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PrEP Implementation Tailored for Mississippi Community Health Clinics

为密西西比州社区健康诊所量身定制的 PrEP 实施

基本信息

批准号：
10209055
负责人：
LARRY K BROWN
金额：
$ 50.85万
依托单位：
RHODE ISLAND HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-07-20 至 2022-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10209055
关键词：
AIDS prevention Adherence Administrative Supplement Clinic Collaborations Communities Community Health Community Health Networks Community Health Services Data Epidemic Focus Groups Future Geographic Locations HIV Health Human immunodeficiency virus test Intervention Interview Manuals Medical Medical center Methods Mississippi Needs Assessment Neighborhood Health Center Outcome Patients Primary Health Care Procedures Protocols documentation Provider Research Risk Running Services Telemedicine Testing Training Underserved Population Uninsured United States Health Resources and Services Administration Universities base experience formative assessment health care service health care service organization health care settings implementation science implementation strategy improved member parent grant pre-exposure prophylaxis prevention service sexual minority transmission process young adult

项目摘要

Administrative Supplement Abstract: This proposed project will extend our ongoing implementation science research in telemedicine for PrEP in non-medical community-based organizations (CBOs) by forming new partnerships with the Aaron E. Henry Community Health Services Center (Aaron Henry) and the Jackson - Hinds Comprehensive Health Center (Jackson - Hinds). These Centers, with their many community health clinics (CHCs), provide primary health care services to poor, uninsured, and under-served population in the state. This research will expand PrEP and HIV prevention services to decrease the risk for HIV transmission in geographic locations identified by the Ending the HIV Epidemic initiative. There is considerable data on methods and strategies (e.g. telemedicine, PrEP navigators, provider training) to successfully increase use of PrEP, but little information on how these methods should be selected and tailored for CHCs. Effective expansion of PrEP services requires careful assessment of the needs, staff, and context of the relevant healthcare organization. Fortunately, Implementation Science (IS) provides the framework needed for the successful implementation of PrEP at CHCs. This project is a natural extension of ongoing, collaborations at the University of Mississippi Medical Center (UMMC), the Mississippi Department of Health, and CBOs. Our team has experience developing and testing interventions to improve engagement and adherence to PrEP and other relevant HIV projects among adults, youth, and sexual minorities. Importantly, the parent grant, “Telemedicine for PrEP throughout Mississippi: Tele-PrEP-MS” (R34 MH115744, mPIs: Brown & Mena) has provided us with experience in using an IS framework to collect formative interview data, tailor protocols, deliver trainings, provide ongoing technical assistance, and assess the outcomes of a PrEP implementation intervention. However, this experience has been in non-medical community-based organizations that do HIV testing, and not in CHCs like those run by the Aaron Henry and Jackson - Hinds centers. This project will allow for the greatly needed expansion of PrEP services to CHCs that deliver primary care in MS, and we will utilize best scientific practices to guide this expansion.

摘要：本项目将拓展我们正在进行的实施科学