开发和实施提供者培训和基于证据的工具,以支持暴露前预防 (PrEP) 决策和增加与男性发生性关系的年轻男性中PrEP遵守率:PrEP选择纵向队列研究的协议
Crissi Rainer1, Rebecca Schnall2, Mary R Tanner3
1Institute on Digital Health and Innovation, College of Nursing, Florida State University, Tallahassee, FL, United States.
JMIR research protocols
|March 20, 2025
概括
这项研究开发并测试了提供者培训和数字工具,以改善与男性发生性关系的年轻男性 (YMSM) 之间的暴露前预防 (PrEP) 吸收和坚持. 调查结果将为未来的艾滋病毒预防策略和指导方针提供信息.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 数字健康干预措施 数字健康干预措施
背景情况:
- 在与男性发生性关系的年轻男性 (YMSM) 中,艾滋病毒暴露前预防 (PrEP) 的低吸收和坚持限制了其有效性.
- 需要量身定制的教育和支持工具,以加强年轻男性和他们的提供者之间对PrEP的共享决策.
研究的目的:
- 开发和部署符合指南的PrEP提供者培训.
- 实施基于证据的提供商和面向客户的PrEP教育和支持工具.
- 评估这些干预措施对YMSM中PrEP吸收和坚持的有效性.
主要方法:
- 提供者接受了关于PrEP选项和客户参与的在线培训.
- 两个项目 (EPICC和mChoice) 招募了400名参与者,每个项目持续12-18个月.
- 通过在线调查,生物标志物和电子健康记录收集的数据,以评估PrEP的遵守和使用模式.
主要成果:
- 培训工作和工具开发工作于2023年完成.
- 提供者培训于2024年初开始,用于EPICC和2024年春季用于mChoice.
- 对于这两个项目,队列招生开始于培训后的启动.
结论:
- 提供者教育和数字工具对于最大限度地提高PrEP吸收和坚持至关重要.
- 具有文化能力的培训和数字健康工具可以支持有效使用PrEP并优化益处.
- 来自这项队列研究的现实数据将为未来的艾滋病毒预防指南和工具提供信息.
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