A PrEP Demonstration Project Using eHealth and Community Outreach to Justice-Involved Cisgender Women and Their Risk Networks

Meyer, Jaimie P.; Price, Carolina; Ye, Yiwen; Qin, Yilu; Tracey, DeShana; Demidont, A. C.; Melbourne, Kathleen; Altice, Frederick L.

doi:10.1007/s10461-022-03709-2

Cited by 5 publications

(7 citation statements)

References 31 publications

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“…In general, telePrEP has high applicability and thus would be appropriate for implementation under real-world conditions. However, the exception was the PrEP for Women Involved in Criminal Justice Systems and Risk Network Members intervention which focused on women with high medical, psychiatric, and social comorbidity [53]. TelePrEP accessed from home (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Alternative setting for care Four studies implemented telePrEP in lieu of in-person office visits [51][52][53][54]. These studies were implemented in US urban areas (i.e.…”

Section: Types Of Alternative Preexposure Prophylaxis Care Deliverymentioning

confidence: 99%

“…PrEPTech is the only included study which focused on young (18-25 years old) MSM [51]. One study focused on women involved in the criminal justice system and their network members [53].…”

Section: )mentioning

confidence: 99%

“…PrEP for[53] Women involved in criminal justice systems (WICJ) and risk network (RN) members[53] prescribers and setting for care with or without laboratory screenings (n U Pharmacist prescriber plus telehealth with or without mail-in test (n ¼3)A PrEP Model Incorporating Clinical Pharmacist Encounters and Antimicrobial Stewardship Program (ASP)…”

mentioning

confidence: 99%

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Systematic review of alternative HIV pre-exposure prophylaxis (PrEP) care delivery models to improve PrEP services

Kamitani

Mizuno

DeLuca

et al. 2023

Aids

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Objectives: To identify types, evidence, and study gaps of alternative HIV preexposure prophylaxis (PrEP) care delivery models in the published literature. Design: Systematic review and narrative synthesis. Methods: We searched in the US Centers for Disease Control and Prevention (CDC) Prevention Research Synthesis (PRS) database through December 2022 (PROSPERO CRD42022311747). We included studies published in English that reported implementation of alternative PrEP care delivery models. Two reviewers independently reviewed the full text and extracted data by using standard forms. Risk of bias was assessed using the adapted Newcastle-Ottawa Quality Assessment Scale. Those that met our study criteria were evaluated for efficacy against CDC Evidence-Based Intervention (EBI) or Evidence-Informed Intervention (EI) criteria or Health Resources and Services Administration Emergency Strategy (ES) criteria, or for applicability by using an assessment based on the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. Results: This review identified 16 studies published between 2018 and 2022 that implemented alternative prescriber (n = 8), alternative setting for care (n = 4), alternative setting for laboratory screening (n = 1), or a combination of the above (n = 3) . The majority of studies were US-based (n = 12) with low risk of bias (n = 11). None of the identified studies met EBI, EI, or ES criteria. Promising applicability was found for pharmacists prescribers, telePrEP, and mail-in testing. Conclusions: Delivery of PrEP services outside of the traditional care system by expanding providers of PrEP care (e.g. pharmacist prescribers), as well as the settings of PrEP care (i.e. telePrEP) and laboratory screening (i.e. mail-in testing) may increase PrEP access and care delivery.

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Section: Discussionmentioning

confidence: 99%

“…Alternative setting for care Four studies implemented telePrEP in lieu of in-person office visits [51][52][53][54]. These studies were implemented in US urban areas (i.e.…”

Section: Types Of Alternative Preexposure Prophylaxis Care Deliverymentioning

confidence: 99%

“…PrEPTech is the only included study which focused on young (18-25 years old) MSM [51]. One study focused on women involved in the criminal justice system and their network members [53].…”

Section: )mentioning

confidence: 99%

mentioning

confidence: 99%

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Systematic review of alternative HIV pre-exposure prophylaxis (PrEP) care delivery models to improve PrEP services

Kamitani

Mizuno

DeLuca

et al. 2023

Aids

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“…The Addiction Severity Index (ASI) is used at baseline to assess and address the severity of an individual’s substance use in 7 domains: medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status [ 30 ]. We use the Addiction Severity Index-Legal component (ASI-L) to assess participants' current and past criminal justice involvement, based on its predictability for future incarceration and our experience using it to assess criminal justice involvement history in prior clinical trials [ 31 , 32 ]. Participants identify their current parole or probation status.…”

Section: Methodsmentioning

confidence: 99%

Experience delivering an integrated service model to people with criminal justice system involvement and housing insecurity

et al. 2023

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Background People returning to communities from prison or jail face stressors related to securing housing, including discrimination, restrictions based on prior felony convictions, and limited economic and social resources. Existing housing programs can effectively reduce housing instability but often do not fully address the needs of people involved in the criminal justice system experiencing homelessness who often have co-occurring chronic medical issues, and psychiatric and substance use disorders. Methods Project CHANGE is an ongoing program to deliver person-centered, integrated care and services to individuals involved with the criminal justice system and experiencing homelessness. Applying a Screening, Brief Intervention, (Referral to) Treatment framework, a comprehensive needs assessment is followed by delivery of intensive housing and vocational case management; and psychiatric, substance use, and medical services in a single location by an interdisciplinary team. Participants are followed with study interviews for 12 months. The current analysis was designed to assess the baseline characteristics and needs of the sample population, and the intensity of contact required for integrated service delivery. Results Between November 2019 and September 2021, 86 participants were enrolled, of whom 64% had been released from prison/jail in the past 6 months; the remainder were on parole, probation, or intensive pretrial supervision. Participants were unstably housed (64%) or residing outdoors (26.7%) or in a shelter (24.4%). Most participants had high medical need and frequent healthcare engagement through outpatient and emergency department visits. Most participants were at-risk for clinical depression, and half were diagnosed with anxiety, dissociative, stress-related, somatoform, and other non-psychotic psychiatric disorders. Over 12-month follow-up, the interdisciplinary team made over 500 contact encounters, over half of which resulted in direct services provided, including obtaining vital documents for homelessness verification, housing applications, and employment coaching. Conclusion Navigation of services can be particularly challenging for individuals experiencing criminal justice involvement, homelessness, and co-occurring medical, psychiatric, and substance use issues, which can be addressed holistically in an integrated service model. Integrated service delivery was time-, resource-, and staffing-intensive, and challenged by the COVID-19 pandemic, requiring innovative solutions to sustain participant engagement.

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Telehealth Models for PrEP Delivery: A Systematic Review of Acceptability, Implementation, and Impact on the PrEP Care Continuum in the United States

Bonett,

Li,

Sweeney

et al. 2024

AIDS Behav

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Pre-exposure prophylaxis (PrEP) is pivotal in curbing HIV transmission and is integral to the national plan to end the HIV epidemic in the United States (US). Nonetheless, widespread PrEP adoption faces barriers. Telehealth delivery models for PrEP, or telePrEP, can enhance PrEP access and adherence by providing flexible care remotely. This study presents a systematic review of telePrEP programs in the US, aiming to describe model characteristics and summarize clinical, implementation, and equity outcomes. We reviewed studies published from 2012 to 2023. We included articles that described telePrEP systems in the US and measured PrEP care continuum outcomes (awareness, initiation, uptake, adherence) or acceptability of the intervention by program users. Eight articles describing six distinct telePrEP initiatives met our inclusion criteria. Studies described models implemented in community-based, academic, and commercial settings, with most programs using a direct-to-client telePrEP model. Across studies, clients reported high acceptability of the telePrEP programs, finding them easy to use, convenient, and helpful as a tool for accessing HIV prevention services. No programs were offering injectable PrEP at the time these studies were conducted. Data was limited in measuring PrEP retention rates and the reach of services to underserved populations, including Black and Latinx communities, transgender individuals, and cis-gender women. Findings underscore the potential of telePrEP to bolster the reach of PrEP care and address structural barriers to access. As telehealth models for PrEP care gain prominence, future research should concentrate on refining implementation strategies, enhancing equity outcomes, and expanding services to include injectable PrEP.

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A PrEP Demonstration Project Using eHealth and Community Outreach to Justice-Involved Cisgender Women and Their Risk Networks

Cited by 5 publications

References 31 publications

Systematic review of alternative HIV pre-exposure prophylaxis (PrEP) care delivery models to improve PrEP services

Systematic review of alternative HIV pre-exposure prophylaxis (PrEP) care delivery models to improve PrEP services

Experience delivering an integrated service model to people with criminal justice system involvement and housing insecurity

Telehealth Models for PrEP Delivery: A Systematic Review of Acceptability, Implementation, and Impact on the PrEP Care Continuum in the United States

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