Evidence map›Paper›PMID 39703882›Full record

ArticleJAMIA open2024

Designing a blockchain technology platform for enhancing the pre-exposure prophylaxis care continuum.

Anjum Khurshid, Daniel Toshio Harrell, Dennis Li, Camden Hallmark, Ladd Hanson, Nishi Viswanathan, Michelle Carr, Armand Brown, Marlene McNeese, Kayo Fujimoto

Abstract read
In one paragraph

Article in JAMIA open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Anjum KhurshidHarvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA 02215, United States.
Daniel Toshio HarrellHarvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA 02215, United States.
Dennis LiCenter for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.ORCID https://orcid.org/0000-0001-9709-7619
Camden HallmarkDivision of Disease Prevention and Control, Houston Health Department, Houston, TX 77054, United States.
Ladd HansonUniversity of Texas at Austin-Information Technology Services, Austin, TX 78701, United States.
Nishi ViswanathanUniversity of Texas at Austin-Dell Medical School, Austin, TX 78712, United States.
Michelle CarrDivision of Disease Prevention and Control, Houston Health Department, Houston, TX 77054, United States.
Armand BrownDivision of Disease Prevention and Control, Houston Health Department, Houston, TX 77054, United States.
Marlene McNeeseDivision of Disease Prevention and Control, Houston Health Department, Houston, TX 77054, United States.
Kayo FujimotoDepartment of Health Promotion & Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX 77030, United States.ORCID https://orcid.org/0000-0002-8445-2711

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Pre-exposure prophylaxis (PrEP) is a key biomedical intervention for ending the HIV epidemic in the United States, but its uptake is impeded by systemic barriers, including fragmented workflows and ineffective data coordination. This study aims to design PrEPLinker, a blockchain-based, client-centered platform to enhance care to address these challenges by improving care coordination and enabling clients to securely manage their identity and PrEP-related data. Materials and Methods: Using Houston, Texas, as a use case, we conducted a needs assessment with PrEP collaborators to evaluate existing workflows and identify barriers in the PrEP care continuum. Based on these findings, we designed PrEPinker, a blockchain-based identity framework and digital wallet using self-sovereign identity and verifiable credentials (VCs). These features enable clients to securirely control their identity data and facilitate efficient, privacy-serving data sharing across PrEP service points, such as community testing sites, clinics, and pharmacies. Results: The needs assessment identified significant gaps in data exchange for PrEP referrals and follow-up appointments. In response, PrEPLinker was designed to incorporate decentralized identifiers-unique, secure digital identifiers that are not linked to any centralized authority-and VCs for ensuring seamless transfer of digital medical records. Preliminary usability testing with 15 participants showed that over 70% rated the interactive design positively, finding it easy to use, learn, and navigate without technical support. Additionally, more than 80% expressed confidence in using the blockchain based platform to manage sensitive health information securely. Discussion and Conclusion: Blockchain technology offers a promising, client-centered solution for addressing systemic barriers in PrEP care by improving data cordination, security, and client control over personal health information. The design of PrEPLinker demorates the potential to streamline PrEP referrals, follow-up processes, and data managent. These advancements in data coordination and secruity could improve PrEP uptake and adherence, supporting efforts to reduce HIV transmission in Houston and beyond.

Indexed as

blockchain technologyHIV prevention interventionPrEP care continuumself-sovereign identityverifiable credentials

Identifiers

PMID39703882
PMCPMC11658693

What OpenQuestion holds

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LicenceCC BY
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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.