Using Motivational Interviewing to Increase PrEP Uptake Among Black Women at Risk for HIV: an Open Pilot Trial of MI-PrEP
Using Motivational Interviewing to Increase PrEP Uptake Among Black Women at Risk for HIV: an Open Pilot Trial of MI-PrEP
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DOI：
10.1007/s40615-020-00715-9
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发表时间：
2020-02-20
影响因子：
3.9
通讯作者：
Dale, Sannisha K.
中科院分区：
文献类型：
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作者：
Dale, Sannisha K.
在美国，黑人妇女是妇女中感染艾滋病毒的风险最高的。暴露前预防（PrEP）可预防艾滋病毒传播，但黑人妇女的接受率仍然很低。MI-PrEP进行了一项开放式试点试验，这是一种简短的文化定制干预措施，结合了动机访谈（MI）策略，以提高PrEP的吸收和动机。MI-PrEP是第一个为促进美国女性PrEP吸收而开发的行为干预措施。在佛罗里达州的迈阿密，10名符合资格标准的黑人妇女（例如，性伴侣感染艾滋病毒）。这些妇女参加了两次MI-PrEP和一个月的随访。参与者完成了PrEP（动机，吸收[通过医疗记录验证]，依从性和障碍），医疗不信任和离职面谈的措施。这些初步研究结果表明，可接受性和可行性，满意度高;增加PrEP吸收，知识和使用动机;减少PrEP障碍和医疗不信任。需要更多地关注可能受益于PrEP的黑人妇女的心理社会和结构因素。
Black women in the USA are at the highest risk among women for HIV. Pre-exposure prophylaxis (PrEP) prevents HIV transmission, but uptake among Black women remains low. An open pilot trial was conducted on MI-PrEP, a brief culturally tailored intervention incorporating motivational interviewing (MI) strategies to improve PrEP uptake and motivation. MI-PrEP is the first behavioral intervention developed to promote PrEP uptake among women in the USA. In Miami, FL, ten Black women who met eligibility criteria (e.g., sexual partner with HIV) were enrolled. These women participated in the two sessions of MI-PrEP and a 1-month follow-up. Participants completed measures on PrEP (motivation, uptake [verified via medical records], adherence, and barriers), medical mistrust, and an exit interview. These preliminary findings showed acceptability and feasibility with high satisfaction ratings; increases in PrEP uptake, knowledge, and motivation to use; and decreases in PrEP barriers and medical mistrust. Greater attention is needed on the psychosocial and structural factors among Black women who may benefit from PrEP.