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Design and integration of ethnography within an international behavior change HIV/sexually transmitted disease prevention trial.

机译:人种学的设计和在国际行为中的整合改变了艾滋病毒/性传播疾病的预防试验。

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OBJECTIVE: To use a common ethnographic study protocol across five countries to provide data to confirm social and risk settings and risk behaviors, develop the assessment instruments, tailor the intervention, design a process evaluation of the intervention, and design an understandable informed consent process. DESIGN: Methods determined best for capturing the core data elements were selected. Standards for data collection methods were established to enable comparable implementation of the ethnographic study across the five countries. METHODS: The methods selected were participant observation, focus groups, open-ended interviews, and social mapping. Standards included adhering to core data elements, number of participants, mode of data collection, type of data collection instrument, number of data collectors at each type of activity, duration of each type of activity, and type of informed consent administered. Sites had discretion in selecting which methods to use to obtain specific data. RESULTS: Theethnographic studies provided input to the Trial's methods for data collection, described social groups in the target communities, depicted sexual practices, and determined core opinion leader characteristics; thus providing information that drove the adaptation of the intervention and facilitated the selection of venues, behavioral outcomes, and community popular opinion leaders (C-POLs). CONCLUSION: The described rapid ethnographic approach worked well across the five countries, where findings allowed local adaptation of the intervention. When introducing the C-POL intervention in new areas, local non-governmental and governmental community and health workers can use this rapid ethnographic approach to identify the communities, social groups, messages, and C-POLs best suited for local implementation.
机译:目的:要在五个国家/地区使用共同的人种志研究协议,以提供数据以确认社会和风险状况以及风险行为,开发评估工具,定制干预措施,设计干预措施的流程评估以及设计可理解的知情同意程序。设计:选择最适合捕获核心数据元素的方法。建立了数据收集方法的标准,以使这五个国家的人种学研究可比较地实施。方法:选择的方法是参与者观察,焦点小组,不限成员名额访谈和社交地图。标准包括遵守核心数据元素,参与者数量,数据收集方式,数据收集工具的类型,每种活动类型的数据收集器数量,每种活动类型的持续时间以及所执行的知情同意的类型。网站可以自行选择使用哪种方法来获取特定数据。结果:人种学研究为该试验的数据收集方法提供了投入,描述了目标社区中的社会群体,描绘了性行为,并确定了核心意见领袖的特征。因此,提供的信息可推动干预措施的适应,并有助于选择场所,行为结果和社区民意领袖(C-POLs)。结论:所描述的快速人种志方法在五个国家中运作良好,这些国家的调查结果允许对干预措施进行局部调整。在新的地区引入C-POL干预措施时,当地的非政府和政府社区以及卫生工作者可以使用这种快速的人种志方法来确定最适合本地实施的社区,社会群体,信息和C-POL。

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