Evidence map›Paper›PMID 41575707›Full record

ArticleAIDS and behavior2026

Understanding Patient Barriers and Facilitators Throughout the PrEP Care Continuum: an Analysis of Qualitative Interviews with PrEP Navigators in the United States.

Trinity Casimir, Maeve Brin, Patrick Veihman, Sydney Fontalvo, Robert Garofalo, Asa Radix, Lisa M Kuhns, Sylvie Naar, Patrick Janulis, Rebecca Schnall

Abstract read
In one paragraph

Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. An Evidence-Based Approach to Facilitating PrEP Initiation Among YMSM: The MyPEEPS Plus mHealth and E-Peer Navigation Intervention.AIDS education and prevention : official publication of the International Society for AIDS Education · 2026
    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.

Trinity CasimirColumbia University School of Nursing, 560 West 168th Street, New York, NY, 10032, USA.
Maeve BrinColumbia University School of Nursing, 560 West 168th Street, New York, NY, 10032, USA.
Patrick VeihmanColumbia University School of Nursing, 560 West 168th Street, New York, NY, 10032, USA.
Sydney FontalvoColumbia University School of Nursing, 560 West 168th Street, New York, NY, 10032, USA.
Robert GarofaloAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Asa RadixCallen Lorde Community Health Center, New York, NY, USA.
Lisa M KuhnsAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Sylvie NaarFlorida State University College of Medicine, Tallahassee, FL, USA.
Patrick JanulisNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Rebecca SchnallColumbia University School of Nursing, 560 West 168th Street, New York, NY, 10032, USA. rb897@columbia.edu.ORCID http://orcid.org/0000-0003-2184-4045

Funding

MyPEEPS Mobile Plus: A Multi-Level HIV Prevention Intervention for Young MSM R01MD019181 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GAROFALO, ROBERT, SCHNALL, REBECCA · 2023 to 2025
$3.1M
NIMHD NIH HHS R01 MD019181NIMHD NIH HHS R01MD019181
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) is a medication that significantly reduces the risk of HIV infection when taken as prescribed, however, less than 36% of the 1.2 million eligible-for-PrEP Americans are currently prescribed it. PrEP navigators can help reduce barriers to PrEP uptake and increase access to care for those vulnerable to HIV. As part of formative work for designing an e-peer navigation tool, MyPEEPS Mobile Plus, twenty PrEP navigators were interviewed about barriers and facilitators to PrEP options, delivery, and peer navigation. We analyzed our findings using the nine-step PrEP care continuum as a framework. Participants described how medical mistrust, cultural competency, patient assistance programs, availability of PrEP options, prescriber knowledge and availability, housing insecurity, and rapport contribute to uptake and adherence of PrEP and retention in care. In summary, our study highlights the crucial role of PrEP navigators in facilitating access to HIV prevention services and demonstrates strategies to overcome individual and structural barriers in a clinical setting. These findings will improve the design of the MyPEEPS Mobile Plus intervention and may inform future e-peer navigation strategies.

Indexed as

Anti-HIV AgentsContinuity of Patient CareHealth Services AccessibilityHIV InfectionsPatient NavigationPre-Exposure ProphylaxisAdultFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMedication AdherenceMiddle AgedQualitative ResearchUnited StatesAnti-HIV AgentsHIV preventionMHealthPeer navigatorPrEPPrEP care continuumYMSM

Identifiers

PMID41575707
PMCPMC13400696

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.