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

CERCA DE TI：利用已建立的学术和 CVS Health® 合作伙伴关系，通过新的基于药房的 PrEP 计划推进艾滋病毒生物医学预防。

• 批准号: 10819876
• 负责人: Steven A Safren
• 金额: $ 22.57万
• 依托单位: UNIVERSITY OF MIAMI CORAL GABLES
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10819876
• 关键词: AIDS prevention; Address; American; Automobile Driving; Awareness; Belief; Bisexual; Bundling; Caring; Characteristics; Client; Climate; Clinic; Collaborations; Communities; Consolidated Framework for Implementation Research; Contracts; County; Destinations; Enrollment; Environment; Family; Florida; Gays; General Population; Geography; Goals; HIV; HIV diagnosis; Health; Health Services; Healthcare; High Risk Woman; Household; Human immunodeficiency virus test; Incentives; Individual; Information Services; Infrastructure; Intervention; Interview; Knowledge; Latino Population; Latinx; Learning; Location; Medicaid; Mental Health; Methods; Modeling; Multimedia; Newly Diagnosed; Nurse Practitioners; Perception; Persons; Pharmacists; Pharmacy facility; Pilot Projects; Policies; Population; Positioning Attribute; Primary Care; Process; Provider; Recommendation; Research; Resources; Sexual Health; Time; Trust; Uninsured; Woman; cultural values; demographics; evidence base; experience; future implementation; implementation science; implementation strategy; improved; innovation; male; member; men who have sex with men; pre-exposure prophylaxis; preference; process improvement; programs; recruit; scale up; sex; success; virtual health; virtual healthcare

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.

项目摘要。 Cerca de ti（西班牙语中的“接近您”）是一种新的基于药房的预备 计划将利用CVS卫生服务和基础设施来帮助拉丁人学习准备，确定是否是否 准备与他们的生活，访问准备和维持预备使用有关。该项目解决了柱子 “保护。”这项EHE试点研究的目标是探索和计划未来所需的基础 实施CERCA de ti，并确定是否有必要的资源可用于有效的未来 执行。此申请得到了Kanamori博士和 CVS Health在此期间我们实施了基于药房的招聘计划，以支持PREP 我们的合作伙伴拉丁裔Salud实施的计划。迄今为止，该计划已为总共提供了准备 1,581个客户，目前有581个准备客户。在这个成功的基础上，通过简历招募准备客户 卫生场所，我们现在建议制定一站式准备计划，并提供 CVS健康。 CERCA de ti将包括专家建议的五种实施策略 实施变更（ERIC）项目：1）增加需求。在不同的简历可用的准备信息 卫生公司将针对不同的人口统计学量身定制：Farmacia Navarro（西班牙语客户）， Target（妇女和家庭），CVS商店（一般人口）和CVS Health的MinuteClinic，诊所 CVS HealthHub和CVS健康虚拟护理（从事医疗保健的客户）。 2）促进适应性。 Cerca de Ti将添加一个以客户为中心的基于药房的预备计划，以反映文化规范， 不同CVS卫生客户的需求和偏好。 3）简化招聘和入学率。一个 - CVS Health的MinuteClinic，CVS HealthHub的诊所和CVS将提供暂停店准备计划 健康虚拟初级保健。 4）识别并准备冠军。 Cerca de Ti将利用CVS 卫生高管，药剂师，护士从业者和商店工作人员。 5）裁缝策略和 消费者参与。 CVS.COM和CVS Pharmacy应用程序将促进准备信息和新信息 购物经验。我们项目的目标是：目标1：评估实施的合并框架 研究因素对于Cerca de Ti的实施和可持续性很重要（外部环境，内部环境 设置，干预特征和过程特征）。我们将实施混合方法 对高管和员工的访谈。目标2：确定外部环境中的可修改因素 成功提供准备信息的个人特征和一站式准备计划 CVS健康。我们将与客户实施光盘。目标3：完善ERIC实施策略 通过基于证据的质量改进（EBQI）过程。 85％的美国人口少 CERCA de TI距离CVS药房场所10英里，有可能扩大到国家一级。 该模型可以与美国其他优先人群和地区复制，并扩展到 预先艾滋病毒测试和护理。