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NCT05709860 | Recruiting | HIV Infections


An Electronic Health Record-based Approach to Increase PrEP Knowledge and Uptake: the EMC2 PrEP Strategy
Sponsor:

Northwestern University

Information provided by (Responsible Party):

Allison Prickett Pack

Brief Summary:

This study is being conducted to investigate a strategy that may improve knowledge and uptake of pre-exposure prophylaxis for HIV prevention (PrEP) among cisgender women in primary care.

Condition or disease

HIV Infections

Electronic Health Record

Primary Health Care

Intervention/treatment

EMC2 PrEP Educational Tool

Discrete Scheduling of a Dedicated PrEP Visit

Phase

Not Applicable

Detailed Description:

Members of the study team previously developed and evaluated the Electronic health record Medication Complete Communication (EMC2) strategy to 'hardwire' provider/patient communication & surveillance of select prescription (Rx) medications. EMC2 PrEP will adapt from the previous strategy to educate cisgender women in primary care who have increased vulnerability to HIV about PrEP using an interactive, health literacy-appropriate educational tool securely delivered via the patient portal facilitate, for those who express interest, the rapid and discrete scheduling of a dedicated PrEP clinic visit with a primary care clinician trained in PrEP delivery The current study aims are to: Aim 1: Refine and implement an electronic health record (EHR)-based strategy as a potential quality improvement activity that supports informed decision-making and PrEP uptake among women with increased HIV vulnerability in primary care (the EMC2 PrEP strategy). Aim 2: Pilot-test the EMC2 PrEP strategy in primary care to determine its feasibility, acceptability, and preliminary efficacy among women with increased vulnerability to HIV. Aim 3: Develop a standard operating protocol (SOP) for disseminating the EMC2 PrEP strategy to a national network of federally qualified health centers.}}

Study Type : Interventional
Estimated Enrollment : 200 participants
Masking : None (Open Label)
Primary Purpose : Health Services Research
Official Title : Adaptation and Pilot Test of an Electronic Health Record-based Approach to Increase PrEP Knowledge and Uptake: the EMC2 PrEP Strategy
Actual Study Start Date : November 29, 2023
Estimated Primary Completion Date : September 30, 2024
Estimated Study Completion Date : December 1, 2024
Arm Intervention/treatment

No Intervention: Usual Care

Usual care includes: 1) no specific materials to promote PrEP knowledge or uptake among women in primary care, and 2) variable physician counseling on PrEP among women with increased vulnerability to HIV.

Behavioral: EMC2 PrEP Educational Tool

Active Comparator: The EMC2 PrEP Strategy

The EMC2 PrEP Strategy will utilize health information and consumer technologies to automatically deposit an interactive PrEP educational material into the patient portal of women with clinically indicated increased vulnerability to HIV. The material will: 1) promote PrEP knowledge, and 2) prompt discrete scheduling of a dedicated PrEP visit among those interested.

Behavioral: Discrete Scheduling of a Dedicated PrEP Visit

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: Female
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • female
  • HIV negative
  • have received 2 or more tests in the past 12 months for chlamydia, gonorrhea and/or syphilis
  • and/or have received a positive diagnosis for at least one of those sexually transmitted infections in the past 6 months
  • currently engaged in primary care
  • not currently using PrEP
Exclusion Criteria
  • severe, uncorrectable visual, hearing or cognitive impairments that would preclude study consent or participation

An Electronic Health Record-based Approach to Increase PrEP Knowledge and Uptake: the EMC2 PrEP Strategy

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An Electronic Health Record-based Approach to Increase PrEP Knowledge and Uptake: the EMC2 PrEP Strategy

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Locations


Recruiting

United States, Illinois

Northwestern University

Chicago, Illinois, United States, 60611

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