Evidence map›Paper›PMID 36537589›Full record

ArticleJournal of the International Association of Providers of AIDS Care

Using Health Care Professionals' Perspectives to Refine a Clinical Decision Support Implementation Strategy for Increasing the Prescribing of HIV Preexposure Prophylaxis (PrEP) in Alabama.

Debbie L Humphries, Elizabeth C Rhodes, Christine L Simon, Victor Wang, Donna Spiegelman, Corilyn Ott, David Hicks, Julia L Marcus, Doug Krakower, Aadia Rana

Open access · goldAbstract read
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
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

10 authors at 5 institutions in 1 country.

Debbie L HumphriesDepartment of Chronic Disease Epidemiology, Yale School of Public Health, 135 College Street, New Haven, Connecticut, USA.ORCID 0000-0002-5979-3717
Elizabeth C RhodesCenter for Methods in Implementation and Prevention Science, Yale School of Public Health, New Haven, Connecticut, USA.
Christine L SimonCenter for Methods in Implementation and Prevention Science, Yale School of Public Health, New Haven, Connecticut, USA.
Victor WangDepartment of Social and Behavioral Sciences, Yale School of Public Health, 135 College Street, New Haven, Connecticut, USA.
Donna SpiegelmanCenter for Methods in Implementation and Prevention Science, Yale School of Public Health, New Haven, Connecticut, USA.
Corilyn OttFamily, Community, and Health Systems, University of Alabama-Birmingham School of Nursing, 1701 University Blvd, Birmingham, Alabama, USA.
David HicksJefferson County Department of Public Health, Jefferson County Department of Health, 1400 sixth Ave. S, Birmingham, Alabama, USA.
Julia L MarcusDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 401 Park Drive, Boston, Massachusetts, USA.
Doug KrakowerDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 401 Park Drive, Boston, Massachusetts, USA.
Aadia RanaDepartment of Infectious Diseases, University of Alabama-Birmingham Heersink School of Medicine, 1720 second Ave. S, Birmingham, Alabama, USA.ORCID 0000-0002-1963-528X
Yale University · USUniversity of Alabama at Birmingham · USBeth Israel Deaconess Medical Center · USHarvard University · USJefferson County Department of Health · US

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI RAJESH T GANDHI · 2004 to 2026
$94.4M
Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 2001 to 2026
$48.5M
NIAID NIH HHS P30 AI060354NIMH NIH HHS P30 MH062294
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) is underused in the southern United States (US), a region with high HIV incidence. Clinical decision support (CDS) tools could increase PrEP prescriptions. We explored barriers to PrEP delivery and views of CDS tools to identify refinements for implementation strategies for PrEP prescribing and PrEP CDS tools. We conducted focus groups with health care providers from two federally qualified health centers in Alabama and analyzed the results using rapid qualitative methods. Barriers to PrEP included providers' lack of training in PrEP, competing priorities and time constraints during clinical visits, concerns about side effects, and intensive workload. We identified refinements to the planned implementation strategies to address the barriers, including training all clinic staff in PrEP and having CDS PrEP alerts in electronic health records sent to all staff. Development and deployment of CDS tools in collaboration with providers has potential to increase PrEP prescribing in high-priority jurisdictions.

Indexed as

Anti-HIV AgentsDecision Support Systems, ClinicalHIV InfectionsPre-Exposure ProphylaxisAlabamaHealth PersonnelHumansUnited StatesAnti-HIV Agentsclinical decision support systemimplementation strategiespre-Exposure prophylaxisproviders

Identifiers

PMID36537589
PMCPMC9772965
OpenAlexW4312129659

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.