TY - JOUR AU - Hacking, Damian AU - Mgengwana-Mbakaza, Zodwa AU - Cassidy, Tali AU - Runeyi, Pumeza AU - Duran, Laura Trivino AU - Mathys, Ruth Henwood AU - Boulle, Andrew PY - 2019 DA - 2019/12/10 TI -通过手机为南非Khayelitsha诊所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JO - J Med Internet Res SP - e14012 VL - 21 IS - 12kw -青年KW -艾滋病毒KW -同伴影响KW -护理保留KW -移动电话KW -患者导航AB -背景:南非青年是艾滋病毒健康服务的不良利用者。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。学员增加了抗逆转录病毒启动(28/35,80% vs 30/70, 42%)和病毒载量完成(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. SN - 1438-8871 UR - //www.mybigtv.com/2019/12/e14012 UR - https://doi.org/10.2196/14012 UR - http://www.ncbi.nlm.nih.gov/pubmed/31821150 DO - 10.2196/14012 ID - info:doi/10.2196/14012 ER -