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Publication Profiles

‘A Good Habit’: Telehealth PrEP Users Find Benefit in Quarterly Monitoring Requirements

Citation

Koester KA, Hughes SD, Grant RM. “A Good Habit”: Telehealth PrEP Users Find Benefit in Quarterly Monitoring Requirements. J Int Assoc Provid AIDS Care. 2020;19:2325958220919269. doi:10.1177/2325958220919269

Implementation stage:

Sustainment

Implementation outcomes reported:

Not applicable

Continuum target addressed:

PrEP initation, PrEP persistence

Geography:

Non-priority jurisdiction

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers interviewed people considering or using telehealth HIV-prevention services. They wanted to learn whether going to a laboratory every three months felt burdensome when most other care occurred remotely.Sustainment

Plain Language Abstract

Telehealth can reduce travel and scheduling barriers to pre-exposure prophylaxis, or PrEP, but users still need regular laboratory monitoring. Researchers conducted 31 in-depth interviews with prospective or current patients of Nurx, a telehealth PrEP company. They expected participants might view quarterly laboratory visits as inconvenient because other parts of care were remote. Instead, interviewees generally described navigating laboratory services as relatively easy. Some saw the recurring tests as an additional benefit of taking PrEP and as a useful routine that supported continued engagement in preventive care. The findings show that a requirement assumed to be burdensome may be meaningful for some telehealth users. However, the study reports the perspectives of people already considering or using one company’s services. It does not establish that monitoring is easy for people with different transportation, insurance, geographic, or technology barriers. The qualitative design also cannot show that quarterly testing caused better adherence or persistence, only that some participants believed it helped.

Key Takeaways

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