Acceptability and Effectiveness of a One-Hour Healthcare Provider Intervention Integrating HIV Pre-Exposure Prophylaxis and Cultural Competence Training.

Education, medical, continuing HIV Health personnel Pre-exposure prophylaxis

Journal

AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133

Informations de publication

Date de publication:
Dec 2023
Historique:
accepted: 02 06 2023
pubmed: 4 7 2023
medline: 4 7 2023
entrez: 4 7 2023
Statut: ppublish

Résumé

Enhanced provider training could improve PrEP access and equity. We conducted a pilot randomized controlled trial comparing (a) a one-hour, group-based provider intervention integrating PrEP and Cultural Competence (PCC) training with (b) a standard HIV continuing medical education session (n = 56). PCC participants favorably rated the intervention and reported increased PrEP knowledge. The PCC intervention increased their confidence performing PrEP-related clinical activities and intention to prescribe PrEP. The percentage of participants discussing PrEP with patients increased marginally in both study conditions. The percentage of participants who prescribed PrEP and self-rated cultural competence did not change in either study condition. Una mejor capacitación de los proveedores podría mejorar el acceso y la equidad de la PrEP. Realizamos un ensayo controlado aleatorizado piloto que comparó (a) una intervención grupal de proveedores de una hora que integraba la capacitación en PrEP y competencia cultural (PCC) con (b) una sesión estándar de educación médica continua sobre el VIH (n = 56). Los participantes de PCC calificaron favorablemente la intervención e informaron un mayor conocimiento de la PrEP. La intervención de PCC aumentó su confianza en la realización de actividades clínicas relacionadas con la PrEP y su intención de prescribir la PrEP. El porcentaje de participantes que discutieron la PrEP con los pacientes aumentó marginalmente en ambas condiciones del estudio. El porcentaje de participantes que prescribieron la PrEP y la competencia cultural autoevaluada no cambió en ninguna de las condiciones del estudio.

Autres résumés

Type: Publisher (spa)
Una mejor capacitación de los proveedores podría mejorar el acceso y la equidad de la PrEP. Realizamos un ensayo controlado aleatorizado piloto que comparó (a) una intervención grupal de proveedores de una hora que integraba la capacitación en PrEP y competencia cultural (PCC) con (b) una sesión estándar de educación médica continua sobre el VIH (n = 56). Los participantes de PCC calificaron favorablemente la intervención e informaron un mayor conocimiento de la PrEP. La intervención de PCC aumentó su confianza en la realización de actividades clínicas relacionadas con la PrEP y su intención de prescribir la PrEP. El porcentaje de participantes que discutieron la PrEP con los pacientes aumentó marginalmente en ambas condiciones del estudio. El porcentaje de participantes que prescribieron la PrEP y la competencia cultural autoevaluada no cambió en ninguna de las condiciones del estudio.

Identifiants

DOI: 10.1007/s10461-023-04108-x PMID: 37401992
pubmed: 37401992
doi: 10.1007/s10461-023-04108-x
pii: 10.1007/s10461-023-04108-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3932-3940

Subventions

Organisme : NIMH NIH HHS
ID : K01-MH103080
Pays : United States
Organisme : NIMH NIH HHS
ID : P30-MH062294
Pays : United States
Organisme : NIH HHS
ID : P30-AI060354
Pays : United States
Organisme : NIH HHS
ID : P30-AI117970
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI117970
Pays : United States
Organisme : NIMH NIH HHS
ID : K01-MH103080
Pays : United States
Organisme : NIMH NIH HHS
ID : P30-MH062294
Pays : United States
Organisme : NIH HHS
ID : P30-AI117970
Pays : United States
Organisme : NIH HHS
ID : P30-AI060354
Pays : United States

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Sarah K Calabrese (SK)

Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA. skcalabrese@gwu.edu.
Department of Prevention and Community Health, George Washington University, Washington, DC, USA. skcalabrese@gwu.edu.
ORCID: 0000-0003-2640-0208

Douglas S Krakower (DS)

The Fenway Institute, Fenway Health, Boston, MA, USA.
Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA.
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.

Sharanya Rao (S)

Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA.

Nathan B Hansen (NB)

Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA.

Kenneth H Mayer (KH)

The Fenway Institute, Fenway Health, Boston, MA, USA.
Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA.

Manya Magnus (M)

Department of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.

Samuel R Bunting (SR)

Chicago Medical School, Rosalind Franklin University, Chicago, IL, USA.

Julia L Marcus (JL)

The Fenway Institute, Fenway Health, Boston, MA, USA.
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.

John F Dovidio (JF)

Department of Psychology, Yale University, New Haven, CT, USA.

Classifications MeSH