1. Collaborative PrEP Implementation Strategies for Latino Men Who have Sex with Men: A Health Center-Community Consensus Process.
- Author
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Ross, Jonathan, Betancourt, Gabriela S., Andrade, Elí A., Klein, Augustus, Marrero, Lissette, Morales, Gustavo A., Rivera, Sage, Watnick, Dana L., and Patel, Viraj V.
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HIV prevention , *CONSENSUS (Social sciences) , *HEALTH facilities , *BRAINSTORMING , *FOCUS groups , *HISPANIC Americans , *SOCIAL media , *COMMUNITY health services , *PRE-exposure prophylaxis , *HUMAN services programs , *INTERPROFESSIONAL relations , *RESEARCH funding , *COMMUNICATION , *MEN who have sex with men , *COLLECTION & preservation of biological specimens , *DELPHI method , *TELEMEDICINE - Abstract
Community-based organizations (CBOs) deliver services in culturally-responsive ways, and could effectively partner with health centers to deliver HIV pre-exposure prophylaxis (PrEP) to Latino men who have sex with men (LMSM). However, few such models exist. We conducted a planning study in collaboration with three CBOs serving LMSM to identify optimal PrEP delivery strategies for health centers and CBOs to implement jointly. We established a Community Expert Panel (CEP) of eight client-facing CBO and health center staff. Over 6 months, the panel met monthly to identify collaborative strategies for PrEP delivery, using a modified Delphi method consisting of the following steps: (1) brainstorming strategies; (2) rating strategies on acceptability, appropriateness and feasibility; (3) review of data from qualitative focus group discussions with CBO clients; and (4) final strategy selection. The panel initially identified 25 potential strategies spread across three categories: improving communication between health centers and CBOs; using low-barrier PrEP options (e.g. telemedicine), and developing locally-relevant, culturally-sensitive outreach materials. Focus groups with CBO clients highlighted a desire for flexible options for PrEP-related care and emphasized trust in CBOs. The final package of strategies consisted of: (1) a web-based referral tool; (2) telemedicine appointments; (3) geographically-convenient options for lab specimen collection; (4) tailored print and social media; and (5) regular coaching sessions with CBO staff. Through a community-engaged process, we identified a package of PrEP delivery strategies that CBOs and health centers can implement in partnership, which have the potential to overcome barriers to PrEP for LMSM. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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