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首页> 美国卫生研究院文献>Journal of the International AIDS Society >The Happy Teen programme: a holistic outpatient clinic‐based approach to prepare HIV‐infected youth for the transition from paediatric to adult medical care services in Thailand
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The Happy Teen programme: a holistic outpatient clinic‐based approach to prepare HIV‐infected youth for the transition from paediatric to adult medical care services in Thailand

机译：快乐青少年计划：基于整体门诊的方法为感染艾滋病毒的年轻人做好准备以使其从泰国的儿科服务向成人医疗服务过渡

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>Introduction: We developed an 18‐month Happy Teen 2 (HT2) programme comprised of a one‐day workshop, two half‐day sessions, and three individual sessions to prepare HIV‐infected youth for the transition from paediatric to adult HIV care services. We describe the programme and evaluate the change in youth's knowledge scores. >Methods: We implemented the HT2 programme among HIV‐infected Thai youth aged 14–22 years who were aware of their HIV status and receiving care at two hospitals in Bangkok (Siriraj Hospital, Queen Sirikit National Institute of Child Health [QSNICH]). Staff interviewed youth using a standardized questionnaire to assess HIV and health‐related knowledge at baseline and at 12 and 18 months while they participated in the programme. We examined factors associated with a composite knowledge score ≥95% at month 18 using logistic regression. >Results: During March 2014–July 2016, 192 of 245 (78%) eligible youth were interviewed at baseline. Of these, 161 (84%) returned for interviews at 12 and 18 months. Among the 161 youth, the median age was 17 years, 74 (46%) were female, and 99% were receiving antiretroviral treatment. The median composite score was 45% at baseline and increased to 82% at 12 months and 95% at 18 months (P < 0.001). The range of median knowledge scores for antiretroviral management, HIV monitoring, HIV services, and family planning significantly increased from baseline (range 0–75%) to (range 67–100%) at 12 months and to 100% at 18 months (P < 0.001). Almost all youth were able to describe education and career goals at 12 and 18 months compared to 75% at baseline. In multivariable analysis, a composite knowledge score at 18 months >95% was associated with education level >high school (aOR: 2.15, 95%CI, 1.03–4.48) and receipt care at QSNICH (aOR: 2.43, 95%CI, 1.18–4.98). Youth whose mother and father had died were less likely to have score ≥95% (aOR: 0.22, 95%CI, 0.07–0.67) than those with living parents. >Conclusions: Knowledge useful for a successful transition from paediatric to adult HIV care increased among youth participating in the HT2 programme. Youth follow‐up will continue to assess the impact of improved knowledge on outcomes following the transition to adult care services.
机译：>简介：我们制定了一个为期18个月的“快乐少年2（HT2）”计划，其中包括一个为期一天的研讨会，两个为期半天的会议以及三个单独的会议，以为受艾滋病毒感染的年轻人做好从过渡到过渡的准备儿科到成人HIV护理服务。我们描述该程序并评估青年知识得分的变化。 >方法：我们在曼谷的两家医院（Siriraj医院，诗丽吉王后国家儿童研究所的Siriraj医院，14岁至22岁的泰国年轻人）中实施了HT2计划，这些年轻人了解他们的艾滋病毒状况并接受了护理。健康[QSNICH]）。工作人员使用标准化的调查表采访了青年，以评估他们参加该计划时的基线以及在第12和18个月时与艾滋病毒和健康相关的知识。我们使用对数回归分析了在第18个月与综合知识得分≥95％相关的因素。 >结果：在2014年3月至2016年7月期间，对245名合格青年中的192名（78％）进行了基线访问。其中有161名（84％）在12和18个月后返回接受采访。在161名青年中，中位年龄为17岁，其中74名女性（46％）为女性，而99％接受抗逆转录病毒治疗。中位综合评分在基线时为45％，在12个月时增加到82％，在18个月时增加到95％（P <0.001）。抗逆转录病毒管理，HIV监测，HIV服务和计划生育的知识中位数得分范围从基线的（0％至75％）显着增加，在12个月时从（67％至100％的范围）增加到18个月时的100％（P <0.001）。几乎所有年轻人都能在12和18个月时描述其教育和职业目标，而基线时这一比例为75％。在多变量分析中，18个月大于95％的综合知识得分与教育水平>高中（aOR：2.15，95％CI，1.03-4.48）和QSNICH的收据护理（aOR：2.43，95％CI，1.18）相关。 –4.98）。母亲和父亲去世的年轻人比父母在世的年轻人得分≥95％（aOR：0.22，95％CI，0.07-0.67）的可能性更低。 >结论：参与HT2计划的年轻人中，对从儿科到成人HIV护理成功过渡有用的知识有所增加。在向成人护理服务过渡之后，青年的后续行动将继续评估知识水平提高对结局的影响。

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