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首页> 外文OA文献 >Understanding the Behavioral Determinants of Retention in HIV Care: A Qualitative Evaluation of the Situated Information, Motivation, Behavioral Skills model of Care Initiation and Maintenance
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Understanding the Behavioral Determinants of Retention in HIV Care: A Qualitative Evaluation of the Situated Information, Motivation, Behavioral Skills model of Care Initiation and Maintenance

机译：了解保留在艾滋病毒护理中的行为决定因素：对护理开始和维持的情境信息，动机，行为技能模型的定性评估

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摘要

The goal of this study is to identify the content and context of critical informational, motivational, and behavioral skills related facilitators and barriers influencing retention in HIV care in an inner-city clinic population receiving clinic- and outreach-based HIV care services. Elicitation of retention-relevant factors was guided by the Situated Information-Motivation-Behavioral Skills model of Care Initiation and Maintenance, using qualitative in-depth semi-structured interviews. Deductive and inductive content coding were used to identify important theory-based dynamics of retention in HIV care and to identify factors discussed as important to retention in HIV-care that were not well specified by the model. Participants’ experiences with retention in HIV care were well characterized by the proposed information, motivation, and behavioral skill model components. Findings indicate a need to attend to multiple determinants of self-directed care attendance, including information, motivation, and behavioral skills, as critical to sustaining retention in care over time. Contextual factors related to living with HIV including acceptance of diagnosis, HIV stigma and HIV-related physical and cognitive impairments; as well as those highly relevant to a marginalized inner-city population, such as care attendance and patient-provider relationships in the context of ongoing depression or active substance use additionally comprise aspects of these IMB-based determinants of retention in HIV care.
机译：这项研究的目的是确定与信息，动机和行为技能有关的关键信息的内容和背景，以及在接受基于诊所和外展服务的HIV护理服务的市中心诊所人口中，影响HIV护理存留的障碍。使用定性深入的半结构化访谈，通过护理发起和维持的“情境信息-动机-行为技能”模型指导保留相关因素的启发。演绎和归纳式内容编码用于确定重要的基于理论的HIV护理保留动力学，并确定模型中未明确说明的对HIV保留的重要讨论因素。参与者在保留HIV护理方面的经验通过建议的信息，动机和行为技能模型要素得到了很好的体现。研究结果表明，有必要参与多个自我指导式护理出勤率的决定因素，包括信息，动机和行为技能，这对于长期维持护理至关重要。与艾滋病毒感染者相关的背景因素，包括对诊断的接受程度，对艾滋病毒的污名和与艾滋病毒有关的身体和认知障碍；以及与边缘化的城市人口高度相关的人群，例如在持续抑郁或使用活性物质的情况下的护理出勤率和患者与提供者的关系，还包括这些基于IMB的HIV护理保持率决定因素。

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    Smith, Laramie;

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  • 年度 2011
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