Implementation Facilitators and Barriers for Primary Care Providers Prescribing Daily Oral PrEP to Adolescents in the United States.
Primary care providers (PCPs) are critical in prescribing human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) to adolescents at risk of HIV. More research is needed to identify facilitators and barriers PCPs encounter in prescribing PrEP to eligible adolescents post-Food and Drug Admi...
| Publicado en: | AIDS Patient Care & STDs Vol. 37; no. 8; pp. 379 - 394 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Aug2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=169928034&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 169928034 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10872914 33C jtl: AIDS Patient Care & STDs issn: 10872914 maglogo: N pubinfo: dt: Aug2023 vid: 37 iid: 8 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 169928034 169928034 169928034 10.1089/apc.2023.0090 169928034 ppf: 379 ppct: 15 formats: tig: atl: Implementation Facilitators and Barriers for Primary Care Providers Prescribing Daily Oral PrEP to Adolescents in the United States. aug: au: Owens, Christopher Gray, Samuel J. Carter, Kaileigh Hoffman, Matt Mullen, Cody Hubach, Randolph D. affil: Department of Health Behavior, School of Public Health, Texas A&M University, College Station, Texas, USA. sug: subj: Physicians, Family United States Drugs, Prescription Administration, Oral Pre-Exposure Prophylaxis Methods HIV Infections Prevention and Control Health Services Accessibility Implementation Science Prescribing Patterns United States Food and Drug Administration Human Adolescence United States Cross Sectional Studies Content Analysis Questionnaires Record Review Fisher's Exact Test Pediatricians Chi Square Test Descriptive Statistics Comparative Studies Attitude of Health Personnel Anti-HIV Agents Therapeutic Use Family Practice Pilot Studies Primary Health Care Adolescent: 13-18 years ab: Primary care providers (PCPs) are critical in prescribing human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) to adolescents at risk of HIV. More research is needed to identify facilitators and barriers PCPs encounter in prescribing PrEP to eligible adolescents post-Food and Drug Administration (FDA) approval. This online cross-sectional survey examined the PrEP implementation facilitators and barriers among a national sample of PCPs in the United States. PCPs (n = 502) specializing in family medicine or pediatrics were recruited from a Qualtrics panel from July 15 to August 9, 2022. We analyzed the collected data using content analysis and applied the Expert Recommendations for Implementing Change (ERIC) to codebook creation and data analysis. We conducted a Fisher's exact chi-square test of independence to compare facilitator and barrier prevalence differences between participants who had and had not prescribed PrEP to an adolescent patient. Results demonstrate that (1) distributing prescriber-focused educational materials, (2) involving parents, (3) changing liability laws, (4) enhancing adolescent PrEP uptake and adherence, (5) changing clinical resources, and (6) using mass/social media to change community norms might be strategies that influence PCPs prescribing PrEP to eligible adolescent patients. Results from this study could facilitate the planning of hybrid implementation-effectiveness trials designed to determine the acceptability, feasibility, and effectiveness of implementation strategies in improving the practices of PCPs prescribing PrEP to at-risk adolescents. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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