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. 2025 Jan-Dec:24:23259582251391273.
doi: 10.1177/23259582251391273. Epub 2025 Oct 31.

Proof of Concept of the Tailored Motivational Interviewing for PrEP Choices Implementation Package for Providers to Support PrEP Uptake and Adherence Among Young Sexual Minority Men

Sylvie Naar  1 , Crissi Rainer  2 , Salome Cockern  3 , Leah King  4 , Jonathan Morgan  1 , Lisa Hightow-Weidman  2
Affiliations

Proof of Concept of the Tailored Motivational Interviewing for PrEP Choices Implementation Package for Providers to Support PrEP Uptake and Adherence Among Young Sexual Minority Men

Sylvie Naar et al. J Int Assoc Provid AIDS Care. 2025 Jan-Dec.

Abstract

ObjectivesPreexposure prophylaxis (PrEP) uptake among young sexual minority men of color remains low. Tailored motivational interviewing (TMI) has been shown to promote behavior change across the youth HIV prevention and care continua but has not been tested in PrEP. This study tested the proof of concept of the TMI for PrEP Choices (TMI-PC) implementation package among a cohort of providers.MethodsThis included: (1) online modules (2) TMI workshop; and (3) Motivational Interviewing (MI) technique practice and feedback. Providers completed surveys prior to and posttraining and 2 coded standard patient interactions; one following the workshop and one three months after the workshop.ResultsAt baseline, providers reported high familiarity and confidence with PrEP overall and daily oral PrEP. On-demand and injectable PrEP familiarity increased significantly among providers. Immediately posttraining, half of the providers scored in the intermediate or advanced fidelity range, which increased to 75% at follow-up. Change in mean MI coach rating scale scores among providers increased significantly.ConclusionThis study provides proof of concept for the TMI-PC Implementation Package, which appears to be ready for testing in a randomized clinical trial.

Keywords: PrEP cohort; digital health; evidence-based tools; motivational interviewing; preexposure prophylaxis; young men who have sex with men.

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