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已发表论文
一项针对医疗保健专业人员的健康教育清单开发研究：确保新诊断的年轻艾滋病病毒感染者治疗依从性的德尔菲研究
Authors Chen M , Wang Y, Jiang L, Chen T, Song X, Tian M , Chen Y, Tang J
Received 28 May 2025
Accepted for publication 4 September 2025
Published 12 September 2025 Volume 2025:19 Pages 2873—2885
DOI https://doi.org/10.2147/PPA.S543312
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Johnny Chen
Meishan Chen,1,* Yi Wang,2,* Liwen Jiang,1 Tingting Chen,3 Xiaoyu Song,2 Min Tian,4 Yanhua Chen,5 Jian Tang6
1School of Nursing, Southwest Medical University, Luzhou, People’s Republic of China; 2Department of Operating Room, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China; 3Department of Intensive Care Unit, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China; 4Department of Orthopedics, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China; 5Department of Nursing, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China; 6Department of Infectious Diseases, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jian Tang, Department of Infectious Diseases, The Affiliated Hospital, Southwest Medical University, Luzhou, 646000, People’s Republic of China, Tel +86 18508305211, Email tangjian034@swmu.edu.cn
Background: Young people living with HIV (YLWH) are a key population in global HIV prevention and control. YLWH often shows poor adherence to antiretroviral therapy (ART), with poor medication adherence, delayed initiation and frequent treatment interruption. This study aimed to develop a theory-based health education checklist to support ART adherence among newly diagnosed YLWH.
Methods: An initial pool of 41 items was generated through a literature review and the Protection Motivation Theory (PMT) framework, covering ART knowledge, coping strategies, psychosocial support, and behavioral skills. A structured health education checklist was then designed and refined through expert panel discussions and the Delphi method. Between November 2024 and January 2025, 17 experts from seven provinces in China participated in a two-round Delphi consultation. Experts assessed and revised the scientific rigor, importance, and feasibility of the proposed checklist. The expert authority coefficient and Kendall’s coefficient of concordance were calculated to evaluate the consistency of expert opinions, leading to the development of a standardized checklist.
Results: The final checklist comprises 5 primary indicators, 10 secondary indicators, and 32 tertiary indicators. The expert authority coefficients for the two Delphi rounds were 0.867 and 0.905, respectively, the Kendall’s coefficients of concordance were 0.621 and 0.716 (P < 0.001). The expert participation rates were 100% in the first round and 94.12% in the second round.
Conclusion: The health education checklist developed in this study demonstrates high scientific rigor and feasibility. It provides healthcare professionals with a structured tool to guide health education, which may support both short-term and long-term ART adherence among YLWH.
Keywords: health education, newly diagnosed, young people with HIV, Delphi method
1School of Nursing, Southwest Medical University, Luzhou, People’s Republic of China; 2Department of Operating Room, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China; 3Department of Intensive Care Unit, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China; 4Department of Orthopedics, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China; 5Department of Nursing, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China; 6Department of Infectious Diseases, The Affiliated Hospital, Southwest Medical University, Luzhou, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Jian Tang, Department of Infectious Diseases, The Affiliated Hospital, Southwest Medical University, Luzhou, 646000, People’s Republic of China, Tel +86 18508305211, Email tangjian034@swmu.edu.cn
Background: Young people living with HIV (YLWH) are a key population in global HIV prevention and control. YLWH often shows poor adherence to antiretroviral therapy (ART), with poor medication adherence, delayed initiation and frequent treatment interruption. This study aimed to develop a theory-based health education checklist to support ART adherence among newly diagnosed YLWH.
Methods: An initial pool of 41 items was generated through a literature review and the Protection Motivation Theory (PMT) framework, covering ART knowledge, coping strategies, psychosocial support, and behavioral skills. A structured health education checklist was then designed and refined through expert panel discussions and the Delphi method. Between November 2024 and January 2025, 17 experts from seven provinces in China participated in a two-round Delphi consultation. Experts assessed and revised the scientific rigor, importance, and feasibility of the proposed checklist. The expert authority coefficient and Kendall’s coefficient of concordance were calculated to evaluate the consistency of expert opinions, leading to the development of a standardized checklist.
Results: The final checklist comprises 5 primary indicators, 10 secondary indicators, and 32 tertiary indicators. The expert authority coefficients for the two Delphi rounds were 0.867 and 0.905, respectively, the Kendall’s coefficients of concordance were 0.621 and 0.716 (P < 0.001). The expert participation rates were 100% in the first round and 94.12% in the second round.
Conclusion: The health education checklist developed in this study demonstrates high scientific rigor and feasibility. It provides healthcare professionals with a structured tool to guide health education, which may support both short-term and long-term ART adherence among YLWH.
Keywords: health education, newly diagnosed, young people with HIV, Delphi method