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Optimizing Provider Preexposure Prophylaxis (PrEP) Training: A Cross-Sectional Analysis of Recommendations from Providers Across the PrEP Implementation Cascade.
Rao, Sharanya; Reed, Ashley E; Parchem, Benjamin; Edelman, E Jennifer; Magnus, Manya; Hansen, Nathan B; Kershaw, Trace S; Earnshaw, Valerie A; Krakower, Douglas S; Dovidio, John F; Mayer, Kenneth H; Underhill, Kristen; Rosenberger, Joshua G; Ogburn, Damon F; Betancourt, Joseph R; Calabrese, Sarah K.
Afiliación
  • Rao S; Department of Psychological and Brain Sciences, George Washington University, 2125 G St. NW, Washington DC, 20052, USA. sharanyarao@gwu.edu.
  • Reed AE; Department of Psychological and Brain Sciences, George Washington University, 2125 G St. NW, Washington DC, 20052, USA.
  • Parchem B; Department of Psychological and Brain Sciences, George Washington University, 2125 G St. NW, Washington DC, 20052, USA.
  • Edelman EJ; Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
  • Magnus M; Department of Epidemiology, Milken School of Public Health, George Washington University, Washington DC, USA.
  • Hansen NB; Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA.
  • Kershaw TS; Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.
  • Earnshaw VA; Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA.
  • Krakower DS; Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Dovidio JF; Fenway Health, The Fenway Institute, Boston, MA, USA.
  • Mayer KH; Department of Psychology, Yale, New Haven, CT, USA.
  • Underhill K; Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
  • Rosenberger JG; Fenway Health, The Fenway Institute, Boston, MA, USA.
  • Ogburn DF; Population and Family Health and Law, Columbia University, New York City, NY, USA.
  • Betancourt JR; Department of Biobehavioral Health, Pennsylvania State University, University Park, PA, USA.
  • Calabrese SK; National Center for Health Statistics, Hyattsville, MD, USA.
AIDS Behav ; 26(1): 218-231, 2022 Jan.
Article en En | MEDLINE | ID: mdl-34287754
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Fármacos Anti-VIH / Profilaxis Pre-Exposición Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Implementation_research Límite: Humans Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Fármacos Anti-VIH / Profilaxis Pre-Exposición Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Implementation_research Límite: Humans Idioma: En Revista: AIDS Behav Asunto de la revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos