Martin Erika G, Myderrizi Arzana, Kim Heeun, Schumacher Patrick, Jeong Soyun, Gift Thomas L, Hutchinson Angela B, Delaney Kevin P, Chesson Harrell W
Public Health Accreditation Board, Alexandria, Virginia; Department of Public Administration and Policy, Rockefeller College of Public Affairs and Policy, University at Albany, Albany, New York.
Department of Public Administration and Policy, Rockefeller College of Public Affairs and Policy, University at Albany, Albany, New York.
Am J Prev Med. 2025 Jan;68(1):182-203. doi: 10.1016/j.amepre.2024.08.004. Epub 2024 Aug 12.
Disease intervention specialists (DIS) are critical for delivering partner services programs that provide partner notification, counseling, referral, and other services for HIV, sexually transmitted infections (STIs), and other infections. This systematic review of partner services and other DIS-delivered interventions for HIV and STIs was conducted to summarize the effectiveness of these programs and identify evidence gaps.
A systematic literature review was conducted with a narrative synthesis. Articles were located using keyword searches in MEDLINE, Web of Science, CINAHL, and ProQuest through December 2022 and analyzed in 2023-2024. Included studies addressed an intervention of partner services or other DIS-delivered services for HIV or STIs; a United States setting; primary data collection; and an external comparison group or pre-post design.
A total of 1,915 unique records were screened for eligibility, with 30 studies included. Overall, DIS-delivered interventions improved clinical outcomes among index patients and population outcomes. Many studies focused on program process measures rather than population-level epidemiologic outcomes. All but one studies were scored as having low or medium strength of evidence.
The evidence could be strengthened by establishing a streamlined set of core metrics, assessing impact using rigorous causal inference methodologies, linking program and clinical data systems, and supplementing impact evaluations with evidence on implementation strategies.
疾病干预专家对于实施伙伴服务项目至关重要，这些项目提供伙伴通知、咨询、转诊以及针对艾滋病毒、性传播感染（STIs）和其他感染的其他服务。开展此次对艾滋病毒和性传播感染的伙伴服务及其他由疾病干预专家提供的干预措施的系统评价，旨在总结这些项目的有效性并找出证据空白。
采用叙述性综合法进行系统文献综述。通过在MEDLINE、科学网、护理学与健康领域数据库（CINAHL）和ProQuest中使用关键词搜索来查找文章，检索截至2022年12月，并于2023 - 2024年进行分析。纳入的研究涉及针对艾滋病毒或性传播感染的伙伴服务干预措施或其他由疾病干预专家提供的服务；美国的背景；原始数据收集；以及外部对照组或前后对照设计。
共筛选了1915条独特记录以确定其是否符合资格，纳入了30项研究。总体而言，由疾病干预专家提供的干预措施改善了索引患者的临床结局和总体人群结局。许多研究侧重于项目过程指标而非人群层面的流行病学结局。除一项研究外，所有研究的证据强度均被评为低或中等。
可通过建立一套简化的核心指标、使用严格的因果推断方法评估影响、将项目与临床数据系统相联系以及用实施策略的证据补充影响评估来加强证据。
