Multi-component Intervention to Train Providers to Promote PrEP for Girls and Women in the Deep South

Not Applicable

Completed

• Conditions: Sexually Transmitted Diseases; HIV Infections
• Interventions: Behavioral: PrEP Pro training intervention

• Registration Number: NCT06487390
• Lead Sponsor: University of Alabama at Birmingham

Brief Summary

The goal of this study is to adapt evidence-based curriculum on HIV epidemiology and PrEP prescription to train family medicine physician trainees to take a thorough sexual history and discuss HIV/STI prevention and PrEP options with adolescent patients in Alabama. The primary outcomes of the study are:

* Feasibility of the PrEP Pro training intervention

* Acceptability of the PrEP Pro training intervention

Secondary outcomes include:

* Behavioral changes in sexual history taking performed by physician trainees

* PrEP knowledge and prescribing practices

* HIV and STI screening practices

Participants will receive training on sexual history taking and HIV prevention options, including PrEP prescription and management. They will complete a pre-training survey (enrollment) and post-training survey (6 months post enrollment) to understand differences in knowledge and practice before and after receiving the training intervention. The post training survey will also assess acceptability and feasibility of the intervention. A subset of participants will complete qualitative in-depth interviews to further discuss their experiences with the program and suggestions for future adaptations.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-04-21
• Study First Submitted: 2024-06-27
• Study First Submitted QC: 2024-06-27
• Study First Posted: 2024-07-05
• Status Verified: 2024-09
• Primary Completion: 2024-09-04
• Study Completion: 2024-09-15
• Last Update Submitted: 2024-10-18
• Last Update Posted: 2024-10-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 61

Inclusion Criteria

1. licensed HCP (MD, DO) trainee
2. providing medical care to AGYW in AL
3. working in a clinic setting where at least 20% of the population is Black
4. able/willing to provide informed consent

Exclusion Criteria

(a) unable or unwilling to provide informed consent

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Resident Trainees	PrEP Pro training intervention	Family medicine resident trainees who receive the PrEP Pro training intervention

Primary Outcome Measures

Name	Time	Method
Feasibility (proportion of participants ranking feasibility high on 5-point Likert scale)	6 months	Feasibility of Intervention: 4 items, 5-point Likert scale, higher score, more acceptable
Acceptability	6 months	Acceptability of Intervention: 4 items, 5-point Likert scale, higher score, more acceptable; Intervention Appropriateness: 4 items, 5-point Likert scale, higher score, more acceptable; Evidence-Based Practice Acceptability scale: 15 items, 5 point Likert scale, higher score, more acceptable

Secondary Outcome Measures

Name	Time	Method
Sexual history taking practices	6 months	measured by baseline and 6-month (pre- and post-training) surveys, qualitative interviews
STI screening practices	6 months	measured by baseline and 6-month (pre- and post-training) surveys, qualitative interviews, EMR data
HIV epidemiology knowledge assessment	6 months	measured by baseline and 6-month (pre- and post-training) surveys
HIV screening practices	6 months	measured by baseline and 6-month (pre- and post-training) surveys, qualitative interviews, EMR data
PrEP knowledge, willingness to prescribe, prescribing practices	6 months	measured by baseline and 6-month (pre- and post-training) surveys, qualitative interviews, EMR data

Trial Locations

Locations (1)

University of Alabama at Birmingham; 🇺🇸 Birmingham, Alabama, United States