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Publication Profiles

Mapping Implementation Science with Expert Recommendations for Implementing Change (MIS‑ERIC): Strategies to Improve PrEP Use among Black Cisgender Women Living in Mississippi

Citation

Arnold T, Whiteley L, Elwy RA, et al. Mapping Implementation Science with Expert Recommendations for Implementing Change (MIS-ERIC): Strategies to Improve PrEP Use among Black Cisgender Women Living in Mississippi. J Racial Ethn Health Disparities. 2023;10(6):2744-2761. doi:10.1007/s40615-022-01452-x

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Acceptability, Adoption, Feasibility, Fidelity

Continuum target addressed:

Linkage to preventative care

Geography:

Mississippi

Study Participant Classification:

Community member(s), Implementer(s)

Plain Language Objectives

The researchers spoke with Black women and clinic staff in Mississippi about what makes HIV-prevention medication easier or harder to use. They wanted to select practical strategies that clinics could use to improve access, engagement, and continued use.

Plain Language Abstract

Black women in Mississippi experience a disproportionate HIV burden, while use of pre-exposure prophylaxis, or PrEP, remains limited. Researchers interviewed 20 Black cisgender women at risk for HIV and 12 community health center staff. They used qualitative analysis to identify barriers and then matched those barriers with established implementation strategies. Participants described low awareness of HIV risk, limited knowledge of PrEP, stigma, and structural obstacles. Suggested education approaches included normalizing PrEP in public messages, providing information in places where women gather, and involving Black women as educators. The research team used the Expert Recommendations for Implementing Change strategy list and other implementation frameworks to select and specify strategies addressing the identified barriers. The work produced a detailed, locally tailored set of approaches intended to increase PrEP access, engagement, and adherence. Because the study was qualitative and focused on planning, its findings represent participant perspectives in these settings. It selected implementation strategies but did not test whether those strategies increased PrEP use or improved HIV prevention outcomes.

Key Takeaways

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Barriers/Facilitators

Science Frameworks

Implementation Science Frameworks

Outcomes

Community Partnerships

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