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For: Budhwani H, Yigit I, Maragh-Bass AC, Rainer CB, Claude K, Muessig KE, Hightow-Weidman LB. Validation of HIV Pre-Exposure Prophylaxis (PrEP) Medication Scales with Youth on PrEP: PrEP Confidence Scale and PrEP Difficulties Scale. AIDS Patient Care STDS 2022;36:443-450. [PMID: 36306520 PMCID: PMC9700336 DOI: 10.1089/apc.2022.0072] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open

For:	Budhwani H, Yigit I, Maragh-Bass AC, Rainer CB, Claude K, Muessig KE, Hightow-Weidman LB. Validation of HIV Pre-Exposure Prophylaxis (PrEP) Medication Scales with Youth on PrEP: PrEP Confidence Scale and PrEP Difficulties Scale. AIDS Patient Care STDS 2022;36:443-450. [PMID: 36306520 PMCID: PMC9700336 DOI: 10.1089/apc.2022.0072] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open

Number

Cited by Other Article(s)

Min SH, Kempf MC, Johnson AK, Wingood G, Klitzman R, Hughes TL, McDonald V, Lee Corcoran J, Dionne JA, Liu J, Schnall R. Updating an HIV Knowledge Questionnaire With Pre-exposure Prophylaxis Through Expert Opinions in the United States Using Delphi Methodology: A Qualitative Study. J Assoc Nurses AIDS Care 2025;36:227-236. [PMID: 39787331 DOI: 10.1097/jnc.0000000000000510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2025]

Affiliation(s)

Se Hee Min Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Mirjam-Colette Kempf Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Amy Kristen Johnson Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Gina Wingood Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Robert Klitzman Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Tonda L Hughes Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Victoria McDonald Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Jessica Lee Corcoran Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Jodie A Dionne Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Jianfang Liu Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA
Rebecca Schnall Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA

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Garcia-Martinez D, Soto-Baselga I, Garrido-Peño N. Complexity and Challenges of Measuring PrEP Adherence. JAMA Intern Med 2025;185:471. [PMID: 39928350 DOI: 10.1001/jamainternmed.2024.7900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/11/2025]

Rainer C, Schnall R, Tanner MR, Galindo CA, Hoover KW, Naar S, Brin M, Martinez A, Jia H, Mendoza M, Hightow-Weidman L. Developing and Implementing Provider-Training and Evidence-Based Tools to Support Pre-exposure Prophylaxis (PrEP) Decision-Making and Increase PrEP Adherence Among Young Men Who Have Sex With Men: Protocol for the PrEP Choice Longitudinal Cohort Study. JMIR Res Protoc 2025;14:e64186. [PMID: 40112293 PMCID: PMC11969124 DOI: 10.2196/64186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2024] [Revised: 10/21/2024] [Accepted: 02/03/2025] [Indexed: 03/22/2025] Open

Abstract

BACKGROUND

Despite the availability of highly effective HIV pre-exposure prophylaxis (PrEP), uptake and adherence to PrEP among young men who have sex with men (YMSM) remains low, limiting its impact on the prevention of HIV infection. Strategies that incorporate an array of prevention options and provide YMSM and their providers with tailored education and support tools, including tools to support shared decision-making, are needed.

OBJECTIVE

The goals of the Centers for Disease Control and Prevention (CDC)-funded PrEP Choice study include the development and deployment of CDC guideline-consistent PrEP provider training and the implementation of evidence-based provider- and client-facing PrEP education and support tools. Under this initiative, the CDC funded 2 research projects, Florida State University (the Expanding PrEP in Communities of Color [EPICC] project), and Columbia University (the mChoice project).

METHODS

Providers from both projects will complete the PrEP Choice online training, which was developed to educate providers on PrEP options and how to engage clients in open discussions around sexual health and PrEP options. EPICC project providers will also attend online tailored motivational interviewing (TMI) training sessions, and mChoice project providers will view a training video on cultural competency and humility in PrEP care. Following training, each project will enroll a cohort of 400 participants receiving care from study providers and follow them for 12-18 months. Participants will complete online surveys every 3 months and provide biomarkers to assess PrEP adherence. Electronic health record (EHR) data will be collected every 6 months to provide additional information on clinic attendance, PrEP prescriptions, and HIV/sexually transmitted infection (STI) testing. Each project will provide cohort participants with a unique digital health tool to support the PrEP choice and ongoing adherence. The study will assess the effectiveness of training and educational and support tools in practice and the critical factors associated with the successful uptake of and adherence to PrEP by participants. The study will also monitor patterns of PrEP use among YMSM, including types of PrEP and switching between types.

RESULTS

Formative work to develop and prepare the tools for implementation was completed in 2023. The EPICC project began provider training in early 2024, and the mChoice project began in spring 2024. Cohort enrollment for both projects began after provider training began.

CONCLUSIONS

Given the changing PrEP landscape, implementation of provider education and tools to maximize uptake and adherence is needed. By delivering culturally competent and interactive provider training on PrEP options, the study will help providers counsel and guide participants on the effective and safe use of PrEP. The digital health tools created will support participant adherence to help them optimize PrEP benefits. Through the cohort design, the PrEP Choice study will provide real-world data about PrEP use that will be critical for informing future guidelines and tools.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)

DERR1-10.2196/64186.

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Yigit I, Budhwani H, Rainer CB, Claude K, Muessig KE, Hightow-Weidman LB. Associations Between PrEP Stigma, PrEP Confidence, and PrEP Adherence: Conditional Indirect Effects of Anticipated HIV Stigma. J Acquir Immune Defic Syndr 2024;97:99-106. [PMID: 39250643 PMCID: PMC11573708 DOI: 10.1097/qai.0000000000003474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Accepted: 06/03/2024] [Indexed: 09/11/2024]

Abstract

BACKGROUND

Research has linked stigma surrounding preexposure prophylaxis (PrEP) to poor HIV prevention outcomes, including PrEP adherence. However, there remains a limited understanding of the mechanisms through which PrEP stigma affects PrEP adherence, specifically among sexual and gender minority (SGM) youth. In this study, we aimed to investigate the indirect effect of PrEP stigma on PrEP adherence through PrEP confidence and the moderating role of anticipated HIV stigma.

METHODS

Participants included 235 SGM youth, assigned male sex at birth, aged 16-24, and self-reported HIV-negative, with an active PrEP prescription from the Prepared, Protected, emPowered randomized controlled trial. Participants were recruited from 9 clinics in the United States between 2019 and 2021. Using baseline data, we tested cross-sectional indirect and conditional indirect effects using the Statistical Package for the Social Sciences Process with confidence intervals and 2000 resamples.

RESULTS

We found significant indirect effects, suggesting that PrEP stigma was negatively associated with PrEP confidence, which in turn resulted in both monthly and weekly optimal PrEP adherence (Indirect effects: B = -0.11, Standard Error [SE] = 0.05, CI: [-0.244 to -0.032]; B = -0.09, SE = 0.04, CI: [-0.191 to -0.014], respectively). Anticipated HIV stigma moderated these indirect effects (B = -0.11, SE = 0.08, CI: [-0.315 to -0.001]; B = -0.09, SE = 0.06, CI: [-0.245 to -0.001], respectively), suggesting that the conditional indirect effects were significant at high but not low levels of anticipated HIV stigma.

CONCLUSION

Results suggest that SGM youth who are on PrEP anticipating HIV stigma experience a compounding effect of PrEP stigma on PrEP confidence, consequently leading to suboptimal adherence. Interventions addressing the intersectionality of PrEP and HIV stigmas and enhancing confidence could improve PrEP adherence, particularly among SGM youth.

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Budhwani H, Yigit I, Stocks JB, Stoner MCD, Browne E, Pettifor AE, Hightow-Weidman LB. Development and validation of the mpox stigma scale (MSS) and mpox knowledge scale (MKS). BMC Public Health 2024;24:2469. [PMID: 39256711 PMCID: PMC11389315 DOI: 10.1186/s12889-024-19868-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Accepted: 08/23/2024] [Indexed: 09/12/2024] Open

Abstract

BACKGROUND

Few validated brief scales are available to measure constructs that may hinder mpox-related prevention and care engagement, such as knowledge and stigma. Both are highly salient barriers to infectious disease care and disease understanding, precursors to evaluating one's risk and need to, for example, accept vaccination. To address this gap, we developed and validated the Mpox Stigma Scale (MSS) and Mpox Knowledge Scale (MKS).

METHODS

As part of a full-scale clinical trial, we offered an optional mpox survey to participants who self-identified as African American or Black, were 18-29 years old, and lived in Alabama, Georgia, or North Carolina (2023, N = 330). We calculated psychometric properties through confirmatory factor analyses (CFA) and applied Comparative Fit Index (CFI), Goodness of Fit Index (GFI), and Tucker-Lewis Index (TLI) values equal to or exceeding 0.90 and Root Mean Square Error of Approximation (RMSEA) and Standardized Root Mean Square Residual (SRMR) values less than 0.08 to determine adequate model fit. We computed internal reliability using Cronbach's alpha and calculated Pearson or Spearman correlation coefficients between the MSS and MKS and related variables.

RESULTS

For the MSS, CFA results showed that the one-factor model fit the data well (χ2(df = 5, N = 330) = 34.962, CFI = 0.97, GFI = 0.99, TLI = 0.94, RMSEA = 0.13, SRMR = 0.03). For the MKS, the one-factor model provided a good fit to the data (χ2(df = 6, N = 330) = 8.44, CFI = 0.99, GFI = 0.99, TLI = 0.95, RMSEA = 0.15, SRMR = 0.02). Cronbach's alphas were MSS = 0.91 and MKS = 0.83, suggesting good to excellent reliability. The MSS was correlated with the MKS (r = .55, p < .001), stigmatizing attitudes (r = .24, p < .001), attitudes towards mpox vaccination (r=-.12, p = .030), and worry about contracting mpox (r = .44, p < .001). The MKS was correlated with worry about contracting mpox (r = .30, p < .001) and mpox disclosure (r=-.16, p = .003).

CONCLUSIONS

The MSS and MKS are reliable and valid tools for public health practice, treatment and prevention research, and behavioral science. Further validation is warranted across populations and geographic locations.

TRIAL REGISTRATION

ClinicalTrials.gov NCT05490329.

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Abu-Ba'are GR, Torpey K, Guure C, Nelson LE, Jeon S, McMahon J, Leblanc NM, Shamrock OW, Zigah EY, Apreku A, Dakpui HD, Agbemedu GRK, Boakye F, Adu P, Attisoe A, Adjaka G. Status-neutral community-based multilevel intervention to address intersectional stigma and discrimination, and increase HIV testing, PrEP, and ART uptake among YGBMSM in Ghanaian Slums: A clustered randomized control trial protocol. RESEARCH SQUARE 2024:rs.3.rs-4486078. [PMID: 38854081 PMCID: PMC11160908 DOI: 10.21203/rs.3.rs-4486078/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2024]

Abstract

Background

While GBMSM constitute less than 2% of Ghana's population, their HIV prevalence surpasses the national average by more than eightfold, emphasizing the critical need for targeted interventions to improve detection, care linkage, and reduce community transmission. This study seeks to increase HIV testing, Pre-Exposure Prophylaxis (PrEP), and Antiretroviral Therapy (ART) uptake (HPART) among YGBMSM through the adaptation of an evidence-based intervention (LAFIYA).

Methodology

We will employ the ADAPTT-IT framework to adapt LAFIYA and evaluate its feasibility and effectiveness in addressing intersectional stigma and increasing HPART uptake among YGBMSM residing in Ghanaian slums. In aim 1, we will hold focus groups (n=5) and interviews (n=20) among YGBMSM and two FGDs among GBMSM-led organizations. At the HCF level, we will hold 6 FGDs and interviews (n=20) among nurses. In AIM 2, we will randomly assign 6 healthcare facilities (HCFs) to receive the LAFIYA (n=3) or wait-list control (n=3). Friend groups (cluster) of YGBMSM (N=240) will be assigned to receive LAFIYA (n=120) or a wait-list control (n=120). We will collect 3-, 6-, and 9-months post-intervention data among YGBMSM(n=240) and HCWs(n=300) to measure HPART adherence (primary outcomes), ISD reduction, HIV and status-neutral knowledge (secondary outcomes), and intervention acceptability, appropriateness, and feasibility (implementation outcomes).

Conclusion

The intervention group will observe increased HPART adherence, reduced ISD, and enhanced HPART knowledge and efficacy relative to the wait-list control group. The findings will inform ISD reduction and HIV status-neutral implementation strategies - and place-based interventions that address access to HIV prevention and care among YGBMSM, slum and in different settings.

Trail Registration

This study was registered on clinicalTrail.gov, with identifier number NCT06312514 on 03/14/2023. https://classic.clinicaltrials.gov/ct2/show/NCT06312514.

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Storholm ED, Klein DJ, Pedersen ER, D'Amico EJ, Rodriguez A, Garvey R, Tucker JS. Sociodemographic and Behavioral Risk Correlates of PrEP Interest and Use Among Young Adults Experiencing Homelessness in Los Angeles. AIDS Behav 2024;28:1216-1226. [PMID: 37698638 PMCID: PMC10927607 DOI: 10.1007/s10461-023-04144-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/19/2023] [Indexed: 09/13/2023]

Hartmann M, Nyblade L, Otticha S, Marton T, Agot K, Roberts ST. The development of a conceptual framework on PrEP stigma among adolescent girls and young women in sub-Saharan Africa. J Int AIDS Soc 2024;27:e26213. [PMID: 38379129 PMCID: PMC10879468 DOI: 10.1002/jia2.26213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 01/17/2024] [Indexed: 02/22/2024] Open

Abstract

INTRODUCTION

Stigma is a well-known barrier to HIV testing and treatment and is an emerging barrier to pre-exposure prophylaxis (PrEP) use. To guide future research, measurement and interventions, we developed a conceptual framework for PrEP stigma among adolescent girls and young women (AGYW) in sub-Saharan Africa, a priority population for PrEP.

METHODS

A literature review, expert consultations and focus group discussions (FGDs) were conducted to adapt the Health Stigma and Discrimination Framework, describing the stigmatization process nested within the socio-ecological framework. We reviewed all articles on PrEP stigma and on HIV, contraceptive or sexuality stigma among AGYW from 2009 to 2019. Expert consultations were conducted with 10 stigma or PrEP researchers and two Kenyan youth advisory boards to revise the framework. Finally, FGDs were conducted with AGYW PrEP users (4 FGDs; n = 20) and key influencers (14 FGDs; n = 72) in Kenya with the help of a Youth Research Team who aided in FGD conduct and results interpretation. Results from each phase were reviewed and the framework was updated to incorporate new and divergent findings. This was validated against an updated literature search from 2020 to 2023.

RESULTS

The conceptual framework identifies potential drivers, facilitators and manifestations of PrEP stigma, its outcomes and health impacts, and relevant intersecting stigmas. The main findings include: (1) PrEP stigma is driven by HIV, gender and sexuality stigmas, and low PrEP community awareness. (2) Stigma is facilitated by factors at multiple levels: policy (e.g. targeting of PrEP to high-risk populations), health systems (e.g. youth-friendly service availability), community (e.g. social capital) and individual (e.g. empowerment). (3) Similar to other stigmas, manifestations include labelling, violence and shame. (4) PrEP stigma results in decreased access to and acceptability of PrEP, limited social support and community resistance, which can impact mental health and decrease PrEP uptake and adherence. (5) Stigma may engender resilience by motivating AGYW to think of PrEP as an exercise in personal agency.

CONCLUSIONS

Our PrEP stigma conceptual framework highlights potential intervention targets at multiple levels in the stigmatization process. Its adoption would enable researchers to develop standardized measures and compare stigma across timepoints and populations as well as design and evaluate interventions.

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D’Avanzo P, Shourya S, Brin M, Kaw S, Kay E, Batey DS, Radix A, Belkind U, Tanner M, Galindo C, Ferrara S, Ott C, Ramirez SO, Schnall R. Identifying Key Factors to PrEP Initiation and Persistence Among YMSM Through Focus Groups and Surveys in Two High-Priority Settings. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2024;36:33-47. [PMID: 38349352 PMCID: PMC11034730 DOI: 10.1521/aeap.2024.36.1.33] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/15/2024]

Clarke-Steffen L, Chulani V, Dobbs M, Piatt J. Barriers Encountered By Youth Aged 13-24 While Accessing Pre-Exposure Prophylaxis to HIV: Phoenix Pre-Exposure Prophylaxis Access Project. AIDS Patient Care STDS 2023;37:432-435. [PMID: 37713287 DOI: 10.1089/apc.2023.0131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/17/2023] Open

Owens C, Gray SJ, Carter K, Hoffman M, Mullen C, Hubach RD. Implementation Facilitators and Barriers for Primary Care Providers Prescribing Daily Oral PrEP to Adolescents in the United States. AIDS Patient Care STDS 2023;37:379-393. [PMID: 37566536 DOI: 10.1089/apc.2023.0090] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/13/2023] Open