Collaborative PrEP Implementation Strategies for Latino Men Who have Sex with Men: A Health Center-Community Consensus Process.

Publisher: Springer Country of Publication: Netherlands NLM ID: 7600747 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3610 (Electronic) Linking ISSN: 00945145 NLM ISO Abbreviation: J Community Health Subsets: MEDLINE

Publication: Amsterdam : Springer
Original Publication: New York, Human Sciences Press.

Anti-HIV Agents*/therapeutic use ; HIV Infections*/prevention & control ; HIV Infections*/drug therapy ; Pre-Exposure Prophylaxis*; Humans ; Male ; Community Health Centers ; Consensus ; Focus Groups ; Hispanic or Latino ; Homosexuality, Male

Community-based organizations (CBOs) deliver services in culturally-responsive ways, and could effectively partner with health centers to deliver HIV pre-exposure prophylaxis (PrEP) to Latino men who have sex with men (LMSM). However, few such models exist. We conducted a planning study in collaboration with three CBOs serving LMSM to identify optimal PrEP delivery strategies for health centers and CBOs to implement jointly. We established a Community Expert Panel (CEP) of eight client-facing CBO and health center staff. Over 6 months, the panel met monthly to identify collaborative strategies for PrEP delivery, using a modified Delphi method consisting of the following steps: (1) brainstorming strategies; (2) rating strategies on acceptability, appropriateness and feasibility; (3) review of data from qualitative focus group discussions with CBO clients; and (4) final strategy selection. The panel initially identified 25 potential strategies spread across three categories: improving communication between health centers and CBOs; using low-barrier PrEP options (e.g. telemedicine), and developing locally-relevant, culturally-sensitive outreach materials. Focus groups with CBO clients highlighted a desire for flexible options for PrEP-related care and emphasized trust in CBOs. The final package of strategies consisted of: (1) a web-based referral tool; (2) telemedicine appointments; (3) geographically-convenient options for lab specimen collection; (4) tailored print and social media; and (5) regular coaching sessions with CBO staff. Through a community-engaged process, we identified a package of PrEP delivery strategies that CBOs and health centers can implement in partnership, which have the potential to overcome barriers to PrEP for LMSM.
(© 2023. The Author(s).)

Sullivan, P. S., Satcher Johnson, A., Pembleton, E. S., et al. (2021). Epidemiology of HIV in the USA: Epidemic burden, inequities, contexts, and responses. The Lancet, 397, 1095–1106. (PMID: 10.1016/S0140-6736(21)00395-0)
McCormack, S., Dunn, D. T., Desai, M., et al. (2016). Pre-exposure prophylaxis to prevent the acquisition of HIV-1 infection (PROUD): Effectiveness results from the pilot phase of a pragmatic open-label randomised trial. The Lancet, 387, 53–60. (PMID: 10.1016/S0140-6736(15)00056-2)
Grant, R. M., Lama, J. R., Anderson, P. L., et al. (2010). Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. The New England Journal of Medicine, 363, 2587–2599. (PMID: 10.1056/NEJMoa1011205210912793079639)
Centers for Disease Control and Prevention: US Public Health Service: Preexposure prophylaxis for the prevention of HIV infection in the United States—2021 Update: A clinical practice guideline. Retrieved from https://www.cdc.gov/hiv/pdf/risk/prep/cdc-hiv-prep-guidelines-2021.pdf . Published 2021.
Pitasi, M. A., Beer, L., Cha, S., et al. (2021). Vital signs: HIV infection, diagnosis, treatment, and prevention among gay, bisexual, and other men who have sex with men—United States, 2010–2019. The Morbidity and Mortality Weekly Report, 70, 1669–1675. (PMID: 10.15585/mmwr.mm7048e134855721)
Rao, S., Mulatu, M. S., Xia, M., et al. (2021). HIV preexposure prophylaxis awareness and referral to providers among Hispanic/Latino persons—United States, 2019. The Morbidity and Mortality Weekly Report, 70, 1395–1400. (PMID: 10.15585/mmwr.mm7040a134618795)
Kanny, D., Jeffries, W. L., Chapin-Bardales, J., et al. (2019). Racial/ethnic disparities in HIV preexposure prophylaxis among men who have sex with men—23 urban areas, 2017. The Morbidity and Mortality Weekly Report, 68, 801–6. (PMID: 10.15585/mmwr.mm6837a231536484)
Crepaz, N., Mullins, M. M., Higa, D., Gunn, J. K. L., & Salabarría-Peña, Y. (2021). A rapid review of disparities in HIV prevention and care outcomes among Hispanic/Latino men who have sex with men in the United States. AIDS Education and Prevention, 33, 276–289. (PMID: 10.1521/aeap.2021.33.4.276343705689641187)
McKirnan, D. J., Du Bois, S. N., Alvy, L. M., & Jones, K. (2013). Health care access and health behaviors among men who have sex with men: The cost of health disparities. Health Education & Behavior, 40, 32–41. (PMID: 10.1177/1090198111436340)
Brooks, R. A., Landrian, A., Nieto, O., & Fehrenbacher, A. (2019). Experiences of anticipated and enacted Pre-exposure Prophylaxis (PrEP) stigma among Latino MSM in Los Angeles. AIDS and Behavior, 23, 1964–1973. (PMID: 10.1007/s10461-019-02397-9306496356571053)
Levison, J. H., Levinson, J. K., & Alegria, M. (2018). A critical review and commentary on the challenges in engaging HIV-infected Latinos in the continuum of HIV care. AIDS and Behavior, 22, 2500–2512. (PMID: 10.1007/s10461-018-2187-1299483346085100)
Kimball, D., Rivera, D., Gonzales, M., 4th., & Blashill, A. J. (2020). Medical mistrust and the PrEP cascade among Latino sexual minority men. AIDS and Behavior, 24, 3456–3461. (PMID: 10.1007/s10461-020-02916-z324057267665998)
Mansergh, G., Herbst, J. H., Holman, J., & Mimiaga, M. J. (2019). Association of HIV pre-exposure prophylaxis awareness, preferred Spanish (vs. English) language use, and sociodemographic variables among Hispanic/Latino men who have sex with men. Annals of Epidemiology, 31, 8–10. (PMID: 10.1016/j.annepidem.2019.01.00330685207)
Cohen, R. A., Terlizzi, E. P., Cha, A. E., & Martinez, M. E. (2021). Health insurance coverage: Early release of estimates from the National Health Interview Survey, January–June 2020. Retrieved from https://stacks.cdc.gov/view/cdc/100469/cdc_100469_DS1.pdf.
Galeucia, M., & Hirsch, J. S. (2016). State and local policies as a structural and modifiable determinant of HIV vulnerability among Latino migrants in the United States. The American Journal of Public Health, 106, 800–807. (PMID: 10.2105/AJPH.2016.30308126985616)
Martinez, O., Wu, E., Sandfort, T., et al. (2015). Evaluating the impact of immigration policies on health status among undocumented immigrants: A systematic review. The Journal of Immigrant and Minority Health, 17, 947–970. (PMID: 10.1007/s10903-013-9968-424375382)
Ending the HIV Epidemic in the U.S. 2022; published online June 7. Retrieved from January 10, 2023, from https://www.cdc.gov/endhiv/index.html.
Rodriguez-Diaz, C. E., Martinez, O., Bland, S., & Crowley, J. S. (2021). Ending the HIV epidemic in US Latinx sexual and gender minorities. The Lancet, 397, 1043–1045. (PMID: 10.1016/S0140-6736(20)32521-6)
Wallerstein, N., Oetzel, J. G., Sanchez-Youngman, S., Boursaw, B., Dickson, E., Kastelic, S., et al. (2020). Engage for equity: A long-term study of community-based participatory research and community-engaged research practices and outcomes. Health Education & Behavior., 47, 380–390. (PMID: 10.1177/1090198119897075)
Coughlin, S. S. (2016). Community-based participatory research studies on HIV/AIDS prevention, 2005–2014. Jacobs Journal of Community Medicine, 2.
Moss, T., Martin, C. W., Klausner, J. D., & Brown, B. J. (2014). Integration of screening for Syphilis, Hepatitis C, and other sexually transmitted infections with HIV testing in a community-based HIV Prevention Program in Miami, Florida. LGBT Health, 1, 82–85. (PMID: 10.1089/lgbt.2013.002326789617)
Corneli, A., Perry, B., Wilson, J., et al. (2022). Identification of determinants and implementation strategies to increase PrEP uptake among black same gender-loving men in Mecklenburg County, North Carolina: The PrEP-MECK Study. Journal of Acquired Immune Deficiency Syndromes, 90, S149–S160. (PMID: 10.1097/QAI.000000000000297535703767)
Andrade, E., Betancourt, G., Nieves, E., et al. Overcoming barriers to PrEP uptake: implementing a community-based tele-PrEP intervention for Latino men who have sex with men in New York City. International Association of the Providers of AIDS Care.
Ross, J., Betancourt, G., Andrade, E., Rivera, S., Morales, G., Marrero, L., & Patel, V. V. (2023). Partnering with community-based organizations to design and implement a low-barrier PrEP program for Latino sexual minority men. May 10–13.
Patel, V. V., Beil, R., Ross, J., Diaz, C., Rikin, S., Grov, C., Golub, S. A. (2021). Patient-focused PrEP management to increase coverage for highest priority patients in primary care in a high prevalence jurisdiction. In: [Symposium] IAS 2021, International AID Society Scientific Meeting, 19 July 2021, Virtual.
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4, 50. (PMID: 10.1186/1748-5908-4-50196642262736161)
Hsu, C.-C., & Sandford, B. A. (2007). The Delphi technique: Making sense of consensus. Practical Assessment, Research, and Evaluation, 12, 10.
Hasson, F., & Keeney, S. (2011). Enhancing rigour in the Delphi technique research. Technological Forecasting and Social Change, 78, 1695–1704. (PMID: 10.1016/j.techfore.2011.04.005)
Weiner, B. J., Lewis, C. C., Stanick, C., et al. (2017). Psychometric assessment of three newly developed implementation outcome measures. Implementation Science, 12, 108. (PMID: 10.1186/s13012-017-0635-3288514595576104)
Gale, R. C., Wu, J., Erhardt, T., et al. (2019). Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the Veterans Health Administration. Implementation Science, 14, 11. (PMID: 10.1186/s13012-019-0853-y307093686359833)
Lee, J. J., Aguirre, J., Munguia, L., et al. (2022). Engagement of Latino immigrant men who have sex with men for HIV prevention through eHealth: Preferences across social media platforms. Ethnicity & Health, 27, 1684–1697. (PMID: 10.1080/13557858.2021.1943322)
Lee, J. J., Aguirre Herrera, J., Cardona, J., et al. (2022). Culturally tailored social media content to reach Latinx immigrant sexual minority men for HIV prevention: Web-based feasibility study. JMIR Formative Research, 6, e36446. (PMID: 10.2196/36446351824168968548)
Laboratory and office locations around the world. Retrieved February 28, 2023, from https://www.questdiagnostics.com/our-company/international-locations.
Find your nearest lab location. Retrieved February 28, 2023, from https://www.labcorp.com/labs-and-appointments-advanced-search.
Mayer, K. H., Chan, P. A., Patel, R., Flash, C. A., & Krakower, D. S. (2018). Evolving models and ongoing challenges for HIV preexposure prophylaxis implementation in the United States. Journal of Acquired Immune Deficiency Syndromes, 77, 119–27. (PMID: 10.1097/QAI.000000000000157929084044)
Siegler, A. J., Steehler, K., Sales, J. M., & Krakower, D. S. (2020). A review of HIV pre-exposure prophylaxis streamlining strategies. Current HIV/AIDS Reports, 17, 643–653. (PMID: 10.1007/s11904-020-00528-9329207647671972)
Hoth, A. B., Shafer, C., Dillon, D. B., Mayer, R., Walton, G., & Ohl, M. E. (2019). Iowa TelePrEP: A public-health-partnered telehealth model for human immunodeficiency virus preexposure prophylaxis delivery in a rural state. Sexually Transmitted Disease, 46, 507–512. (PMID: 10.1097/OLQ.0000000000001017)
Harkness, A., Morales, V., Defreitas, W., et al. (2022). Impact of COVID-19 on HIV service delivery in Miami-Dade County: A mixed methods study. BMC Health Services Research, 22, 1476. (PMID: 10.1186/s12913-022-08849-8364631779719219)
King, K., Balan, S., Kanamori, M., et al. (2022). Feasibility and acceptability of HIV self-test kit distribution through PrEP clients’ social and sexual networks to increase HIV testing and PrEP information. Journal of Acquired Immune Deficiency Syndromes, 90, S105–S113. (PMID: 10.1097/QAI.000000000000297035703762)
Agonafer, E. P., Carson, S. L., Nunez, V., et al. (2021). Community-based organizations’ perspectives on improving health and social service integration. BMC Public Health, 21, 452. (PMID: 10.1186/s12889-021-10449-w336764707937223)
Durfey, S. N. M., Gadbois, E. A., Meyers, D. J., Brazier, J. F., Wetle, T., & Thomas, K. S. (2022). Health care and community-based organization partnerships to address social needs: Medicare advantage plan representatives’ perspectives. Medical Care Research and Review, 79, 244–254. (PMID: 10.1177/1077558721100972333880954)
Bromley, E., Figueroa, C., Castillo, E. G., et al. (2018). Community partnering for behavioral health equity: Public agency and community leaders’ views of its promise and challenge. Ethnicity & Disease, 28, 397–406. (PMID: 10.18865/ed.28.S2.397)

K23 MH114752 United States MH NIMH NIH HHS; P30 AI124414 United States AI NIAID NIH HHS

Keywords: Community-based organization; Delphi technique; HIV; Latino; Pre-exposure prophylaxis

0 (Anti-HIV Agents)

Date Created: 20230807 Date Completed: 20231010 Latest Revision: 20231202

20240829

PMC10558404

10.1007/s10900-023-01266-w

37548892