• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Global health research and policy. >Experiences with a violence and mental health safety protocol for a randomized controlled trial to support youth living with HIV
【24h】

Experiences with a violence and mental health safety protocol for a randomized controlled trial to support youth living with HIV

机译：对随机对照审判的暴力和心理健康安全方案的经验，以支持艾滋病毒的青年

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND:Safety protocols are an essential component of studies addressing violence and mental health but are rarely described in the published literature from Sub-Saharan Africa. We designed and implemented a safety protocol within Project YES! (Youth Engaging for Success), which enrolled 276 youth living with HIV (ages 15-24?years) in a randomized controlled trial of a peer-mentoring intervention across four HIV clinics in Ndola, Zambia.METHODS:Youth who reported severe violence and/or suicidal thoughts on research surveys or during meetings with youth peer mentors (YPM) were referred to designated healthcare providers (HCP). We explored experiences with the safety protocol using: a) monitoring data of referrals, and b) in-depth interviews with youth (n?=?82), HCP (n?=?10), YPM (n?=?8), and staff (n?=?6). Descriptive statistics were generated and thematic analysis of coded transcripts and written memos performed.RESULTS:Nearly half of youth enrolled (48% of females, 41% of males) were referred to a HCP at least once. The first referral was most often for sexual violence (35%) and/or suicidal ideation/depression (29%). All referred youth aged 15-17?years and over 80% of referred youth aged 18?+?agreed to see a HCP. HCP referred 15% for additional services outside the clinic. Twenty-nine youth, all HCP, all YPM, and all staff interviewed discussed the safety protocol. Most youth felt "encouraged," "helped," "unburdened," and "relieved" by their meetings with HCP; some expressed concerns about meeting with HCP. The safety protocol helped HCP recognize the need to integrate care for violence and mental health with medication adherence support. HCP, YPM, and study staff raised implementation challenges, including youth choosing not to open up to HCP, time and resource constraints, deficiencies in HCP training, and stigma and cultural norms inhibiting referrals outside the clinic for emotional trauma and mental health.CONCLUSIONS:Implementing a safety protocol within an HIV clinic-based research study is possible and beneficial for youth and HCP alike. Implementation challenges underscore that HCP in Zambia work in over-stretched healthcare systems. Innovative strategies must address deficiencies in training and resources within HIV clinics and gaps in coordination across services to meet the overwhelming need for violence and mental health services among youth living with HIV.? 2021. The Author(s).
机译：背景：安全方案是解决暴力和心理健康的研究的重要组成部分，但很少在撒哈拉以南非洲公布的文献中描述。我们在项目中设计和实施了安全协议是的！ （FOURG FALLAGE成功），聘请276名青少年与艾滋病毒（15-24岁以下）生活在诺尔拉，赞比亚四个艾滋病毒诊所的同伴诊所的对同伴诊所的随机对照试验中。 /或对研究调查或与青年同伴导师（YPM）的会议进行的自杀思考被称为指定的医疗保健提供者（HCP）。我们探讨了安全协议的经验：a）监测推荐数据，b）与青年进行深入访谈（n？=？82），hcp（n？=？10），ypm（n？=？8）和工作人员（n？=？6）。生成描述性统计数据并对编码的成绩单和书面备忘录进行了专题分析。结果：近一半的青少年（占女性48％，41％的男性）至少被称为HCP。第一个转诊是最常见的性暴力（35％）和/或自杀式思想/抑郁（29％）。所有推荐的青年年龄在15-17岁以下？年龄超过80％以上18岁的18岁？+？同意查看HCP。 HCP在诊所以外的附加服务推荐15％。二十九岁的青年，所有HCP，所有ypm和所有采访的员工都讨论了安全方案。大多数青年觉得“鼓励”，“帮助，”并通过与HCP的会晤“起诉”和“减轻了”;有些人对与HCP会面的担忧表示担忧。安全协议有助于卫生委员会认识到需要使用药物依从性支持的暴力和心理健康的需要。 HCP，YPM和研究人员提高了实施挑战，包括青年选择不开放HCP，时间和资源限制，HCP培训的缺陷，抑制临床外的引发，用于情绪创伤和心理健康.Conclusions：在艾滋病病毒诊所的研究中实施安全方案是可能的，有利于青年和HCP。实施挑战强调了赞比亚中的HCP在过度拉伸的医疗保健系统中工作。创新战略必须解决艾滋病毒诊所培训和资源的缺陷，并在跨越服务协调方面的差距，以满足艾滋病毒青年中青年中暴力和心理健康服务的压倒性需求。 2021.作者。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号