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Publication Profiles

Pre-Exposure Prophylaxis Integration Into Family Planning Services at Title X Clinics in the Southeastern United States: Protocol for a Mixed Methods Hybrid Type I Effectiveness Implementation Study (Phase 2 ATN 155)

Citation

Sheth AN, Hussen SA, Escoffery C, et al. Pre-Exposure Prophylaxis Integration Into Family Planning Services at Title X Clinics in the Southeastern United States: Protocol for a Mixed Methods Hybrid Type I Effectiveness Implementation Study (Phase 2 ATN 155). JMIR Res Protoc. 2020;9(9):e18784. doi:10.2196/18784

Implementation stage:

Implementation

Implementation outcomes reported:

Adoption, Feasibility, Fidelity, Appropriateness, Penetration, Sustainability

Continuum target addressed:

HIV testing, Linkage to preventative care, PrEP initation, PrEP persistence, PrEP adherence

Geography:

Fulton County-GA, DeKalb County-GA, Cobb County-GA, Gwinnett County-GA

Study Participant Classification:

Recipients of care, Providers

Plain Language Objectives

The researchers planned to learn how three family-planning clinics could integrate HIV-prevention medicine into routine services. They also planned to track whether female patients started the medicine, continued it, and took it as prescribed over six months.

Plain Language Abstract

Adolescent and young adult women in the Southern United States, particularly women from racial and ethnic minority groups, are disproportionately affected by HIV yet rarely use pre-exposure prophylaxis, or PrEP. Family-planning clinics may be practical places to offer PrEP because many women already trust and routinely use these services. This protocol describes a mixed-methods study in three Title X clinics in metropolitan Atlanta. Clinics were to receive staff-wide training and technical assistance and develop clinic-specific plans for PrEP screening, counseling, and prescribing. The researchers planned to assess factors affecting adoption and implementation across clinics and to follow female patients for six months to measure PrEP initiation, continued use, and medication-taking. At publication, research activities had begun, but the abstract reported no implementation or patient outcomes. The study was intended to guide future strategies for integrating PrEP into safety-net family-planning services. Because this article is a protocol, it explains what the researchers planned to evaluate; it does not show that clinic training, implementation planning, or PrEP integration was effective.

Key Takeaways

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