Client-Centered Care Coordination (C4TM) for HIV/STI Prevention: a Theoretical, Conceptual, and Methodological Overview-HIV Prevention Trials Network (HPTN) 073

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11320%2F22%3A10449024" target="_blank" >RIV/00216208:11320/22:10449024 - isvavai.cz</a>

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=mYr_5BNfTi" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=mYr_5BNfTi</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s13178-022-00687-x" target="_blank" >10.1007/s13178-022-00687-x</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Client-Centered Care Coordination (C4TM) for HIV/STI Prevention: a Theoretical, Conceptual, and Methodological Overview-HIV Prevention Trials Network (HPTN) 073

Popis výsledku v původním jazyce

Introduction: There are few culturally informed, theory-driven evidence-based strategies to support PrEP use among Black MSM. This paper describes the theoretical foundation and conceptual development of C4TM to support the prevention of HIV and other STIs. Methods: C4TM integrates self-determination theory with comprehensive risk counseling and services using an integrative anti-racism lens. C4TM was implemented in a 52-week HIV prevention demonstration project to facilitate PrEP use and adherence among Black MSM (N = 226) in three US cities from 2014 to 2017. Results: PrEP use was 79%, with 91% of PrEP users starting within 30 days. Twelve-month retention in C4TM was 92%. Care coordination encounters focused primarily on clients&apos; needs related to PrEP adherence (43%) and sexual health (19%). Over the 12-month period, a substantial proportion of the men made progress towards their PrEP adherence goals at the 8-week (83%), 26-week (75%), and 52-week (81%) study visits. Conclusions: C4TM is a multi-level, multi-component intervention that dually targets individual-level motivations and capacities of Black MSM and the healthcare facility-level attitudes, behaviors and processes that characterize the climates where Black MSM receive services. Policy Implications. Public health policy efforts to scale-up PrEP may consider C4TM as a tool to optimize the use of PrEP and PrEP program retention with Black MSM. C4TM is also a tool for healthcare facilities to transform their models of service delivery towards improving the implementation PrEP services, including ensuring racial equity in the prevention impact of novel PrEP formulations such as long-acting injectable and potential future long-acting oral regimens.

Název v anglickém jazyce

Client-Centered Care Coordination (C4TM) for HIV/STI Prevention: a Theoretical, Conceptual, and Methodological Overview-HIV Prevention Trials Network (HPTN) 073

Popis výsledku anglicky

Introduction: There are few culturally informed, theory-driven evidence-based strategies to support PrEP use among Black MSM. This paper describes the theoretical foundation and conceptual development of C4TM to support the prevention of HIV and other STIs. Methods: C4TM integrates self-determination theory with comprehensive risk counseling and services using an integrative anti-racism lens. C4TM was implemented in a 52-week HIV prevention demonstration project to facilitate PrEP use and adherence among Black MSM (N = 226) in three US cities from 2014 to 2017. Results: PrEP use was 79%, with 91% of PrEP users starting within 30 days. Twelve-month retention in C4TM was 92%. Care coordination encounters focused primarily on clients&apos; needs related to PrEP adherence (43%) and sexual health (19%). Over the 12-month period, a substantial proportion of the men made progress towards their PrEP adherence goals at the 8-week (83%), 26-week (75%), and 52-week (81%) study visits. Conclusions: C4TM is a multi-level, multi-component intervention that dually targets individual-level motivations and capacities of Black MSM and the healthcare facility-level attitudes, behaviors and processes that characterize the climates where Black MSM receive services. Policy Implications. Public health policy efforts to scale-up PrEP may consider C4TM as a tool to optimize the use of PrEP and PrEP program retention with Black MSM. C4TM is also a tool for healthcare facilities to transform their models of service delivery towards improving the implementation PrEP services, including ensuring racial equity in the prevention impact of novel PrEP formulations such as long-acting injectable and potential future long-acting oral regimens.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

50602 - Public administration

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Sexuality Research and Social Policy: Journal of NSRC

ISSN

1868-9884

e-ISSN

1553-6610

Svazek periodika

19

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

18

Strana od-do

1365-1382

Kód UT WoS článku

000749081800001

EID výsledku v databázi Scopus

2-s2.0-85123606842