交流行动对成功的艾滋病响应性结构化同伴教育的重要性

Argyo Dermatoto, S. Zunariyah, Bhisma Murti
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摘要

同伴教育是改变艾滋病健康行为的干预活动之一。研究的目的是研究交流行动对家庭主妇成功的有组织的艾滋病响应同伴教育的重要性。这项采用探索性方法的定性研究是在印度尼西亚的苏拉arta进行的,采用非参与性观察、文件和对感染或未感染艾滋病毒的家庭主妇的深入访谈,这些家庭主妇是艾滋病克服方案的同伴教育者和目标,也是卫生服务、苏拉arta艾滋病委员会、Spek HAM非政府组织和Solo Plus同伴支持小组。数据分析采用哈贝马斯交往行为理论的互动分析模型进行。研究结果显示,接受同伴教育的家庭主妇对艾滋病的认识、态度和行为都有所提高。家庭主妇艾滋病响应性结构化同伴教育的成功与否取决于以下几个条件:同伴教育者应了解项目的目标,致力于实现目标,考虑项目运行的需要,能够解决可能出现的问题,具有知识性、可信度和有效监督艾滋病战胜的能力。同伴教育者、同伴促进者和同伴接触者需要在人际沟通技巧和公共演讲方面的培训,以及强化的监督支持。Keywords-AIDS克服;交际行动;家庭主妇;同伴教育;结构化
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The Importance of Communicative Action to the Successful AIDS-Responsive Structured Peer Education
Peer education is one of intervention activities to change health behavior in coping with AIDS. The objective of research was to study the importance of communicative action to the successful AIDS-responsive structured peer education of housewives. This qualitative research with exploratory approach was taken place in Surakarta, Indonesia, using non-participatory observation, documentation, and in-depth interview with housewives, either infected or not infected with HIV, as peer educator and target of AIDS overcoming program, also Health Service, Surakarta AIDS Commission, Spek HAM NGO and Solo Plus Peer Support Group. Data analysis was conducted using an interactive model of analysis with Habermas communicative action theory. The result of research showed improved knowledge, positive attitude and behavior of housewives having gotten peer education about AIDS overcoming. The successful AIDS-responsive structured peer education for housewives was determined by some conditions: peer educator should understand the goal of program, be committed to the objective to be achieved, consider the need of program running, and be able to solve problem likely occurring, be informative, have credibility and supervise AIDS overcoming effectively. Peer educator, peer promoter and peer contact needed training in the terms of interpersonal communication skill and public speaking, and intensive supervision support. Keywords—AIDS overcoming; communicative action; housewives; peer education; structured
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