Evidence map›Paper›PMID 31890474›Full record

ArticlePreventive medicine reports2020

Preferences for implementation of HIV pre-exposure prophylaxis (PrEP): Results from a survey of primary care providers.

E Jennifer Edelman, Brent A Moore, Sarah K Calabrese, Gail Berkenblit, Chinazo O Cunningham, Onyema Ogbuagu, Viraj V Patel, Karran A Phillips, Jeanette M Tetrault, Minesh Shah and 1 more

Abstract read
In one paragraph

Article in Preventive medicine reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

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  8. Considerations for PrEP Implementation at Federally Qualified Health Centers in Mississippi: Perspectives From Staff and Patients.AIDS education and prevention : official publication of the International Society for AIDS Education · 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

11 authors.

E Jennifer EdelmanYale, New Haven, CT, United States.
Brent A MooreYale, New Haven, CT, United States.
Sarah K CalabreseYale, New Haven, CT, United States.
Gail BerkenblitJohns Hopkins, Baltimore, MD, United States.
Chinazo O CunninghamAlbert Einstein College of Medicine, Montefiore Health System, Bronx, NY, United States.
Onyema OgbuaguYale, New Haven, CT, United States.
Viraj V PatelAlbert Einstein College of Medicine, Montefiore Health System, Bronx, NY, United States.
Karran A PhillipsNIDA-IRP, NIH, Baltimore, MD, United States.
Jeanette M TetraultYale, New Haven, CT, United States.
Minesh ShahUIC, Chicago, IL, United States.
Oni BlackstockAlbert Einstein College of Medicine, Montefiore Health System, Bronx, NY, United States.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Patient and Population Health Outcomes Research SWGP30AI124414 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Kathryn M. Anastos · 2017 to 2026
$28.3M
Yale Drug use, Addiction and HIV Research Scholars (DAHRS)K12DA033312 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Patrick O'Connor · 2013 to 2026
$7.2M
HIV and Substance Abuse Clinical Addiction Research and Education (CARE) ProgramR25DA023021 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ARNSTEN, JULIA H. · 2007 to 2014
$2.7M
Automated Recovery Line for Medication Assisted TreatmentR01DA034678 · NIDA · YALE UNIVERSITY · PI MOORE, BRENT A. · 2013 to 2015
$1.2M
Social Media Based Peer Led Intervention to Facilitate PrEP in YMSM of ColorK23MH102118 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI PATEL, VIRAJ V · 2014 to 2018
$953k
Mentoring researchers on drug abuse and HIVK24DA036955 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CUNNINGHAM, CHINAZO · 2014 to 2019
$911k
Development and Testing of an Adherence Intervention for HIV+ Women of ColorK23MH102129 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI BLACKSTOCK, ONI J · 2014 to 2017
$739k
Intervention to Promote PrEP Awareness and Equitable Prescription among ProvidersK01MH103080 · NIMH · YALE UNIVERSITY · PI CALABRESE, SARAH K. · 2014 to 2017
$634k
NCATS NIH HHS UL1 TR000142NCATS NIH HHS UL1 TR001863NIAID NIH HHS P30 AI124414NIDA NIH HHS K12 DA033312NIDA NIH HHS K24 DA036955NIDA NIH HHS R01 DA034678NIDA NIH HHS R25 DA023021NIMH NIH HHS K01 MH103080NIMH NIH HHS K23 MH102118NIMH NIH HHS K23 MH102129NIMH NIH HHS L30 MH117751
6 · The paper itself

Abstract

Primary care physicians (PCPs) are critical for promoting HIV prevention by prescribing pre-exposure prophylaxis (PrEP). Yet, there are limited data regarding PCP's preferred approaches for PrEP implementation. In 2015, we conducted an online survey of PCPs' PrEP prescribing and implementation. Participants were general internists recruited from a national professional organization. We examined provider and practice characteristics and perceived implementation barriers and facilitators associated with preferred models for PrEP implementation. Among 240 participants, the majority (85%) favored integrating PrEP into primary care, either by training all providers ("all trained") (42%) or having an onsite PrEP specialist ("on-site specialist") (43%). Only 15% preferred referring patients out of the practice to a specialist ("refer out"). Compared to those who preferred to "refer out," participants who preferred the "all trained" model were more likely to spend most of their time delivering direct patient care and to practice in the Northeast. Compared to participants who preferred the "refer out" or on-site specialist" models, PCPs preferring the all trained model were less likely to perceive lack of clinic PrEP guidelines/protocols as a barrier to PrEP. Most PCPs favored integrating PrEP into primary care by either training all providers or having an on-site specialist. Time devoted to clinical care and geography may influence preferences for PrEP implementation. Establishing clinic-specific PrEP protocols may promote on-site PrEP implementation. Future studies should focus on evaluating the effectiveness of different PrEP implementation models on PrEP delivery.

Indexed as

HIV preventionImplementationPre-exposure prophylaxisPrimary care physicians

Identifiers

PMID31890474
PMCPMC6926349

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.