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Developing the PATH-GP (Prevention and Testing for HIV in General Practice) intervention: a person-based approach

Anne Scott1,2, Hannah Family3,4, Jeremy Horwood3,4,5

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General practices can improve HIV testing and pre-exposure prophylaxis (PrEP) access with a new intervention. This multicomponent approach addresses barriers like clinician knowledge and resource concerns to enhance HIV prevention efforts.

Keywords:
HIV testingbehaviour change interventionsfamily practicegeneral practicepre-exposure prophylaxisqualitative research

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Area of Science:

  • Public Health
  • General Practice
  • HIV Prevention

Background:

  • HIV testing, treatment linkage, and pre-exposure prophylaxis (PrEP) are crucial for early diagnosis and prevention.
  • General practice settings offer significant potential for increasing HIV testing and PrEP accessibility.

Purpose of the Study:

  • To develop an intervention aimed at enhancing HIV testing rates and facilitating PrEP access within general practice settings.

Main Methods:

  • A person-based approach (PBA) intervention development study was conducted in South West England.
  • Methods included a scoping review, semi-structured interviews with healthcare professionals (HCPs) and local representatives, and focus groups with HCPs and the public.
  • Data analysis utilized the PBA framework and a pragmatic qualitative approach.

Main Results:

  • Identified barriers included limited clinician knowledge, resource constraints, and unsystematic testing protocols.
  • Proposed solutions involved simplifying testing to reduce stigma and developing a multicomponent intervention.
  • The intervention comprises education, testing prompts, streamlined testing processes, PrEP signposting, patient information, and practice champions.

Conclusions:

  • Further research is required to assess the feasibility and effectiveness of this intervention in general practice.
  • Addressing funding barriers is also essential for successful implementation and wider adoption.