CERCA DE TI: Leveraging an Established Academic and CVS Health® Partnership to Advance Biomedical HIV Prevention with a New Pharmacy-Based PrEP Program.

项目总结。Cerca DE TI是一家以PrEP为基础的新连锁药店 该计划将利用CVS医疗服务和基础设施来帮助Latinx了解PrEP，决定是否 准备与他们的生活相关，访问PrEP，并维持PrEP的使用。该项目涉及EHE支柱 “保护。”这项EHE试验性研究的目标是探索和规划未来所需的基础工作 实施Cerca DE TI，并确定是否有必要的资源可用于有效的未来 实施。这个应用程序得到了Kanamori博士和 CVS Health，在此期间，我们实施了基于药房连锁的招聘计划，以支持PrEP 由我们的合作伙伴拉丁裔Salud实施的计划。到目前为止，该计划已向总共 1,581个客户端，目前有581个PrEP客户端。在此成功的基础上，通过CVS招募PrEP客户 健康场所，我们现在提议开发一站式PrEP计划，由 CVS Health。Cerca DE TI将包括以下专家建议的五项实施战略： 实施变革(ERIC)项目：1)增加需求。在不同的CVS上提供备考信息 健康公司将根据不同的人口统计数据量身定做：Farmacia Navarro(西班牙语客户)， Target(妇女和家庭)、CVS商店(普通人群)和CVS Health的MinuteClinic，诊所位于 CVS HealthHUB和CVS Health Virtual Care(从事医疗保健的客户端)。2)提高适应能力。 Cerca DE TI将增加一个以客户为中心、以药房为基础的反映文化规范的PrEP计划， 不同CVS健康客户的需求和偏好。3)精简招生录取工作。一位- 一站式PrEP计划将在CVS Health的MinuteClinic、CVS HealthHUB和CVS的诊所提供 健康虚拟初级保健。4)确定并准备冠军。Cerca DE TI将利用CVS 卫生行政人员、药剂师、执业护士和商店工作人员。和5)裁缝策略和 消费者参与度。CVS.com和CVS Pharmacy应用程序将推广PrEP信息和新的 购物体验。我们项目的目标是：目标1：评估执行综合框架 对Cerca DE TI(外部环境、内部环境)的实施和可持续性至关重要的研究因素 设置、干预的特征和过程特征)。我们将实施混合方法 与高管和员工的面谈。目标2：确定外部环境中的可修改因素，并 成功传递PrEP信息和一站式PrEP计划的个人特征，请访问 CVS Health。我们将在客户端实现PhotoVoice。目标3：完善ERIC实施战略 通过基于证据的质量改进(EBQI)过程。85%的美国人生活得更少 Cerca DE TI距离CVS药房会场不到10英里，有潜力扩大到全国范围。 这一模式可以在美国其他重点人群和地区复制，并扩展到 推进艾滋病毒检测和护理。

PROJECT SUMMARY. CERCA DE TI (“Close to You” in Spanish) is a new pharmacy chain-based PrEP program that will leverage CVS Health services and infrastructure to help Latinx learn about PrEP, decide if PrEP is relevant for their lives, access PrEP, and sustain PrEP use. This project addresses the EHE Pillar “Protect.” The goals of this EHE pilot study are to explore and plan the groundwork needed for the future implementation of CERCA DE TI, and to determine if the necessary resources are available for effective future implementation. This application is supported by 5+ years of ongoing collaborations between Dr. Kanamori and CVS Health during which we implemented a pharmacy chain-based recruitment program to support a PrEP program implemented by our partner Latinos Salud. To date, this program has provided PrEP to a total of 1,581 clients and currently has 581 PrEP clients. Building on this success recruiting PrEP clients through CVS Health venues, we are now proposing to develop a one-stop-shop PrEP program promoted and offered by CVS Health. CERCA DE TI will include five implementation strategies from the Expert Recommendations for Implementing Change (ERIC) project: 1) Increase Demand. PrEP information available at different CVS Health companies will be tailored to different demographics: Farmacia Navarro (Spanish speaking clients), TARGET (women and families), CVS stores (general population), and CVS Health’s MinuteClinic, Clinics in CVS HealthHUB, and CVS Health Virtual Care (clients engaged in health care). 2) Promote Adaptability. CERCA DE TI will add a customer-centric, pharmacy-based PrEP program which reflects cultural norms, needs and preferences of different CVS Health clientele. 3) Streamline Recruitment and Enrollment. A one- stop-shop PrEP program will be offered at CVS Health’s MinuteClinic, Clinics in CVS HealthHUB, and CVS Health Virtual Primary Care. 4) Identify and Prepare Champions. CERCA DE TI will capitalize on CVS Health executives, pharmacists, nurse practitioners, and store staff members. And 5) Tailor Strategies and Consumer Engagement. CVS.com and the CVS Pharmacy app will promote PrEP information and new shopping experiences. Our project’s aims are: AIM 1: Evaluate Consolidated Framework for Implementation Research factors important for the implementation and sustainability of CERCA DE TI (outer setting, inner setting, characteristics of intervention, and process characteristics). We will implement mixed methods interviews with executives and staff. AIM 2: Identify modifiable factors within the outer setting and characteristics of individuals for successful delivery of PrEP information and a one-stop-shop PrEP program at CVS Health. We will implement PhotoVoice with clients. AIM 3: Refine ERIC implementation strategies through an Evidence Based Quality Improvement (EBQI) process. With 85% of the U.S. population living less than 10 miles from a CVS Pharmacy venue, CERCA DE TI has the potential to scale-up to a national level. This model could be replicated with other priority populations and regions of the U.S. and be expanded to also advance HIV testing and care.