Evidence map›Paper›PMID 28971705›Full record

ArticleAIDS care2018

An educational initiative in response to identified PrEP prescribing needs among PCPs in the Southern U.S.

Meredith E Clement, Jessica Seidelman, Jiewei Wu, Kareem Alexis, Kara McGee, N Lance Okeke, Gregory Samsa, Mehri McKellar

Open access · greenAbstract read
In one paragraph

Article in AIDS care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  11. Understanding HIV Pre-Exposure Prophylaxis Questions of U.S. Health Care Providers: Unique Perspectives from the PrEPline Clinical Teleconsultation Service.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Meredith E Clementa Division of Infectious Diseases , Duke University Medical Center , Durham , NC , USA.
Jessica Seidelmana Division of Infectious Diseases , Duke University Medical Center , Durham , NC , USA.
Jiewei Wuc Duke Department of Biostatistics and Bioinformatics , Duke University , Durham , NC , USA.
Kareem Alexisd Duke University School of Medicine , Durham , NC , USA.
Kara McGeea Division of Infectious Diseases , Duke University Medical Center , Durham , NC , USA.
N Lance Okekea Division of Infectious Diseases , Duke University Medical Center , Durham , NC , USA.ORCID 0000-0003-4456-0176
Gregory Samsac Duke Department of Biostatistics and Bioinformatics , Duke University , Durham , NC , USA.
Mehri McKellara Division of Infectious Diseases , Duke University Medical Center , Durham , NC , USA.
Duke Medical Center · USDuke University · USClinical Research Institute · US

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Susanna Naggie, GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
Ruth L. Kirschstein National Research Service Award (NRSA)- T32T32AI007392 · NIAID · DUKE UNIVERSITY · PI Amy Lynn Corneli, Guido Ferrari · 1990 to 2026
$9.8M
NIAID NIH HHS P30 AI064518NIAID NIH HHS T32 AI007392
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method, but many primary care physicians (PCPs) have not incorporated PrEP into practice. While PrEP may be a key strategy to reducing high HIV transmission rates in the southern US, knowledge about PrEP prescribing patterns among PCPs in this region is lacking. An online survey was sent to a large network of PCPs at an academic medical center in North Carolina in October 2015. The survey was repeated in September 2016, after an educational intervention that included on-site trainings at 14 PCP offices. Chi-square tests were used to compare PrEP prescribing patterns among providers. The initial survey was sent to 389 PCPs, with 115 (30%) responding. Of these, 78% reported seeing men who have sex with men (MSM). Only 17% had prescribed PrEP. The most frequently identified barrier was lack of knowledge (60%). When the survey was repeated after the educational initiative, 79 PCPs (20%) responded. Of these, 90% reported seeing MSM, and 35% had prescribed PrEP. PCPs who had attended a training were more likely to have prescribed PrEP (OR 4.84, CI 1.77-13.21). In conclusion, PrEP prescribing among PCPs in the southern US is low. A survey among PCPs identified lack of knowledge as a barrier to prescribing, motivating an institutional-wide educational campaign in response. Further efforts are needed to continue to raise awareness and educate PCPs in the South about PrEP.

Indexed as

Education, Medical, ContinuingAnti-HIV AgentsClinical CompetenceDrug PrescriptionsFemaleHealth Knowledge, Attitudes, PracticeHealth Services Needs and DemandHIV InfectionsHumansMaleNorth CarolinaPhysicians, Primary CarePractice Patterns, Physicians'Pre-Exposure ProphylaxisPrimary Health CareSurveys and QuestionnairesAnti-HIV AgentsPCPsPre-exposure prophylaxisPrEPprimary care providerssouthern United States

Identifiers

PMID28971705
PMCPMC6612371
OpenAlexW2762484863

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.