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The community popular opinion leader HIV prevention programme: conceptual basis and intervention procedures.

机译:社区民意领袖艾滋病毒预防计划:概念基础和干预程序。

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OBJECTIVE: To describe the community popular opinion leader (C-POL) intervention employed in the NIMH Collaborative HIV/STD Prevention Trial, including its theoretical, conceptual, and empirical basis, intervention procedures and methods, core elements, and how its content was culturally tailored to address the needs of varied populations. DESIGN: The programme is designed to identify, recruit, train, and intensively engage C-POLs of a target population to convey HIV risk reduction messages to people in their communities, with the intention of reducing high-risk behavior at a population level. METHODS: Based on the diffusion of innovation theory, the intervention identified, trained, and engaged C-POL within a high-risk community population to advocate, recommend, and endorse the importance of safer behavior to other members of the same population. Nine core elements of the intervention are discussed. Data collected during rapid ethnography were used to adapt the content of the intervention for food market owners and workers in China, male patrons of wine shops and at-risk women congregating nearby in India, young people in social gathering venues in Peruvian barrios, dormitory students in Russia, and people congregating in commercial areas of growth points in Zimbabwe. RESULTS: The C-POL intervention model taps into community strengths, altruism, and people's desire to do something to help fight against AIDS. With few exceptions, C-POLs participated enthusiastically in the training sessions and reported having conversations in the community. CONCLUSION: Rapid ethnography can be used to tailor an intervention to diverse settings while maintaining fidelity to the core elements of the intervention.
机译:目的:描述在NIMH HIV / STD预防性合作试验中采用的社区民意领袖(C-POL)干预措施,包括其理论,概念和经验基础,干预程序和方法,核心要素以及其内容在文化上的影响为满足不同人群的需求而量身定制。设计:该计划旨在识别,招募,培训和深入参与目标人群的C-POL,以向其社区中的人们传达减少HIV风险的信息,以期在人群水平上减少高风险行为。方法:基于创新理论的传播,干预措施在高风险社区人群中识别,培训和参与了C-POL,以提倡,推荐和认可安全行为对同一人群中其他成员的重要性。讨论了干预的九个核心要素。快速人种学期间收集的数据用于调整干预的内容,以适应中国食品市场的所有者和工人,印度附近葡萄酒店的男性顾客和高危妇女,秘鲁巴里奥斯的社会聚会场所的年轻人,宿舍学生在俄罗斯,人们聚集在津巴布韦增长点的商业区。结果:C-POL干预模型充分利用了社区的优势,利他主义和人们渴望做某事来对抗艾滋病的愿望。除少数例外,C-POLs热情地参加了培训课程,并报告了在社区中进行的交谈。结论:快速的人种志学可用于使干预措施适应不同的环境,同时保持对干预措施核心要素的忠诚。

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