Evidence map›Paper›PMID 38848935›Full record

ArticleContemporary clinical trials2024

Increasing pre-exposure prophylaxis (PrEP) in primary care: A study protocol for a multi-level intervention using the multiphase optimization strategy (MOST) framework.

Elizabeth Lockhart, DeAnne Turner, Kate Guastaferro, Laura A Szalacha, Herica Torres Alzate, Stephanie Marhefka, Bianca Pittiglio, Megan Dekker, Hsueh-Han Yeh, Logan Zelenak and 3 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Power Calculation in 2Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  2. Article
  3. 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

13 authors.

Elizabeth LockhartCenter for Health Policy and Health Services Research, Henry Ford Health, 1 Ford Pl., Detroit, MI 48202, USA. Electronic address: elockha1@hfhs.org.
DeAnne TurnerCollege of Nursing, University of South Florida, 12912 USF Health Dr, Tampa, FL 33612, USA. Electronic address: dturner@usf.edu.
Kate GuastaferroDepartment of Social and Behavioral Sciences, School of Global Public Health, New York University, 708 Broadway, 6th Floor Room 636, New York, NY 10003, USA. Electronic address: kate.guastaferro@nyu.edu.
Laura A SzalachaMorsani College of Medicine, University of South Florida, USA. Electronic address: lszalacha@usf.edu.
Herica Torres AlzateCollege of Nursing, University of South Florida, 12912 USF Health Dr, Tampa, FL 33612, USA. Electronic address: hmtorresalzate@usf.edu.
Stephanie MarhefkaCollege of Nursing, University of South Florida, 12912 USF Health Dr, Tampa, FL 33612, USA. Electronic address: smarhefk@usf.edu.
Bianca PittiglioFamily Medicine, Henry Ford Health, 110 E 2nd Street, Royal Oak, MI 48067, USA. Electronic address: bpittig1@hfhs.org.
Megan DekkerAcademic Internal Medicine, Henry Ford Health, 2799 W Grand Blvd, Detroit, MI 48202, USA. Electronic address: mdekker1@hfhs.org.
Hsueh-Han YehCenter for Health Policy and Health Services Research, Henry Ford Health, 1 Ford Pl., Detroit, MI 48202, USA. Electronic address: hyeh1@hfhs.org.
Logan ZelenakCenter for Health Policy and Health Services Research, Henry Ford Health, 1 Ford Pl., Detroit, MI 48202, USA. Electronic address: rzelena2@hfhs.org.
Jeremy ToneyCenter for Health Policy and Health Services Research, Henry Ford Health, 1 Ford Pl., Detroit, MI 48202, USA. Electronic address: jtoney2@hfhs.org.
Sean ManogueCenter for Health Policy and Health Services Research, Henry Ford Health, 1 Ford Pl., Detroit, MI 48202, USA. Electronic address: smanogu1@hfhs.org.
Brian K AhmedaniCenter for Health Policy and Health Services Research, Henry Ford Health, 1 Ford Pl., Detroit, MI 48202, USA. Electronic address: bahmeda1@hfhs.org.

Funding

A Multilevel, Multiphase Optimization Strategy for PrEP: Patients and Providers in Primary CareR01MD018523 · NIMHD · HENRY FORD HEALTH + MICHIGAN STATE UNIVERSITY HEALTH SCIENCES · PI Elizabeth Lockhart · 2023 to 2026
$3.1M
NIMHD NIH HHS R01 MD018523
6 · The paper itself

Abstract

backgroundIn the United States, over 1.2 million people are living with HIV. This disease disproportionately affects men who have sex with men (MSM), people of color, youth and young adults, and transgender individuals. Pre-exposure prophylaxis (PrEP) is an effective HIV prevention method. Barriers exist for both primary care providers (PCPs) to prescribe PrEP and prevent patients from initiating PrEP.

methodsThis study, MOST: PrEP, follows the multiphase optimization strategy (MOST) framework. The purpose is to identify a multi-level intervention among patients and PCPs to increase PrEP prescriptions in primary care. First, feedback will be obtained from providers and patients via focus groups, then, suggestions related to the context-specific (provider and individual level) factors of intervention component delivery will be incorporated. Subsequently, a rigorous experiment will be conducted using a 2

conclusionIn this protocol paper, we describe the one of the first known multilevel MOST optimization trial in healthcare. Intervention components are to be delivered to patients and providers in a large healthcare system, based in an HIV Ending the Epidemic priority jurisdiction. If effective, this multi-level approach could be disseminated to providers and patients in other large healthcare systems to make a significant impact on HIV prevention.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisPrimary Health CareAdultFemaleFocus GroupsHomosexuality, MaleHumansMalePractice Patterns, Physicians'United StatesYoung AdultAnti-HIV AgentsComputer-based simulationHIVImplementation scienceMultilevelMultiphase optimization strategyPrEPPrimary care

Identifiers

PMID38848935
PMCPMC11812645

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.