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Online Navigation for Pre-Exposure Prophylaxis via PleasePrEPMe Chat for HIV Prevention: Protocol for a Development

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Summary

Online chat services effectively connect individuals with pre-exposure prophylaxis (PrEP) information and care, addressing disparities in HIV prevention. This strategy improves access for underserved populations seeking HIV prevention services.

Keywords:
HIV preventionhealth systems navigationonline chatonline navigationpre-exposure prophylaxis: PrEP

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Area of Science:

  • Public Health
  • Digital Health
  • HIV Prevention

Background:

  • Pre-exposure prophylaxis (PrEP) is a highly effective HIV medication for HIV-negative individuals.
  • Uptake of PrEP in the US has been limited, with significant racial and ethnic disparities, particularly among Black and Hispanic populations.
  • Patient navigators can improve engagement in HIV care and prevention services.

Purpose of the Study:

  • To evaluate PleasePrEPMe Chat, an online strategy designed to enhance engagement with PrEP services.
  • To provide free HIV prevention information and healthcare navigation to PrEP-eligible populations in California.

Main Methods:

  • Online bilingual (English, Spanish) chat connecting visitors with navigators.
  • Navigators assisted with locating PrEP services, provided HIV prevention resources, and offered benefits navigation.
  • Data collected included chat logs and visitor demographics to analyze engagement and service utilization.

Main Results:

  • PleasePrEPMe Chat completed 2191 online chats between April 2017 and December 2019.
  • Key topics included healthcare navigation (50.39%), provider identification (43.54%), and PrEP information (35.28%).
  • Visitors reported high satisfaction, with a mean rating of 4.7 out of 5 for service quality and helpfulness.

Conclusions:

  • Online chat effectively reaches individuals not engaged in traditional HIV prevention services.
  • This digital approach supports informed decision-making and links online users to essential in-person care.
  • Further research is needed to understand how social determinants of health impact online engagement for priority populations.