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Title

HIV providers' perceived barriers and facilitators to implementing pre-exposure prophylaxis in care settings: a qualitative study.

Authors

D. Krakower, N. Ware, JA Mitty, et al.;

Network Affiliation

Other

Organization

 

Journal Name

AIDS and Behavior

Publication Date

9/1/2014

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/24965676

Link to full-text

 

PMID

24965676

Abstract

​Oral pre-exposure prophylaxis (PrEP) can reduce HIV incidence among at-risk persons. However, for PrEP to have an impact in decreasing HIV incidence, clinicians will need to be willing to prescribe PrEP. HIV specialists are experienced in using antiretroviral medications, and could readily provide PrEP, but may not care for HIV-uninfected patients. Six focus groups with 39 Boston area HIV care providers were conducted (May-June 2012) to assess perceived barriers and facilitators to prescribing PrEP. Participants articulated logistical and theoretical barriers, such as concerns about PrEP effectiveness in real-world settings, potential unintended consequences (e.g., risk disinhibition and medication toxicity), and a belief that PrEP provision would be more feasible in primary care clinics. They identified several facilitators to prescribing PrEP, including patient motivation and normative guidelines. Overall, participants reported limited prescribing intentions. Without interventions to address HIV providers' concerns, implementation of PrEP in HIV clinics may be limited.

Keywords

 

Topic

Adherence; Behavior; Intervention

Attachments

Created at 1/23/2015 9:27 AM by Davis, Gregory P
Last modified at 1/23/2015 9:27 AM by Davis, Gregory P