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首页> 外文期刊>Journal of substance abuse treatment >How patient navigators view the use of financial incentives to influence study involvement, substance use, and HIV treatment
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How patient navigators view the use of financial incentives to influence study involvement, substance use, and HIV treatment

机译：患者导航员如何观察使用财务激励措施来影响研究受累，物质和艾滋病毒治疗

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Background and aimsWhile patient navigation has been shown to be an effective approach for linking persons to HIV care, and contingency management is effective at improving substance use-related outcomes, Project HOPE combined these two interventions in a novel way to engage HIV-positive patients with HIV and substance use treatment. The aims of this paper are to examine patient navigator views regarding how contingency management interacted with and affected their navigation process. DesignSemi-structured qualitative interviews. Participants22 patient navigators from the original 10 Project HOPE study sites. MeasurementsIndividual, semi-structured interviews lasting approximately 60?min addressed the patient navigator's professional background, descriptions of the participant population, substance use disorder versus HIV treatment entry and engagement issues, and the use of contingency management within the navigation service delivery protocol. FindingsPatient navigators believed that financial incentives helped motivate participant attendance at navigation sessions, particularly early in study involvement, which helped them to establish rapport and develop relationships with participants. Patient navigators often noted that financial incentives positively influenced targeted HIV health-related behaviors, such as attending medical appointments, which provided a rapid pay-off with an escalating sum. Contingency management was more complex when used by the patient navigators for substance use-related behaviors, particularly when incentives revolved around negative urine screening. Patient navigators noted that not all participants responded the same way to the contingency management and that the incentives were particularly helpful when participants were financially strained with limited resources or when internal motivation was lacking. ConclusionsOverall patient navigators found the inclusion of contingency management to be helpful and affective at influencing participant behaviors, particularly concerning navigation session attendance and HIV healthcare-related participation. However, issues and concerns surrounding the inclusion of contingency management for drug-related behaviors as delivered in Project HOPE were noted.Clinical Trials Registration:NCT01612169.
机译：背景和AIMSWHILLILE患者导航已被证明是将人与艾滋病毒护理人员联系起来的有效方法，并且应急管理在改善物质使用相关的结果方面有效，项目希望以一种新的方式与艾滋病毒阳性患者接触艾滋病毒阳性患者艾滋病毒和物质使用治疗。本文的目的是审查有关患者导航员的意见，了解应急管理如何与其导航过程相互作用。设计中结构化的定性访谈。与原始10个项目的患者导航员希望研究网站。衡量标准，半结构化访谈持续大约60？分钟致辞患者导航员的专业背景，参与者人口的描述，物质使用障碍与艾滋病毒治疗进入和参与问题，以及在导航服务交付协议内使用应急管理。发现百分表导航员认为，金融激励有助于激励参与者出席导航会议，特别是在学习参与早期，这有助于他们建立与参与者的关系和发展关系。患者导航员常常指出，金融激励积极影响有针对性的艾滋病毒健康状况的行为，例如参加医疗任命，该行为提供了升级和升级的速度。当患者导航器用于物质使用相关行为时，应急管理更复杂，特别是当激励围绕阴性尿液筛查时。患者导航员指出，并非所有参与者都以与应急管理的相同方式回应，并且当参与者因资源有限或缺乏内部动机时，当参与者进行财务紧张时，激励措施特别有用。结论oversoverall患者导航员发现包含应急管理人员在影响参与者行为方面有助于和情感，特别是有关导航会话出勤和与艾滋病毒医疗保健相关的参与。但是，注意到，在项目希望中纳入毒品相关行为的情况下，周围的问题和疑虑被指出。临床试验登记：NCT01612169。

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