Evidence map›Paper›PMID 36169648›Full record

ArticleSexual and reproductive health matters2022

Provider-client rapport in pre-exposure prophylaxis delivery: a qualitative analysis of provider and client experiences of an implementation science project in Kenya.

Victor Omollo, Stephanie D Roche, Felix Mogaka, Josephine Odoyo, Gena Barnabee, Elizabeth A Bukusi, Ariana W K Katz, Jennifer Morton, Rachel Johnson, Jared M Baeten and 2 more

Abstract read
In one paragraph

Article in Sexual and reproductive health matters, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

12 authors.

Victor OmolloClinical Research Scientist, Kenya Medical Research Institute, P. O. Box 614-40100, Agoi Street, Kisumu, Kenya.
Stephanie D RocheStaff Scientist, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Felix MogakaClinical Research Scientist, Kenya Medical Research Institute, Kisumu, Kenya.
Josephine OdoyoResearch and Evaluation Advisor, Department of Global Health, University of Washington, Seattle, WA, USA.
Gena BarnabeeResearch and Evaluation Advisor, Department of Global Health, University of Washington, Seattle, WA, USA.
Elizabeth A BukusiSenior Principal Clinical Research Scientist, Kenya Medical Research Institute, Kisumu, Kenya; Research Professor, Department of Global Health; Research Professor, Department of Obstetrics and Gynecology, University of Washington, Seattle, WA, USA.
Ariana W K KatzPublic Health Analyst, Women's Global Health Imperative (WGHI), RTI International, Berkeley, CA, USA.ORCID 0000-0001-5742-4953
Jennifer MortonOperations Team Manager, Department of Global Health, University of Washington, Seattle, WA, USA.
Rachel JohnsonManaging Director, International Clinical Research Center (ICRC), University of Washington, Seattle, WA, USA.
Jared M BaetenProfessor, Department of Global Health, [Professor] Department of Medicine; Professor, Department of Epidemiology, University of Washington, Seattle, WA, USA; Vice President of Clinical Development, Gilead Sciences, Foster City, CA, USA>.
Connie CelumProfessor, Department of Global Health; Professor, Department of Medicine; [Professor] Department of Epidemiology, University of Washington, Seattle, WA, USA.
Gabrielle O'MalleyProfessor, Department of Global Health, University of Washington Seattle, Seattle, WA, USA.

Funding

University of Washington Developmental AIDS Research Center for Mental Health (UW ARCH)P30MH123248 · NIMH · UNIVERSITY OF WASHINGTON · PI RAO, DEEPA · 2021 to 2024
$5.8M
NIMH NIH HHS P30 MH123248
6 · The paper itself

Abstract

Daily oral pre-exposure prophylaxis (PrEP) is being incorporated into services frequented by adolescent girls and young women (AGYW) in sub-Saharan Africa who are at a significant risk of HIV. In non-PrEP studies, positive provider-client rapport has been shown to improve patient decision-making and use of medication in clinical care. We examined AGYW and healthcare provider (HCP) perspectives on the value of and strategies for building positive provider-client rapport. We conducted in-depth interviews from January 2018 to December 2019 with 38 AGYW and 15 HCPs from two family planning clinics in Kisumu, Kenya where PrEP was being delivered to AGYW as part of the Prevention Options for Women Evaluation Research (POWER) study. We used semi-structured interview guides and audio-recorded interviews with participant consent. Verbatim transcripts were analysed using thematic content analysis. HCPs and AGYW emphasised the importance of positive provider-client rapport to meet AGYW support needs in PrEP service delivery. HCPs described how they employed rapport-building strategies that strengthened AGYW PrEP uptake and continuation, including: (1) using friendly and non-judgmental tones; (2) maintaining client confidentiality (to build client trust); (3) adopting a conversational approach (to enable accurate risk assessment); (4) actively listening and tailoring counselling (to promote client knowledge, skills, and self-efficacy); and (5) supporting client agency. Positive provider-client relationships and negative experiences identified in this analysis have the potential to facilitate/deter AGYW from using PrEP while at risk. The strategies to enhance provider-client rapport identified in this study could be integrated into PrEP provider training and delivery practices.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisAdolescentFemaleHumansImplementation ScienceKenyaAnti-HIV Agentsadolescent girls and young womencounsellingdelivery of health carehealth provider–patient relationsHIV preventionimplementation scienceKenyapre-exposure prophylaxissupport needsyouth-friendly services

Identifiers

PMID36169648
PMCPMC9542727

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.