected to be published by September 2024.
Assessment and measurement of PCC within HIV treatment settings is a novel approach that offers HIV treatment practitioners the opportunity to examine their services and identify actions to improve PCC performance. Study results and the PCC-AT will be broadly disseminated for use among all project sites in Zambia as well as other HIV treatment programs, in addition to making the PCC-AT publicly available to global HIV practitioners.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/54129.
以人为本的关怀（PCC）在艾滋病毒治疗服务中已被证明具有克服艾滋病毒服务获取方面的不平等现象并改善治疗效果的潜力。尽管 PCC 被广泛认为是一种最佳实践，但在其评估和衡量方面尚未达成共识。赞比亚的这项研究建立在前瞻性研究的基础上，该研究为 PCC 框架和 PCC 评估工具（PCC-AT）的开发提供了信息。
本混合方法研究旨在通过评估客户艾滋病毒服务提供指标与设施 PCC-AT 评分之间的关联，来检验 PCC-AT 的初步有效性。我们假设，与 PCC-AT 评分较低的设施相比，PCC-AT 评分较高的设施将表现出更有利的艾滋病毒治疗连续性、病毒载量（VL）覆盖率和病毒抑制率。
我们将在赞比亚铜带省和中央省的 30 个随机选定的卫生设施中实施 PCC-AT。对于每个研究设施，将从 3 个来源收集数据：（1）PCC-AT 评分，（2）PCC-AT 行动计划，以及（3）设施特征和服务提供数据。使用 STATA 的定量分析将包括按设施特征分层的 PCC-AT 结果的描述性统计。交叉表和/或回归分析将用于确定评分与治疗连续性、VL 覆盖率和/或病毒抑制率之间的关联。定性数据将通过行动计划收集，详细的笔记将被收集并记录到行动计划模板中。使用 NVivo 软件对描述性编码和出现的主题进行分析。
截至 2024 年 5 月，我们已在研究中招募了 29 个设施，目前正在进行关键知情人访谈的数据分析。预计结果将于 2024 年 9 月公布。
在艾滋病毒治疗环境中对 PCC 进行评估和衡量是一种新颖的方法，它为艾滋病毒治疗从业者提供了检查其服务并确定改进 PCC 绩效的机会。研究结果和 PCC-AT 将在赞比亚所有项目点以及其他艾滋病毒治疗项目中广泛传播，此外还将向全球艾滋病毒从业者公开 PCC-AT。
国际注册报告标识符（IRRID）：DERR1-10.2196/54129.
