Expanding Knowledge About Implementation of Pre-exposure Prophylaxis (PrEP): A Methodological Review
| Autor: | Rogério M. Pinto, Kathryn R. Berringer, Emma Sophia Kay, Ashley Lacombe-Duncan |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty Social Psychology Anti-HIV Agents Health Personnel HIV prevention Psychological intervention HIV Infections Sample (statistics) 03 medical and health sciences Pre-exposure prophylaxis 0302 clinical medicine PrEP implementation methods Continuum of care medicine Humans 030212 general & internal medicine Structural barriers Original Paper Medical education 030505 public health Public health Public Health Environmental and Occupational Health PrEP methodological review Continuity of Patient Care United States Health psychology Infectious Diseases Conceptual approach Pre-Exposure Prophylaxis Observational study 0305 other medical science Psychology |
| Zdroj: | AIDS and Behavior |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-019-02577-7 |
| Popis: | Methodological limitations in PrEP implementation studies may explain why PrEP implementation is lagging. This methodological review provides a description and critique of the methods used to identify barriers to PrEP implementation in the United States (2007–18). For each selected article, we provide: (1) research questions; (2) measures; (3) design; (4) sample (size and type); and (5) theoretical orientation. Among 79 articles which identified knowledge, attitudes, and behavioral and social/structural barriers to PrEP implementation, 51 (65%) were quantitative; 25 (32%) qualitative; and 3 (4%) were mixed-methods; overall, just one-half described a conceptual approach. About two-thirds of articles were conducted with patients and one-third with healthcare providers. Our review reveals a paucity of longitudinal, mixed-methods, and ethnographic/observational research and guiding theoretical frameworks; thus, the applicability of results are limited. We recommend that interventions aimed at PrEP implementation address barriers situated at multiple ecological domains, and thus improve PrEP access, uptake, and adherence. |
| Databáze: | OpenAIRE |
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