艾滋病临床提供者的意识、态度和意愿,以支持艾滋病治疗为导向的研究在美国费城的患者外展工作。

IF 3.8 4区 医学 Q2 IMMUNOLOGY
Open Forum Infectious Diseases Pub Date : 2024-11-19 eCollection Date: 2024-12-01 DOI:10.1093/ofid/ofae687
Steven Meanley, William B Carter, William R Short, David S Metzger, Amy Onorato, Luis J Montaner, Karine Dubé
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引用次数: 0

摘要

背景:伦理患者外展对于参与HIV治疗导向研究的HIV患者至关重要。我们试图检查HIV临床提供者对通过Martin Delaney合作实验室(MDC)调查的当前HIV治疗导向研究策略的认识,以及提供者对HIV治疗导向研究的患者外展的态度,并确定临床提供者对MDC研究策略的教育机会。方法:我们对费城的64名HIV临床提供者(医生、医师助理和护士)进行了一次、横断面、基于网络的调查。一项描述性分析被生成,以确定临床提供者对MDC研究策略的认识和对患者外展的态度。进行双变量分析,以评估提供者特征对意识和态度的差异。结果:大多数医疗服务提供者了解MDC策略,近四分之三的医疗服务提供者报告熟悉两个费城MDC研究项目中的一个。医疗服务提供者压倒性地支持临床医生协助患者开展艾滋病治疗研究的必要性,并愿意推荐患者参与。如果一项研究要求患者接受分析性治疗中断(ATIs),那么对患者外展的热情就会减弱。提供者确定了接受HIV治疗导向研究更新的首选资源,包括带有继续教育学分的网络研讨会和会议。结论:我们的研究结果提倡增加对开发资源的投资,以更好地吸引临床提供者参与艾滋病毒治疗导向的研究更新和正在进行的研究,包括ATIs的重要性。作为患者参与艾滋病毒治疗导向研究的把关人,进一步努力提高提供者对特定艾滋病毒治疗导向研究的知识,将促进患者教育和伦理推广。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HIV Clinical Providers' Awareness, Attitudes, and Willingness to Support Patient Outreach Efforts for HIV Cure-Directed Research in Philadelphia, United States.

Background: Ethical patient outreach is critical for engaging patients with HIV in HIV cure-directed research. We sought to examine HIV clinical providers' awareness of current HIV cure-directed research strategies investigated through the Martin Delaney Collaboratories (MDC) and providers' attitudes toward patient outreach for HIV cure-directed research and to identify opportunities for clinical provider education on MDC research strategies.

Methods: We conducted a 1-time, cross-sectional, web-based survey with 64 HIV clinical providers (physicians, physician assistants, and nurses) in Philadelphia. A descriptive analysis was generated to determine clinical providers' awareness of MDC research strategies and attitudes toward patient outreach. Bivariate analyses were conducted to evaluate differences in awareness and attitudes by provider characteristics.

Results: Most providers were aware of MDC strategies, and nearly three-fourths of providers reported familiarity with 1 of the 2 Philadelphia MDC research programs. Providers overwhelmingly endorsed the need for clinicians to assist with patient outreach for HIV cure-directed research and were willing to recommend patients to participate. Enthusiasm for patient outreach waned if a study required a patient to undergo analytic treatment interruptions (ATIs). Providers identified preferred resources for receiving HIV cure-directed research updates, including webinars with continuing education credit and conferences.

Conclusions: Our study's findings advocate for added investment toward developing resources that better engage clinical providers about HIV cure-directed research updates and ongoing studies, including the importance of ATIs. As gatekeepers to patient participation on HIV cure-directed studies, added efforts to increase provider knowledge of specific HIV cure-directed research will advance patient education and ethical outreach.

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来源期刊
Open Forum Infectious Diseases
Open Forum Infectious Diseases Medicine-Neurology (clinical)
CiteScore
6.70
自引率
4.80%
发文量
630
审稿时长
9 weeks
期刊介绍: Open Forum Infectious Diseases provides a global forum for the publication of clinical, translational, and basic research findings in a fully open access, online journal environment. The journal reflects the broad diversity of the field of infectious diseases, and focuses on the intersection of biomedical science and clinical practice, with a particular emphasis on knowledge that holds the potential to improve patient care in populations around the world. Fully peer-reviewed, OFID supports the international community of infectious diseases experts by providing a venue for articles that further the understanding of all aspects of infectious diseases.
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