Acceptability and Feasibility of a Mobile Phone Application to Support HIV Pre-exposure Prophylaxis Among Women with Opioid Use Disorder.
Despite evidence supporting HIV pre-exposure prophylaxis (PrEP) effectiveness, very few women with opioid use disorder (OUD) take PrEP. Interventions that improve medication assisted treatment (MAT) uptake and adherence may also be beneficial for PrEP. The reSET-O mobile phone app is a component of...
| Publicado en: | AIDS & Behavior Vol. 27; no. 10; pp. 3460 - 3468 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2023
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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=172312957&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172312957 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Oct2023 vid: 27 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 172312957 162997557 172312957 172312957 10.1007/s10461-023-04060-w 172312957 ppf: 3460 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Acceptability and Feasibility of a Mobile Phone Application to Support HIV Pre-exposure Prophylaxis Among Women with Opioid Use Disorder. aug: au: Richterman, Aaron Ghadimi, Fatemeh Teitelman, Anne M. Moore, Kevin Acri, Trisha North, Hannah Lopez, Kasandra Ou, Vuthy Van Pelt, Amelia E. Momplaisir, Florence affil: Division of Infectious Diseases, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA sug: subj: Substance Use Disorders Drug Therapy Analgesics, Opioid HIV Infections Prevention and Control Pre-Exposure Prophylaxis Mobile Applications Utilization Health Services Accessibility Women's Health Human Female Young Adult Adult Middle Age Community Health Services Pennsylvania Pennsylvania Semi-Structured Interview Grounded Theory Pilot Studies Implementation Science Mental Disorders Buprenorphine Therapeutic Use Ethnic Groups Patient Satisfaction Health Promotion Funding Source Adult: 19-44 years Middle Aged: 45-64 years Female ab: Despite evidence supporting HIV pre-exposure prophylaxis (PrEP) effectiveness, very few women with opioid use disorder (OUD) take PrEP. Interventions that improve medication assisted treatment (MAT) uptake and adherence may also be beneficial for PrEP. The reSET-O mobile phone app is a component of the evidence-based Therapeutic Education System, which improves retention and abstinence for people with OUD. To better understand use of this mobile health tool as a support for PrEP among women with OUD, pre-implementation contextual inquiry is needed. Therefore, we set out to assess target user characteristics, implementation barriers, feasibility, and acceptability of reSET-O. We recruited women with OUD receiving care from a community-based organization in Philadelphia to complete semi-structured interviews. All participants were prescribed reSET-O. We interviewed 20 participants (average age 37 years; 70% white, 15% Hispanic, 5% Black) from 5/2021 to 2/2022. We used an integrated analysis approach combining modified grounded theory and implementation science constructs. Half reported recent injection drug use, and 6 were taking buprenorphine. Mental health symptoms were common, and half described engaging in transactional sex. The majority expressed strong interest in PrEP. Participants reported the app would be highly acceptable for PrEP and MAT adherence support, but only two redeemed the prescription. The most common barriers included phone and internet access. Our findings highlight potential implementation challenges for the use of such an app to support PrEP use in this population. Poor uptake of the app at follow-up indicates that initial prescription redemption is a major barrier to reSET-O implementation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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