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PrEP Product Acceptability and Dual Process Decision-Making Among Men Who Have Sex with Men
José A Bauermeister1, Julie S Downs2, Douglas S Krakower3
1School of Nursing, University of Pennsylvania, 418 Curie Blvd, Room 222L, Philadelphia, PA, 19104, USA. bjose@upenn.edu.
Current HIV/AIDS Reports
|April 17, 2020
Summary
Understanding how men who have sex with men (MSM) choose pre-exposure prophylaxis (PrEP) is key. Research often overlooks emotional factors, focusing only on cognitive attributes of HIV prevention methods.
Area of Science:
- Public Health
- Behavioral Science
- Health Services Research
Background:
- Advances in pre-exposure prophylaxis (PrEP) necessitate understanding user decision-making for diverse HIV prevention methods.
- Men who have sex with men (MSM) face complex choices regarding various PrEP modalities.
Purpose of the Study:
- To review how researchers conceptualize and measure intuitive (System 1) and cognitive (System 2) attributes in conjoint analysis for PrEP technologies among MSM.
- To identify gaps in understanding the decision-making processes for HIV prevention.
Main Methods:
- Systematic review of 9 studies using conjoint analysis or discrete choice experiments for PrEP technologies.
- Analysis of how studies measured intuitive (System 1) versus deliberative (System 2) attributes.
Main Results:
- Studies included oral PrEP, rectal microbicides, and injectables, but lacked uniform metrics.
- Researchers measured System 2 attributes (e.g., cost, efficacy) but neglected System 1 (emotional/intuitive) attributes.
- No single PrEP product or attribute was universally preferred across all groups.
Conclusions:
- PrEP product development and promotion must acknowledge user diversity.
- Integrating System 1 attributes into future PrEP choice experiments is crucial for advancing acceptability research.
- Addressing both cognitive and emotional factors is vital for effective HIV prevention interventions.
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