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首页> 外文期刊>AIDS care. >Assessing the need for an online decision-support tool to promote evidence-based practices of psychosocial counseling in HIV care.
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Assessing the need for an online decision-support tool to promote evidence-based practices of psychosocial counseling in HIV care.

机译：评估是否需要在线决策支持工具，以促进艾滋病护理中基于证据的社会心理咨询实践。

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Psychosocial counselors have a vital and challenging role in supporting persons living with HIV/AIDS (PLWH/A) to better manage their disease. However, gaps in training, education, and skills limit the effectiveness of counselors' efforts. We propose that the use of a decision-support tool for counselors at the point of care can support them in their work as well as help alleviate many training and practice gaps. Decision-support tools aimed at reducing knowledge and practice gaps are used extensively to assist clinical providers at the point of care; however, there is a need for decision-support tools designed specifically for HIV/AIDS counselors. To identify requirements for such a tool, we conducted a needs assessment through interviews of 19 HIV/AIDS clinic counselors who provide 20 or more hours per week of psychosocial support to PLWH/A. The assessment explored their education and training backgrounds, the extent to which evidence-based practices are implemented, and how a decision-support tool can support counselor work practices. Qualitative analysis was organized around seven main categories: counselor characteristics, patient characteristics, barriers, definitions of key concepts, use of guidelines, client assessments, and resources. The resulting coding schemes revealed knowledge and practice gaps among the interviewees, as well as barriers and challenges of counseling. Education and training background of the counseling staff varied widely. When asked to define five key concepts related to HIV counseling, 26-47% of respondents were unable to articulate an adequate definition. Less than half of the interviewees recalled sources of guidelines used in their work and specific models of care introduced during trainings. Interviews identified environmental barriers, language and literacy, patient education, and patient communication as the most prominent challenges to counseling work. The results from this study inform the need for and development of a decision-support tool to support the training and practices of HIV/AIDS counselors.
机译：社会心理咨询师在支持艾滋病毒/艾滋病患者（PLWH / A）更好地控制其疾病方面发挥着至关重要的挑战性作用。但是，培训，教育和技能方面的差距限制了辅导员努力的有效性。我们建议在护理时为辅导员使用决策支持工具可以为他们的工作提供支持，并有助于减轻许多培训和实践方面的差距。旨在减少知识和实践差距的决策支持工具被广泛用于在护理时为临床提供者提供帮助;但是，需要专门为艾滋病毒/艾滋病咨询师设计的决策支持工具。为了确定对这种工具的要求，我们通过采访了19名HIV / AIDS临床咨询员，对他们进行了需求评估，他们每周为PLWH / A提供20个小时或更长时间的社会心理支持。评估探讨了他们的教育和培训背景，实施循证实践的程度以及决策支持工具如何支持咨询师的工作实践。定性分析围绕七个主要类别进行组织：咨询员特征，患者特征，障碍，关键概念的定义，准则的使用，客户评估和资源。由此产生的编码方案揭示了受访者之间在知识和实践上的差距，以及咨询的障碍和挑战。辅导人员的教育和培训背景千差万别。当被要求定义与艾滋病毒咨询有关的五个关键概念时，有26-47％的受访者无法阐明适当的定义。不到一半的受访者回想起了他们在工作中使用的指导原则以及培训期间引入的特定护理模式。访谈将环境障碍，语言和素养，患者教育以及患者交流视为咨询工作中最突出的挑战。这项研究的结果表明，需要并开发一种决策支持工具来支持艾滋病毒/艾滋病咨询师的培训和实践。

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