Examining the Factors Affecting PrEP Implementation Within Community-Based HIV Testing Sites in Florida: A Mixed Methods Study Applying the Consolidated Framework for Implementation Research.

HIV testing/counseling is a critical point during which non-clinical staff could intervene, discuss and/or refer clients for pre-exposure prophylaxis (PrEP). This analysis investigated the contextual factors affecting PrEP implementation within HIV testing sites. Two generalized linear mixed models...

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Publicado en:AIDS & Behavior Vol. 25; no. 7; pp. 2240 - 2252
Autores principales: Turner, DeAnne, Lockhart, Elizabeth, Wang, Wei, Shore, Robert, Daley, Ellen, Marhefka, Stephanie L.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jul2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Examining the Factors Affecting PrEP Implementation Within Community-Based HIV Testing Sites in Florida: A Mixed Methods Study Applying the Consolidated Framework for Implementation Research.
      aug:
        au:
          Turner, DeAnne
          Lockhart, Elizabeth
          Wang, Wei
          Shore, Robert
          Daley, Ellen
          Marhefka, Stephanie L.
        affil: Yale AIDS Prevention Training Program (Y-APT), Center for Interdisciplinary Research on AIDS (CIRA), Yale University, 135 College St. Suite 200, 06510, New Haven, CT, USA
      sug:
        subj:
          Pre-Exposure Prophylaxis
          HIV Infections Diagnosis
          Community Health Centers Florida
          Implementation Science
          Human
          Program Implementation
          Florida
          Multimethod Studies
          Linear Regression
          Qualitative Studies
          Thematic Analysis
          Conceptual Framework
      ab: HIV testing/counseling is a critical point during which non-clinical staff could intervene, discuss and/or refer clients for pre-exposure prophylaxis (PrEP). This analysis investigated the contextual factors affecting PrEP implementation within HIV testing sites. Two generalized linear mixed models were conducted to estimate PrEP implementation as a function of constructs from the Consolidated Framework for Implementation Research (CFIR). Qualitative interviews were analyzed thematically. Data integration occurred via joint analysis and triangulation. Constructs from the CFIR domain Characteristics of Individuals did not predict PrEP implementation when controlling for demographic characteristics; qualitative data signaled divergent findings in PrEP knowledge. Within the CFIR domains Inner and Outer Settings, relevant priority and available resources predicted PrEP implementation; qualitative data confirmed the importance of available resources and provided insight into the impact of cosmopolitanism and leadership. Addressing the contextual factors that affect PrEP implementation may help HIV testing staff to better implement PrEP programs.
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    language: English
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