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. 2020 Feb;32(2):238-241.
doi: 10.1080/09540121.2019.1622639. Epub 2019 May 30.

Beyond HIV prevention: a qualitative study of patient-reported outcomes of PrEP among MSM patients in two public STD clinics in Baltimore

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Beyond HIV prevention: a qualitative study of patient-reported outcomes of PrEP among MSM patients in two public STD clinics in Baltimore

Cui Yang et al. AIDS Care. 2020 Feb.

Abstract

Pre-exposure prophylaxis (PrEP) could have a substantial impact on the HIV epidemic within the US. However, the implementation of PrEP interventions outside of clinical trials has been slow and faces considerable barriers. The aim of the current study was to qualitatively explore PrEP-related patient-reported outcomes (PRO) among MSM patients who enrolled in a PrEP program at two public STD clinics in Baltimore. We conducted in-depth interviews with 18 PrEP patients who self-identified as MSM at two Baltimore City Health Department STD clinics between March and November, 2017. A codebook was developed using an iterative process. During analysis, the study team identified various biomedical and psychosocial PrEP-related PRO among MSM PrEP patients. In addition to HIV prevention, PrEP-related PRO included greater peace of mind, better continuity in care and awareness about health and well-being, relationship solidarity with serodiscordant partners, and access to social services. These findings on PrEP-related PRO can potentially contribute to improving patient-provider communication, leading to increased engagement in care and uptake of PrEP by MSM.

Keywords: HIV; MSM; PrEP; patient-reported outcomes; qualitative.

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Conflict of interest statement

Author Disclosure Statement

No competing financial interests exist

References

    1. Barry MJ, & Edgman-Levitan S (2012). Shared decision making--pinnacle of patient-centered care. The New England Journal of Medicine, 366(9), 780–781. doi: 10.1056/NEJMp1109283 [doi] - DOI - PubMed
    1. Engler K, Lenart A, Lessard D, Toupin I, & Lebouche B (2018). Barriers to antiretroviral therapy adherence in developed countries: A qualitative synthesis to develop a conceptual framework for a new patient-reported outcome measure. AIDS Care, , 1–12. doi: 10.1080/09540121.2018.1469725 [doi] - DOI - PubMed
    1. Engler K, Lessard D, & Lebouche B (2017). A review of HIV-specific patient-reported outcome measures. The Patient, 10(2), 187–202. doi: 10.1007/s40271-016-0195-7 [doi] - DOI - PubMed
    1. Food and drug administration (FDA). guidance for industry - patient reported outcome measures: Use in medical product development to support labeling claims available from: https://Www.fda.gov/downloads/drugs/GuidanceComplianceRegulatoryInformat... [accessed 11th may 2018]. - PMC - PubMed
    1. Gamarel KE, & Golub SA (2015). Intimacy motivations and pre-exposure prophylaxis (PrEP) adoption intentions among HIV-negative men who have sex with men (MSM) in romantic relationships. Annals of Behavioral Medicine : A Publication of the Society of Behavioral Medicine, 49(2), 177–186. doi: 10.1007/s12160-014-9646-3 [doi] - DOI - PMC - PubMed

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