'PrEP'ing Memphis: A qualitative process evaluation of peer navigation support.
'PrEP'ing Memphis: A qualitative process evaluation of peer navigation support.
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DOI：
10.1016/j.evalprogplan.2021.101989
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发表时间：
2022-02
影响因子：
1.6
通讯作者：
Brantley, Meredith
中科院分区：
文献类型：
--
作者：
Pichon, Latrice C.;Teti, Michelle;Betts, Joshua E.;Brantley, Meredith
HIV PrEP(暴露前预防)导航包括通过教育、联系和后续/持续参与来提高PrEP摄入量的干预策略。2016-2019年，田纳西州卫生部实施了一个由疾控中心资助的示范项目(“骄傲计划”)，重点是在孟菲斯社区组织(CBO)和谢尔比县卫生局(HD)进行PrEP导航。进行了一次程序评价，以确定推动实施孟菲斯Pride PrEP项目导航活动的促进者和障碍。共进行了14次深入的定性访谈，评估第一年(2018年)有9名PrEP导航员，评估第二年(2019年)有五名原始导航员，以利用专题分析了解导航过程。PrEP导航的促进者包括在测试活动中接触客户，陪同客户进行第一次预约，与患者和诊所工作人员建立融洽的关系，以及与客户保持一致的接触。阻碍PrEP导航的因素包括难以评估客户准备情况、跟踪客户导航状态以及诋毁客户的临床和社会体验。调查结果为在全州范围内扩大PrEP导航实施，以及为孟菲斯当地结束艾滋病毒流行(EHE)倡议设定优先事项和分配资源提供了信息。
HIV PrEP (pre-exposure prophylaxis) navigation comprises intervention strategies used to improve PrEP uptake via education, linkage, and follow-up/ongoing engagement. During 2016–2019, the Tennessee Department of Health (TDH) implemented a CDC-funded demonstration project (“Project PrIDE”) focused on PrEP navigation in Memphis community-based organizations (CBOs) and the Shelby County Health Department (HD). A process evaluation was conducted to determine facilitators and barriers to the implementation of the Memphis-based Project PrIDE PrEP navigation activities. A total of fourteen in-depth qualitative interviews were conducted, with nine PrEP navigators in evaluation year 1 (2018) and five of the original navigators in evaluation year 2 (2019), to understand the navigation processes using thematic analysis. Facilitators of PrEP navigation included accessing clients at testing events, accompanying clients to first appointments, rapport building with patient and clinic staff, and maintaining consistent engagement with clients. Factors impeding PrEP navigation included difficulties assessing client readiness, tracking client navigation status, and stigmatizing clinic and social experiences for clients. Findings have informed the scale-up of PrEP navigation implementation statewide, along with priority setting and resource allocation for the local Ending the HIV Epidemic (EHE) initiative in Memphis.
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DOI：
10.1097/qai.0000000000002274
发表时间：
2020-04-01
影响因子：
3.6
作者：
Pathela, Preeti;Jamison, Kelly;Borges, Christine
通讯作者：
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影响因子：
2.4
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DOI：
10.1177/2325958219848848
发表时间：
2019-01-01
影响因子：
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作者：
Doblecki-Lewis, Susanne;Butts, Stefani;Feaster, Daniel
通讯作者：
Feaster, Daniel
影响因子：
4.4
作者：
Brantley, Meredith L.;Rebeiro, Peter F.;Morrison, Melissa
通讯作者：
Morrison, Melissa