@文章{info:doi/10.2196/32899,作者="Rosenberg, Nora Ellen和Tembo, Tapiwa A和Simon, Katherine R和Mollan, Katie和Rutstein, Sarah E和Mwapasa, Victor和Masiano, Steven和Huffstetler, Hanna E和Go, Vivian和Kim, Maria H",标题="开发一种混合学习方法,在马拉维提供艾滋病毒协助接触者追踪:“应用理论与形成研究”,期刊=“JMIR Form Res”,年=“2022”,月=“四月”,日=“19”,卷=“6”,数=“4”,页=“e32899”,关键词=“HIV;在线学习;数码学习;混合式学习;数字;接触者追踪;协助伙伴服务”,摘要=“背景:尽管在实现联合国艾滋病毒/艾滋病联合规划署的“95-95-95”目标方面取得了进展(检测艾滋病毒阳性的人95%{\%},接受治疗的人95%{\%},接受治疗的人95%{\%}),但在实现第一个95{\%}目标方面仍有差距。协助接触者追踪(ACT),即卫生工作者支持艾滋病毒阳性指数客户招募其接触者(性伴侣和儿童)进行艾滋病毒检测,有效地确定需要治疗的艾滋病毒阳性患者。尽管包括马拉维在内的许多国家已经开始实施以青蒿素为基础的联合疗法,但常规环境中的检测结果比试验环境中的结果更差。 Objective: The aim of this paper is to use formative research and frameworks to develop and digitize an implementation package to bridge the gap between ACT research and practice. Methods: Semistructured qualitative research was conducted in 2019 in Malawi with key informants. Barriers and facilitators to intervention delivery were identified using the Consolidated Framework for Implementation Research. Approaches to digitization were examined using human-centered design principles. Results: Limited clinic coordination and health worker capacity to address the complexities of ACT were identified as barriers. Ongoing individual training consisting of learning, observing, practicing, and receiving feedback, as well as group problem-solving were identified as facilitators. Important features of digitization included (1) culturally relevant visual content, (2) capability of offline use, and (3) simple designs and basic editing to keep costs low. Conclusions: Formative research and frameworks played a key role in designing and digitizing an implementation package for ACT delivery in a low-income setting such as Malawi. ", issn="2561-326X", doi="10.2196/32899", url="https://formative.www.mybigtv.com/2022/4/e32899", url="https://doi.org/10.2196/32899", url="http://www.ncbi.nlm.nih.gov/pubmed/35438644" }
Baidu
map