Adaptation and Pilot Test of an Electronic Health Record-based Approach to Increase PrEP Knowledge and Uptake: the EMC2 PrEP Strategy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- PrEP Uptake (Use)
研究概览
简要总结
This study is being conducted to investigate a strategy that may improve knowledge and uptake of pre-exposure prophylaxis for HIV prevention (PrEP) among cisgender women in primary care.
详细描述
Members of the study team previously developed and evaluated the Electronic health record Medication Complete Communication (EMC2) strategy to 'hardwire' provider/patient communication & surveillance of select prescription (Rx) medications. EMC2 PrEP will adapt from the previous strategy to
- educate cisgender women in primary care who have increased vulnerability to HIV about PrEP using an interactive, health literacy-appropriate educational tool securely delivered via the patient portal
- facilitate, for those who express interest, the rapid and discrete scheduling of a dedicated PrEP clinic visit with a primary care clinician trained in PrEP delivery
The current study aims are to:
Aim 1: Refine and implement an electronic health record (EHR)-based strategy as a potential quality improvement activity that supports informed decision-making and PrEP uptake among women with increased HIV vulnerability in primary care (the EMC2 PrEP strategy).
Aim 2: Pilot-test the EMC2 PrEP strategy in primary care to determine its feasibility, acceptability, and preliminary efficacy among women with increased vulnerability to HIV.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •HIV negative
- •have received 2 or more tests in the past 12 months for chlamydia, gonorrhea and/or syphilis
- •and/or have received a positive diagnosis for at least one of those sexually transmitted infections in the past 6 months
- •currently engaged in primary care
- •not currently using PrEP
排除标准
- •severe, uncorrectable visual, hearing or cognitive impairments that would preclude study consent or participation
结局指标
主要结局
PrEP Uptake (Use)
时间窗: 6 months
PrEP uptake will be measured during the intervention period between study arms to investigate the effects of the EMC2 PrEP strategy.
次要结局
- PrEP Knowledge(2-6 weeks)
- Perceived Risk of HIV(2-6 weeks)
- PrEP Attitudes(2-6 weeks)
- Health Literacy(2-6 weeks)
- Health Activation(2-6 weeks)
- Process Measure(2-6 weeks)
- Acceptability of the Strategy(2-6 weeks)
研究者
Allison Prickett Pack
Research Assistant Professor
Northwestern University