临床药师提供的应急管理促进艾滋病毒感染者戒烟的观点:一项定性研究。

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Poyani Bavishi, Dini Harsono, Colleen Mistler, David M Ledgerwood, Krysten W Bold, Keith Sigel, June Weiss, Jessica E Yager, Steven L Bernstein, E Jennifer Edelman
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引用次数: 0

摘要

应急管理(CM)是一种基于证据的行为策略,奖励包括戒烟在内的积极行为改变,但很少向吸烟的艾滋病毒感染者提供支持。在这项研究中,我们探讨了参与一项多地点随机临床试验的患者和研究人员的观点,该试验涉及临床药剂师在HIV诊所提供CM。在2023年2月至9月期间,我们对12名随机接受CM的PWH和一个由8名工作人员(即临床药师和研究协调员)组成的焦点小组进行了1:1的访谈。定性数据收集和分析以卫生服务研究实施促进行动(PARIHS)实施科学框架为基础,以了解与证据(关于戒烟CM的观点)、背景(艾滋病毒诊所)和促进(促进有效性和可持续性)相关的障碍和促进因素。关于证据,PWH和工作人员在CM方面的经验有限,并支持使用呼出的一氧化碳来促进问责。PWH和员工认为CM有助于增强内部动机,但在理想目标行为(即戒烟与减少)上存在差异。就背景而言,临床药剂师在艾滋病毒诊所提供烟草治疗被认为是有利的,对于最佳就诊时间表和远程CM的效用有不同的观点。在促进方面,PWH和研究人员讨论了增加参与者参与度和保留率的策略,例如结合行为咨询服务。PWH支持将CM应用于戒烟以外的人群和未感染艾滋病毒的人群。未来的努力应考虑扩大CM的使用,以戒烟和相关的健康行为为目标,并根据个人需求和目标调整干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perspectives on Clinical Pharmacist-Delivered Contingency Management to Promote Smoking Abstinence Among Individuals with HIV: A Qualitative Study.

Contingency management (CM), an evidence-based behavioral strategy that rewards positive behavior change including tobacco cessation, is rarely offered to support people with HIV (PWH) who smoke. In this study, we explored perspectives among patients and research staff engaged in a multi-site randomized clinical trial involving clinical pharmacist-delivered CM within HIV clinics. Between February and September 2023, we conducted 1:1 interviews with 12 PWH randomized to receive CM and one focus group with 8 staff (i.e., clinical pharmacists and research coordinators). Qualitative data collection and analysis were grounded in the Promoting Action on Research Implementation in Health Services (PARIHS) implementation science framework to understand barriers and facilitators related to evidence (perspectives on CM for smoking cessation), context (HIV clinics), and facilitation (promoting effectiveness and sustainability). Regarding evidence, PWH and staff had limited prior experience with CM and supported the use of exhaled carbon monoxide to promote accountability. PWH and staff thought CM was useful in bolstering internal motivation, but differed on ideal target behaviors (i.e., cessation vs. reduction). Regarding context, clinical pharmacist-delivered tobacco treatment within HIV clinics was viewed favorably, with mixed perspectives regarding optimal visit schedules and utility of remote CM. Regarding facilitation, PWH and research staff discussed strategies to increase participant engagement and retention such as incorporating behavioral counseling services. PWH endorsed application of CM beyond smoking cessation and for people without HIV. Future efforts should consider expanding the use of CM to target smoking cessation and related health behaviors and tailoring the intervention to individual needs and goals.

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来源期刊
AIDS and Behavior
AIDS and Behavior Multiple-
CiteScore
6.60
自引率
13.60%
发文量
382
期刊介绍: AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76
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