Developing an HIV Pre-Exposure Prophylaxis Toolkit for Adolescent and Young Adults: Serving Primary Care Providers to Support Future Implementation Using the Consolidated Framework for Implementation Research.
Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy for adolescents and young adults (AYAs, ages 14–26). PrEP uptake among AYAs remains low. Barriers to uptake include provider discomfort discussing sexuality, challenges engaging parents in sexual health conversations, and low pe...
| Publicado en: | AIDS Patient Care & STDs Vol. 40; no. 5; pp. 208 - 218 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
May2026
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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=193813437&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193813437 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10872914 33C jtl: AIDS Patient Care & STDs issn: 10872914 maglogo: N pubinfo: dt: May2026 vid: 40 iid: 5 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 193813437 193813437 193813437 10.1177/10872914261432744 193813437 ppf: 208 ppct: 10 formats: tig: atl: Developing an HIV Pre-Exposure Prophylaxis Toolkit for Adolescent and Young Adults: Serving Primary Care Providers to Support Future Implementation Using the Consolidated Framework for Implementation Research. aug: au: Arnold, Trisha Elwy, A. Rani Parent, Hannah Gashi, Erza Martin, Harrison Rogers, Brooke G. Lee, Jacqueline Chan, Philip A. Rusley, Jack affil: Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA. sug: subj: Patient Participation Pre-Exposure Prophylaxis Adverse Effects HIV Infections Prevention and Control Information Resources Health Personnel Pre-Exposure Prophylaxis Adverse Effects Human Comfort Confidence Focus Groups Ambulatory Care Facilities Primary Health Care Adolescence Adult Surveys World Wide Web Applications Videoconferencing Male Female Descriptive Statistics Audiorecording Meetings Qualitative Studies Thematic Analysis HIV Integrase Inhibitors Administration and Dosage Implementation Science Work Experiences Counseling Emotions Teaching Materials Centers for Disease Control and Prevention (U.S.) Practice Guidelines Algorithms Communication Prescriptions, Drug Legislation and Jurisprudence Privacy and Confidentiality Insurance, Health Medication Compliance Fees and Charges Sexual Health Education Parenting Health Services Accessibility Workflow Time After Care Health Screening Sexually Transmitted Diseases Diagnosis Nursing Protocols Professional Knowledge Self-Efficacy Confusion Motivation Funding Source Adolescent: 13-18 years Adult: 19-44 years Male Female ab: Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy for adolescents and young adults (AYAs, ages 14–26). PrEP uptake among AYAs remains low. Barriers to uptake include provider discomfort discussing sexuality, challenges engaging parents in sexual health conversations, and low perceived HIV risk. To address these gaps, we aimed to develop a toolkit to enhance AYA-serving primary care providers' (PCPs) comfort and confidence in discussing and prescribing PrEP. The Consolidated Framework for Implementation Research informed our approach. Four focus groups with youth-serving PCPs across three clinics in a Northeastern US city were held in April and May 2024. PCPs included residents (n = 10), attending physicians (n = 11), nurse practitioners (n = 2), and a physician assistant (n = 1). Debrief summaries were created following each focus group and analyzed. We used a rapid qualitative process, guided by an a priori codebook and reflexive thematic analysis. PCPs emphasized that the toolkit should be easy to access, interactive, and provide practical, age-appropriate prescribing information. They identified outer-setting factors such as the role of parents in AYAs' health care, sexual health education in schools, and uncertainty around laws that impact PrEP provision to minors. Within the clinical setting, providers noted that limited time often hindered sexual health discussions. Individually, PCPs reported moderate comfort with PrEP and were motivated to prescribe PrEP when AYAs expressed interest. Findings informed the development of a PrEP toolkit tailored for AYA-serving PCPs and future implementation tailored for AYA-serving PCPs. This approach may help expand access and address persistent barriers to PrEP uptake among AYAs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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