PrEP Pro: Adapting a multi-component intervention to train and support providers to promote PrEP for adolescent girls and young women in the Deep South
PrEP Pro:采用多成分干预措施来培训和支持提供者,以促进南部腹地少女和年轻女性的 PrEP
基本信息
- 批准号:10469666
- 负责人:
- 金额:$ 22.28万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2021
- 资助国家:美国
- 起止时间:2021-08-13 至 2024-06-30
- 项目状态:已结题
- 来源:
- 关键词:Acquired Immunodeficiency SyndromeAdministratorAdolescentAdultAfrican AmericanAlabamaAnti-Retroviral AgentsAttitudeBehaviorBehavioral ModelBlack PopulationsBlack raceCaringClientClinicCollaborationsCommunitiesConsolidated Framework for Implementation ResearchDataDeep SouthEducationEducational CurriculumEnrollmentEpidemicEpidemiologyEventEvidence based interventionFamily PracticeFeedbackFemaleFemale AdolescentsFocus GroupsFundingFutureGenderHIVHIV InfectionsHIV-infected adolescentsHIV/STDHealth Knowledge Attitudes PracticeHealth PersonnelHealth Services AccessibilityHealth Services ResearchHigh Risk WomanHybridsIncidenceInfectionInsuranceInterventionInterviewKnowledgeMeasuresMedical EducationMethodsMotivationOralOutcomeParticipantPatternPersonsPharmaceutical PreparationsPhysiciansPolicy MakerPopulationPositioning AttributePrimary Health CareProviderQualitative MethodsRecording of previous eventsResearchRiskRoleRuralScienceScientistScreening procedureSexual HealthSexual TransmissionSexualitySurveysTechniquesTenofovirTestingTimeTrainingTraining ProgramsTraining SupportUnited States National Institutes of HealthWomanWorkacceptability and feasibilityadolescent healthbasebehavior changecare providerscis-femalecisgenderclinical carecommunity engaged researcheffectiveness implementation studyeffectiveness implementation trialevidence basefamily supportformative assessmentimplementation determinantsimprovedintervention mappingmenmulti-component interventionpeer supportpilot testpilot trialpost interventionpre-exposure prophylaxisprimary outcomeprovider behaviorprovider interventionresearch and developmentrisk perceptionrural familiesrural healthcarescreeningskillssocial stigmatherapy developmenttooluptakeyoung woman
项目摘要
Narrative/Abstract
Black adolescent girls and young women (AGYW) are at high-risk for HIV acquisition. Antiretroviral
medication for pre-exposure prophylaxis (PrEP) is an effective, female-controlled strategy to dramatically
reduce HIV-acquisition risk, but uptake is low. With funding from an Ending the HIV Epidemic (EtHE)
supplement to the UAB Center for AIDS Research, we surveyed and interviewed health care providers working
in Alabama. Our data suggest that providers do not consider prescribing PrEP to Black AGYW. Important
barriers include client, provider, and community stigma around sexuality, challenges of obtaining a sexual
history, limited training on PrEP indications and management, and structural limitations related to insurance.
Using the Intervention Mapping, and the Capability-Opportunity-Motivation-Behavior model for
behavioral change, we propose to adapt evidence-based curriculum on HIV epidemiology, PrEP indications
and efficacy; skills building and client-facing tools for obtaining sexual histories; and provider PrEP Champions
to create a multi-component context-specific provider intervention, PrEP-Pro. In Aim 1, we will adapt PrEP-Pro
to Family Medicine trainees due to their role in caring for adolescents at stages of transition and substantial
contributions to rural healthcare. We focus on residents in training to leverage trainee mindset and energy
while seeding the Family Medicine workforce with PrEP informed providers. We will convene an advisory board
of providers, PrEP Champions, AGYW, and clinic administrators to adapt existing content to the local context.
We will solicit feedback on PrEP-Pro content from providers and AGYW through focus group discussions. In
Aim 2, we will pre-test the adapted PrEP-Pro content with up to 12 Family Medicine residents and 2 PrEP
Champions in rural and urban AL and further hone PrEP-Pro based on their feedback via surveys and in-depth
interviews. We will then conduct an open pilot with 60 Family Medicine residents. Primary pilot outcomes are
acceptability and feasibility. We will also measure PrEP knowledge and attitudes as well as PrEP prescribing
patterns and HIV/STI testing in the 6-month periods pre- and post-intervention. In Aim 3 we will elucidate
determinants to PrEP-Pro implementation by conducting in-depth interviews with providers, AGYW, and other
key stakeholders, reviewing findings with our CAB, and seeking additional input through dissemination events
to inform a future hybrid effectiveness/implementation trial.
With expertise in adolescent health, sexual health, adult medical education, PrEP, qualitative methods,
community-engaged research, and intervention development and a team led by women and African-American
clinician-scientists who work, live, teach, and provide care in the Deep South, we are well-positioned to
complete the proposed science, disseminate information to key stakeholders and policy makers, and apply
these data to inform interventions to mitigate HIV for AGYW in the Deep South.
叙述/文摘
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Latesha Ellen Elopre其他文献
Latesha Ellen Elopre的其他文献
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{{ truncateString('Latesha Ellen Elopre', 18)}}的其他基金
CAMELLIA Cohort: A longitudinal study to understand sexual health and prevention among women in Alabama
CAMELLIA 队列:一项了解阿拉巴马州女性性健康和预防的纵向研究
- 批准号:
10701932 - 财政年份:2022
- 资助金额:
$ 22.28万 - 项目类别:
CAMELLIA Cohort: A longitudinal study to understand sexual health and prevention among women in Alabama
CAMELLIA 队列:一项了解阿拉巴马州女性性健康和预防的纵向研究
- 批准号:
10538855 - 财政年份:2022
- 资助金额:
$ 22.28万 - 项目类别:
PrEP US NoW: PrEP Utilization Through Increasing Social Capital Among YBMSM Networks with Women
PrEP 现在美国:通过增加 YBMSM 女性网络中的社会资本来利用 PrEP
- 批准号:
10325097 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
PrEP Pro: Adapting a multi-component intervention to train and support providers to promote PrEP for adolescent girls and young women in the Deep South
PrEP Pro:采用多成分干预措施来培训和支持提供者,以促进南部腹地少女和年轻女性的 PrEP
- 批准号:
10663866 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
PrEP 4 Her: Developing a Novel Strategy to Implement PrEP into Women's Healthcare
PrEP 4 Her:制定新策略将 PrEP 实施到女性医疗保健中
- 批准号:
10682433 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
PrEP 4 Her: Developing a Novel Strategy to Implement PrEP into Women's Healthcare
PrEP 4 Her:制定将 PrEP 纳入女性医疗保健的新策略
- 批准号:
10469513 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
PrEP Pro: Adapting a multi-component intervention to train and support providers to promote PrEP for adolescent girls and young women in the Deep South
PrEP Pro:采用多成分干预措施来培训和支持提供者,以促进南部腹地少女和年轻女性的 PrEP
- 批准号:
10327906 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
PrEP 4 Her: Developing a Novel Strategy to Implement PrEP into Women's Healthcare
PrEP 4 Her:制定新策略将 PrEP 实施到女性医疗保健中
- 批准号:
10327443 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
PrEP US NoW: PrEP Utilization Through Increasing Social Capital Among YBMSM Networks with Women
PrEP 现在美国:通过增加 YBMSM 女性网络中的社会资本来利用 PrEP
- 批准号:
10663087 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
PrEP US NoW: PrEP Utilization Through Increasing Social Capital Among YBMSM Networks with Women
PrEP 现在美国:通过增加 YBMSM 女性网络中的社会资本来利用 PrEP
- 批准号:
10456206 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
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