英格兰 "问我 PrEP "艾滋病暴露前预防宣传计划的调查结果。

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Jonny Edwards, Sara Paparini, Will Nutland, Marc Thompson, Phil Samba
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引用次数: 0

摘要

理由:自 2019 年以来,英格兰的艾滋病发病率下降了三分之一以上。尽管艾滋病毒暴露前预防疗法(PrEP)在英国减少艾滋病毒传播方面取得了初步成功,但许多可能受益于艾滋病毒暴露前预防疗法(PrEP)的人还不知道这种疗法,也不知道如何获得这种疗法:本文介绍了首个在英格兰全国范围内基于同伴传播模式来传播 PrEP 信息的研究结果。问我 PrEP(AMAP)是一项为期 5 个月的试点计划,于 2021 年 11 月启动。我们鼓励志愿动员者利用他们对所在社区和地理区域的现有知识,协助他们与同伴讨论 PrEP:12 名注册动员者参加了 2021 年 11 月至 2022 年 3 月期间的三个项目评估焦点小组,5 名 AMAP 项目工作人员参加了 2022 年 3 月的一个焦点小组。此外,描述性统计分析还探讨了 AMAP 项目招募志愿者动员者的情况、项目工作人员和志愿者动员者的人口统计数据、志愿者动员者的自然减员率以及项目的影响:结果:96 名志愿者注册并完成了培训,自愿成为动员者。在整个项目期间,动员者通过个人对话、在线小组对话、在线工作场所教育活动和社交媒体,与同伴进行了 11,889 次关于 PrEP 的对话。焦点小组使主要利益相关者能够反思他们在试点计划中的经历。焦点小组确定了四个关键主题:动员动机和招募经验;培训、学习和材料;动员活动;以及支持和社交网络:我们的评估结果表明,在关键的未覆盖群体中提高对艾滋病毒 PrEP 的认识的同伴传播模式为志愿者和项目工作人员提供了一种可接受的公共卫生干预模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Findings from the 'Ask Me About PrEP' HIV Pre-Exposure Prophylaxis Awareness Programme in England.

Rationale: HIV incidence has decreased in England by over a third since 2019. Despite the early success of HIV Pre-Exposure Prophylaxis (PrEP) in reducing HIV transmission in the United Kingdom, many people who could benefit from HIV PrEP do not yet know about it, or know how to access it.

Aims and objectives: This paper presents the findings of the first England-wide national peer-to-peer based diffusion model to disseminate information about PrEP. Ask Me About PrEP (AMAP) was a 5-month pilot programme which commenced in November 2021. Volunteer mobilisers were encouraged to use their existing knowledge of their communities and geographical areas to assist them in discussing PrEP with their peers.

Method: 12 enrolled mobilisers took part in three project evaluation focus groups between November 2021 and March 2022, and five AMAP project staff took part in one focus group in March 2022. Additionally, descriptive statistical analysis explored volunteer mobiliser recruitment to the AMAP project, demographical data of project staff and volunteer mobilisers, volunteer mobiliser attrition rates, and the project's impact.

Results: 96 volunteers enrolled, completed training and volunteered as mobilisers. Thoroughout the project, mobilisers engaged their peers in 11,889 conversations about PrEP through individual conversations, online group conversations, online workplace educational events, and social media. The focus groups enabled key stakeholders to reflect on their experiences of the pilot programme. Four key themes were identified during the focus groups: motivations to mobilise and recruitment experiences; training, learning, and materials; mobilisation activity; and support and social networking.

Conclusion: Our evaluation demonstrates that peer-to-peer diffusion models used to increase awareness of HIV PrEP in key unreached groups, offer an acceptable public health intervention model for volunteers and project staff.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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