%0杂志文章%@ 1438- 8871% I JMIR出版物%V 21卡塔尔世界杯8强波胆分析% N 12% P e14012% T通过手机为南非卡耶利沙临床护理中新诊断的艾滋病毒阳性青年提供同伴指导:混合方法研究Hacking,Damian Mgengwana-Mbakaza,Zodwa Cassidy,Tali Runeyi,Pumeza Duran,Laura Trivino,A Mathys,Ruth Henwood,A Boulle,Andrew +无国界医生组织，行动中心布鲁塞尔，南非代表团，1楼Isivivana中心，8 Mzala街，卡耶利沙，7784，南非，27 213645490，damianuct@gmail.com %K青年%K艾滋病毒%K同伴影响%K护理保留%K手机%K患者导航%D 2019 %7 10.12.2019 %9原始论文%J J医学互联网Res %G英语%X背景:南非青年是艾滋病毒卫生服务的不良利用者。无国界医生组织一直在卡耶利沙的一家青年诊所试点适合年轻人的服务，包括2015年3月至2016年5月试点的通过手机开展的同伴虚拟导师项目。目的:本研究的目的是评估同伴指导计划对青少年参与艾滋病毒服务的影响，并探讨该计划对导师和学员的可接受性。方法:在参与虚拟导师计划的年轻人和两个匹配的对照组之间比较抗逆转录病毒启动、护理保留(RIC)和病毒载量抑制。还对5名导师和5名学员进行了深入访谈，以探讨该计划的可接受性和影响。结果:在研究期间，共有40名年轻人被招募到虚拟导师计划中。其中，获得35个数据，每个数据随机抽取2个匹配的对照。基线人口统计数据(如年龄、性别和CD4计数)无差异。 Mentees had increased antiretroviral initiation (28/35, 80% vs 30/70, 42% in matched controls) and viral load completion (28/35, 80% vs 32/70, 45%); however, no differences were found in viral load suppression or RIC at 6 or 12 months. Mentors reported being motivated to participate in the program because of previous personal struggles with HIV and a desire to help their peers. Mentees reported fears of disclosure and lack of acceptance of their status as barrier to accessing services, but they felt free to talk to their mentors, valued the mentorship program, and indicated a preference for phone calls. Conclusions: Peer mentorship in youths is acceptable to both mentors and mentees and appears to increase linkage to care and viral load completion rates. %M 31821150 %R 10.2196/14012 %U //www.mybigtv.com/2019/12/e14012 %U https://doi.org/10.2196/14012 %U http://www.ncbi.nlm.nih.gov/pubmed/31821150

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