Implementation of PrEP Care Among Women in Family Planning Clinics

在计划生育诊所对妇女实施 PrEP 护理

• 批准号: 10744477
• 负责人: Sadia Haider
• 金额: $ 73.64万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-07 至 2028-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10744477
• 关键词: AIDS prevention; Address; Administrator; Adopted; Adoption; Area; Black Populations; Black race; Caring; Chicago; Clinic; Clinical; Continuity of Patient Care; Data; Disparity; Education; Effectiveness; Electronic Health Record; Eligibility Determination; Environment; Epidemic; Family Planning; Federally Qualified Health Center; Goals; HIV; HIV Infections; Health; Health Services Accessibility; Health system; High Prevalence; Hybrids; Illinois; Incidence; Inequity; Infection; Injections; Intervention; Interview; Knowledge; Lesbian Gay Bisexual Transgender Queer; Maintenance; Methods; Neighborhood Health Center; Outcome; Patients; Pharmaceutical Preparations; Planned Parenthood Federation of America; Population; Prevention strategy; Primary Care; Provider; Race; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Reporting; Research Methodology; Risk; Services; Site; Source; Standardization; Time; Training; Woman; Work; black women; cis-female; cisgender; effective intervention; effectiveness evaluation; effectiveness trial; experience; health care availability; implementation efforts; implementation evaluation; implementation intervention; implementation outcomes; implementation science; implementation strategy; improved; insight; men who have sex with men; patient population; pre-exposure prophylaxis; prevent; satisfaction; scale up; sex; sexually active; social determinants; structural health determinants; tool; transgender women; uptake

PROJECT SUMMARY/ABSTRACT Cisgender Black women are frequently overlooked in HIV prevention efforts even though they have one of the highest incidences of HIV among all subpopulations, second only to men who have sex with men. Pre-exposure prophylaxis (PrEP) is a safe and effective daily medication for those at risk for HIV infection. However, data indicates a substantial inequity in PrEP use among women compared to their need. This proposed study will evaluate implementation strategies to address multi-level barriers and increase uptake of PrEP among Black cisgender women in Planned Parenthood clinics in Illinois. Our team’s preliminary work has identified successful strategies for PrEP Optimization among Women to Enhance Retention and Uptake (POWER Up). POWER Up implementation strategies address key barriers to PrEP uptake and include: 1) routine PrEP education 2) standardized provider training, 3) electronic health record (EHR) tools; and 4) PrEP navigation. These strategies have not been studied in family planning clinics with a large population of Black cisgender women. Therefore, using implementation science research methods, we propose to implement and evaluate the impact of the POWER Up strategies within the Planned Parenthood of Illinois (PPIL) health center setting to improve PrEP care continuum outcomes for Black cisgender women. By implementing POWER Up strategies in PPIL health centers we seek to address the gap in knowledge in identifying effective strategies to increase uptake of PrEP among Black cisgender women. This proposed study aims to: 1. Adapt POWER Up implementation strategies for engaging Black women in the PrEP care continuum in eight Planned Parenthood clinics in Chicago 2. Determine the effectiveness of POWER Up across eight PPIL sites within Chicago’s high prevalence HIV areas; and, 3. Assess and document implementation outcomes and report on key barriers and facilitators related to successful implementation of the intervention Findings from this study will provide insight into implementation strategies that can support effective replication across the 800 Planned Parenthood health centers and other health centers providing family planning services nationwide to reach a greater number of women at risk.

项目摘要/摘要 即使是艾滋病毒预防措施，即使她们有其中之一 在所有亚群中，艾滋病毒的最高象征，仅次于与男人发生性关系的男人。预曝光 预防（PREP）是针对患有艾滋病毒感染风险的人的安全有效的每日药物。但是，数据 与女性的需求相比，女性的准备使用量存在很大的不平等。这项拟议的研究将 评估实施策略，以解决多层障碍并增加准备的吸收 伊利诺伊州计划生育诊所的黑人妇女。 我们团队的初步工作已经确定了女性的准备优化的成功策略 增强保留率和吸收（加电）。为实施策略提供电力，解决关键障碍 准备吸收和包括：1）常规预备教育2）标准化提供商培训，3）电子健康记录 （EHR）工具； 4）预备导航。这些策略尚未在计划生育诊所进行研究 大量的黑色属妇女。因此，使用实施科学研究方法，我们 提议在计划生育中实施和评估电力策略的影响 伊利诺伊州（PPIL）卫生中心的改善预备护理环境仍在为黑色sisgender妇女带来结果。经过 在PPIL健康中心实施权力策略，我们寻求解决知识差距 确定有效的策略，以增加黑色顺性妇女的摄入量。 这项拟议的研究旨在： 1。适应力量的实施策略，以使黑人妇女参与预备护理连续性 芝加哥的八个计划生育诊所 2。确定芝加哥高流行艾滋病毒hiv中八个PPIL网站上电​​力的有效性 区域；和， 3.评估和记录实施结果，并报告与成功有关的关键障碍和促进者 干预的实施 这项研究的发现将提供有关可以支持有效复制的实施策略的见解 在800个计划生育中心和其他提供计划生育服务的健康中心 在全国范围内达到更多有危险的妇女。