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首页> 外文期刊>AIDS care. >Developing and piloting an expert system for better routine voluntary HIV counseling and testing in China: preliminary results and lessons.
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Developing and piloting an expert system for better routine voluntary HIV counseling and testing in China: preliminary results and lessons.

机译：在中国建立并试点专家系统，以更好地进行常规的自愿性HIV咨询和检测：初步结果和经验教训。

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This study aims at developing and testing a pragmatic expert system for HIV voluntary counseling (VCT-ES) that leverages best practices. The VCT-ES was developed via evolutionary prototyping and piloted in 10 voluntary HIV counseling and testing (VCT) clinics from Anhui and Beijing representative of prefecture and county level VCT clinics in China. All counselors with the clinics and the clients to the clinics within selected two weeks at baseline and the end of study were invited to participate. Assessment measures included essential counseling procedures (ECPs); clients' satisfaction, knowledge, and behavior efficacy. VCT-ES was developed which tries to model and facilitate standard VCT operation procedures and best practices. One hundred and eighty-two (96 at baseline vs. 86 after intervention) cases recordings, 172 (96 vs. 76) client questionnaires, 10 counselor, and 2 expert rating instruments were collected; and 17 clients and 8 counselors participated in qualitative interviews. VCT-ES increased delivery of ECPs from 18.94% to 66.39% on average; increased clients' knowledge from 40.51% to 86.34% and self-efficacy by 22.42%. The VCT-ES applications listed were rated 9.1 on average (maximum = 10). The VCT-ES could be an easy and effective solution to better routine VCT and merits further research.
机译：这项研究旨在开发和测试一个利用最佳实践的艾滋病自愿咨询（VCT-ES）的实用专家系统。 VCT-ES是通过进化原型开发的，并在安徽和北京的10个自愿性HIV咨询和检测（VCT）诊所中进行了试点，这些代表来自中国的地级和县级VCT诊所。邀请所有在基线和研究结束后两周内与诊所和诊所客户有联系的顾问。评估措施包括基本咨询程序（ECP）;客户的满意度，知识和行为效果。 VCT-ES的开发旨在尝试建模和促进标准VCT操作程序和最佳实践。收集了182个案例记录（基线为96个，干预后为86个），记录了172个（96个与76个）客户问卷，10个顾问和2个专家评分工具。 17名客户和8名顾问参加了定性访谈。 VCT-ES将ECP的投放量平均从18.94％提高到66.39％;使客户的知识从40.51％增加到86.34％，自我效能提高了22.42％。列出的VCT-ES应用程序的平均评分为9.1（最大= 10）。 VCT-ES可能是更好的常规VCT的简单有效的解决方案，值得进一步研究。

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