PrEPTECH: A Telehealth-Based Initiation Program for HIV Pre-exposure Prophylaxis in Young Men of Color Who Have Sex With Men. A Pilot Study of Feasibility
Background: In the United States, young men who have sex with men (YMSM) of color represent a high number of new HIV diagnoses annually. HIV pre-exposure prophylaxis (PrEP) is effective and acceptable to YMSM of color; yet, PrEP uptake is low in those communities because of barriers including stigma...
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Veröffentlicht in: | Journal of acquired immune deficiency syndromes (1999) 2019-01, Vol.80 (1), p.40 |
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creator | Refugio, Oliver N Kimble, Mabel M Silva, Cara L Lykens, James E Bannister, Christian Klausner, Jeffrey D |
description | Background: In the United States, young men who have sex with men (YMSM) of color represent a high number of new HIV diagnoses annually. HIV pre-exposure prophylaxis (PrEP) is effective and acceptable to YMSM of color; yet, PrEP uptake is low in those communities because of barriers including stigma, cost, adherence concerns, and medical distrust. A telehealth-based approach to PrEP initiation may be a solution to those barriers. This pilot study investigates one such intervention called PrEPTECH. Methods: We enrolled 25 HIV-uninfected YMSM, aged 18–25 years, from the San Francisco Bay Area into a 180-day longitudinal study between November 2016 and May 2017. Participants received cost-free PrEP services through telehealth [eg, telemedicine visits, home delivery of Truvada, and sexually transmitted infection testing kits], except for 2 laboratory visits. Online survey assessments querying PrEPTECH features and experiences were administered to participants at 90 and 180 days. Results: Eighty-four percent of participants were YMSM of color. Among the 21 who completed the study, 11 of the 16 who wanted to continue PrEP were transitioned to sustainable PrEP providers. At least 75% felt that PrEPTECH was confidential, fast, convenient, and easy to use. Less than 15% personally experienced PrEP stigma during the study. The median time to PrEP initiation was 46 days. Sexually transmitted infection positivity was 20% and 19% at baseline and 90 days, respectively. No HIV infections were detected. Conclusions: Telehealth programs such as PrEPTECH increase PrEP access for YMSM of color by eliminating barriers inherent in traditional clinic-based models. |
doi_str_mv | 10.1097/QAI.0000000000001873 |
format | Article |
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A Pilot Study of Feasibility</title><source>Freely Accessible Journals</source><source>Journals@Ovid LWW Legacy Archive</source><creator>Refugio, Oliver N ; Kimble, Mabel M ; Silva, Cara L ; Lykens, James E ; Bannister, Christian ; Klausner, Jeffrey D</creator><creatorcontrib>Refugio, Oliver N ; Kimble, Mabel M ; Silva, Cara L ; Lykens, James E ; Bannister, Christian ; Klausner, Jeffrey D</creatorcontrib><description>Background: In the United States, young men who have sex with men (YMSM) of color represent a high number of new HIV diagnoses annually. HIV pre-exposure prophylaxis (PrEP) is effective and acceptable to YMSM of color; yet, PrEP uptake is low in those communities because of barriers including stigma, cost, adherence concerns, and medical distrust. A telehealth-based approach to PrEP initiation may be a solution to those barriers. This pilot study investigates one such intervention called PrEPTECH. Methods: We enrolled 25 HIV-uninfected YMSM, aged 18–25 years, from the San Francisco Bay Area into a 180-day longitudinal study between November 2016 and May 2017. Participants received cost-free PrEP services through telehealth [eg, telemedicine visits, home delivery of Truvada, and sexually transmitted infection testing kits], except for 2 laboratory visits. Online survey assessments querying PrEPTECH features and experiences were administered to participants at 90 and 180 days. Results: Eighty-four percent of participants were YMSM of color. Among the 21 who completed the study, 11 of the 16 who wanted to continue PrEP were transitioned to sustainable PrEP providers. At least 75% felt that PrEPTECH was confidential, fast, convenient, and easy to use. Less than 15% personally experienced PrEP stigma during the study. The median time to PrEP initiation was 46 days. Sexually transmitted infection positivity was 20% and 19% at baseline and 90 days, respectively. No HIV infections were detected. Conclusions: Telehealth programs such as PrEPTECH increase PrEP access for YMSM of color by eliminating barriers inherent in traditional clinic-based models.</description><identifier>ISSN: 1525-4135</identifier><identifier>EISSN: 1944-7884</identifier><identifier>DOI: 10.1097/QAI.0000000000001873</identifier><language>eng</language><publisher>Hagerstown: Lippincott Williams & Wilkins Ovid Technologies</publisher><subject>Correlation analysis ; Exposure ; Feasibility studies ; Gays & lesbians ; HIV ; Human immunodeficiency virus ; Infections ; Prophylaxis ; Sexual behavior ; Sexually transmitted diseases ; STD ; Telemedicine</subject><ispartof>Journal of acquired immune deficiency syndromes (1999), 2019-01, Vol.80 (1), p.40</ispartof><rights>Copyright Lippincott Williams & Wilkins Ovid Technologies Jan 1, 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids></links><search><creatorcontrib>Refugio, Oliver N</creatorcontrib><creatorcontrib>Kimble, Mabel M</creatorcontrib><creatorcontrib>Silva, Cara L</creatorcontrib><creatorcontrib>Lykens, James E</creatorcontrib><creatorcontrib>Bannister, Christian</creatorcontrib><creatorcontrib>Klausner, Jeffrey D</creatorcontrib><title>PrEPTECH: A Telehealth-Based Initiation Program for HIV Pre-exposure Prophylaxis in Young Men of Color Who Have Sex With Men. A Pilot Study of Feasibility</title><title>Journal of acquired immune deficiency syndromes (1999)</title><description>Background: In the United States, young men who have sex with men (YMSM) of color represent a high number of new HIV diagnoses annually. HIV pre-exposure prophylaxis (PrEP) is effective and acceptable to YMSM of color; yet, PrEP uptake is low in those communities because of barriers including stigma, cost, adherence concerns, and medical distrust. A telehealth-based approach to PrEP initiation may be a solution to those barriers. This pilot study investigates one such intervention called PrEPTECH. Methods: We enrolled 25 HIV-uninfected YMSM, aged 18–25 years, from the San Francisco Bay Area into a 180-day longitudinal study between November 2016 and May 2017. Participants received cost-free PrEP services through telehealth [eg, telemedicine visits, home delivery of Truvada, and sexually transmitted infection testing kits], except for 2 laboratory visits. Online survey assessments querying PrEPTECH features and experiences were administered to participants at 90 and 180 days. Results: Eighty-four percent of participants were YMSM of color. Among the 21 who completed the study, 11 of the 16 who wanted to continue PrEP were transitioned to sustainable PrEP providers. At least 75% felt that PrEPTECH was confidential, fast, convenient, and easy to use. Less than 15% personally experienced PrEP stigma during the study. The median time to PrEP initiation was 46 days. Sexually transmitted infection positivity was 20% and 19% at baseline and 90 days, respectively. No HIV infections were detected. Conclusions: Telehealth programs such as PrEPTECH increase PrEP access for YMSM of color by eliminating barriers inherent in traditional clinic-based models.</description><subject>Correlation analysis</subject><subject>Exposure</subject><subject>Feasibility studies</subject><subject>Gays & lesbians</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Infections</subject><subject>Prophylaxis</subject><subject>Sexual behavior</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Telemedicine</subject><issn>1525-4135</issn><issn>1944-7884</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpNjVFPgzAUhRujiXP6D3xo4jOT0hZa3ybZBsmMmE0Xn5ZCy-iCFGkx21_x18qiD96Xc0--c-8B4Bb5E-Tz6P5lmk78f4NYhM_ACHFCvIgxcj7sNKAeQZhegitr90MmJISPwHfWzbL1LE4e4BSuVa0qJWpXeY_CKgnTRjstnDYNzDqz68QHLE0Hk_Rt8MpTh9bYvlMn2FbHWhy0hbqB76ZvdvBJNdCUMDb1cLKpDEzEl4IrdYAb7aoTngydma6NgyvXy-MpPVfC6lzX2h2vwUUpaqtu_nQMXuezdZx4y-dFGk-XXosQdp7Mi5KXLJSFoKwQmAopESKFDANSYox4IFDBFMsLVhApZMh8GuYRp4SHSEiOx-Du92_bmc9eWbfdm75rhsptgEKGGMaE4h-egmrm</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Refugio, Oliver N</creator><creator>Kimble, Mabel M</creator><creator>Silva, Cara L</creator><creator>Lykens, James E</creator><creator>Bannister, Christian</creator><creator>Klausner, Jeffrey D</creator><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>7T2</scope><scope>7T5</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>20190101</creationdate><title>PrEPTECH: A Telehealth-Based Initiation Program for HIV Pre-exposure Prophylaxis in Young Men of Color Who Have Sex With Men. 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A Pilot Study of Feasibility</atitle><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle><date>2019-01-01</date><risdate>2019</risdate><volume>80</volume><issue>1</issue><spage>40</spage><pages>40-</pages><issn>1525-4135</issn><eissn>1944-7884</eissn><abstract>Background: In the United States, young men who have sex with men (YMSM) of color represent a high number of new HIV diagnoses annually. HIV pre-exposure prophylaxis (PrEP) is effective and acceptable to YMSM of color; yet, PrEP uptake is low in those communities because of barriers including stigma, cost, adherence concerns, and medical distrust. A telehealth-based approach to PrEP initiation may be a solution to those barriers. This pilot study investigates one such intervention called PrEPTECH. Methods: We enrolled 25 HIV-uninfected YMSM, aged 18–25 years, from the San Francisco Bay Area into a 180-day longitudinal study between November 2016 and May 2017. Participants received cost-free PrEP services through telehealth [eg, telemedicine visits, home delivery of Truvada, and sexually transmitted infection testing kits], except for 2 laboratory visits. Online survey assessments querying PrEPTECH features and experiences were administered to participants at 90 and 180 days. Results: Eighty-four percent of participants were YMSM of color. Among the 21 who completed the study, 11 of the 16 who wanted to continue PrEP were transitioned to sustainable PrEP providers. At least 75% felt that PrEPTECH was confidential, fast, convenient, and easy to use. Less than 15% personally experienced PrEP stigma during the study. The median time to PrEP initiation was 46 days. Sexually transmitted infection positivity was 20% and 19% at baseline and 90 days, respectively. No HIV infections were detected. Conclusions: Telehealth programs such as PrEPTECH increase PrEP access for YMSM of color by eliminating barriers inherent in traditional clinic-based models.</abstract><cop>Hagerstown</cop><pub>Lippincott Williams & Wilkins Ovid Technologies</pub><doi>10.1097/QAI.0000000000001873</doi></addata></record> |
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source | Freely Accessible Journals; Journals@Ovid LWW Legacy Archive |
subjects | Correlation analysis Exposure Feasibility studies Gays & lesbians HIV Human immunodeficiency virus Infections Prophylaxis Sexual behavior Sexually transmitted diseases STD Telemedicine |
title | PrEPTECH: A Telehealth-Based Initiation Program for HIV Pre-exposure Prophylaxis in Young Men of Color Who Have Sex With Men. A Pilot Study of Feasibility |
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