Andrew D Kerkhoff, Charles Muiruri, Elvin H Geng, Matthew D Hickey
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引用次数: 0
摘要
审查目的:尽管有效的 HIV 预防和治疗干预措施越来越多,但在不同环境下对这些措施的吸收和持续使用方面仍存在巨大差距。为了最大限度地提高现有和未来干预措施的效果,征求并应用患者和利益相关者的偏好至关重要。本综述总结了定量偏好激发方法(PEM)以及如何应用这些方法来改善艾滋病防治干预措施的实施和吸收:最近的研究结果:PEM 越来越多地应用于 HIV 实施研究中;然而,离散选择实验(DCE)一直占主导地位。除离散选择实验外,还有其他一些未得到充分利用的 PEM,可通过优先考虑个人参与的障碍,确定干预措施和实施策略的哪些属性最受重视,从而提高艾滋病防治干预措施在个人中的覆盖面和有效性。总结:更多地关注和采纳患者及利益相关者对 HIV 预防和治疗干预及其实施的偏好,有可能增加获得 HIV 预防和治疗服务的人数,并使更多的人留在这些服务中。
A world of choices: preference elicitation methods for improving the delivery and uptake of HIV prevention and treatment.
Purpose of review: Despite the growing availability of effective HIV prevention and treatment interventions, there are large gaps in their uptake and sustained use across settings. It is crucial to elicit and apply patients' and stakeholders' preferences to maximize the impact of existing and future interventions. This review summarizes quantitative preference elicitation methods (PEM) and how they can be applied to improve the delivery and uptake of HIV prevention and treatment interventions.
Recent findings: PEM are increasingly applied in HIV implementation research; however, discrete choice experiments (DCEs) have predominated. Beyond DCEs, there are other underutilized PEM that may improve the reach and effectiveness of HIV prevention and treatment interventions among individuals by prioritizing their barriers to engagement and determining which attributes of interventions and delivery strategies are most valued. PEM can also enhance the adoption and sustained implementation of strategies to deliver HIV prevention and treatment interventions by assessing which attributes are the most acceptable and appropriate to key stakeholders.
Summary: Greater attention to and incorporation of patient's and stakeholders' preferences for HIV prevention and treatment interventions and their delivery has the potential to increase the number of persons accessing and retained in HIV prevention and treatment services.
期刊介绍:
Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in HIV and AIDS features hand-picked review articles from our team of expert editors. With six disciplines published across the year – including HIV and ageing, a HIV vaccine, and epidemiology – every issue also contains annotated reference detailing the merits of the most important papers.