Optimizing Provider Preexposure Prophylaxis (PrEP) Training: A Cross-Sectional Analysis of Recommendations from Providers Across the PrEP Implementation Cascade.

Optimizing Provider Preexposure Prophylaxis (PrEP) Training: A Cross-Sectional Analysis of Recommendations from Providers Across the PrEP Implementation Cascade.
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DOI:
10.1007/s10461-021-03375-w
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发表时间:
2022-01
期刊:
影响因子:
4.4
通讯作者:
Calabrese SK
Calabrese SK
中科院分区:
医学2区
文献类型:
--
作者:
Rao S;Reed AE;Parchem B;Edelman EJ;Magnus M;Hansen NB;Kershaw TS;Earnshaw VA;Krakower DS;Dovidio JF;Mayer KH;Underhill K;Rosenberger JG;Ogburn DF;Betancourt JR;Calabrese SK

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扩大PrEP的可及性需要培训,以支持卫生保健提供者沿着PrEP实施级联的进展,从PrEP意识到处方。我们调查了359家美国供应商关于PrEP培训内容和格式的建议。我们研究了级联位置和训练建议之间的关系。大多数医疗服务提供者知晓PrEP(100%)、愿意开具PrEP(97.2%)、与患者讨论过PrEP(92.2%)、开具过PrEP(79.9%)。潜类回归分析显示,级联位置与训练建议相关。虽然所有的提供者都推荐prep特定的内容(例如,患者资格),但位于更深层次的提供者也推荐更全面的内容,包括性史记录和性和性别少数群体能力培训。进一步的提供者也更有可能推荐互动式培训形式(例如,角色扮演)。这些来自级联最远的提供者的见解表明,在未来的PrEP培训计划中包括全面内容和互动形式的重要性。在线版本包含补充材料,可在10.1007/s10461-021-03375-w获得。
Expanding PrEP access necessitates training that supports healthcare providers’ progression along the PrEP implementation cascade, moving from PrEP awareness to prescription. We surveyed 359 USA providers about PrEP training content and format recommendations. We examined the association between cascade location and training recommendations. Most providers were aware of PrEP (100%), willing to prescribe PrEP (97.2%), had discussed PrEP with patients (92.2%), and had prescribed PrEP (79.9%). Latent class regression analysis revealed that cascade location was associated with training recommendations. Although all providers recommended PrEP-specific content (e.g., patient eligibility), providers who were located further along the cascade also recommended more comprehensive content, including sexual history-taking and sexual and gender minority competence training. Providers further along the cascade were also more likely to recommend interactive training formats (e.g., role-playing). These insights from providers furthest along the cascade indicate the importance of including comprehensive content and interactive formats in future PrEP training initiatives. The online version contains supplementary material available at 10.1007/s10461-021-03375-w.
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