Department of Psychological and Brain Sciences, George Washington University, 2125 G St. NW, Washington DC, 20052, USA.
Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
AIDS Behav. 2022 Jan;26(1):218-231. doi: 10.1007/s10461-021-03375-w. Epub 2021 Jul 21.
Expanding PrEP access necessitates training that supports healthcare providers' progression along the PrEP implementation cascade, moving from PrEP awareness to prescription. We surveyed 359 USA providers about PrEP training content and format recommendations. We examined the association between cascade location and training recommendations. Most providers were aware of PrEP (100%), willing to prescribe PrEP (97.2%), had discussed PrEP with patients (92.2%), and had prescribed PrEP (79.9%). Latent class regression analysis revealed that cascade location was associated with training recommendations. Although all providers recommended PrEP-specific content (e.g., patient eligibility), providers who were located further along the cascade also recommended more comprehensive content, including sexual history-taking and sexual and gender minority competence training. Providers further along the cascade were also more likely to recommend interactive training formats (e.g., role-playing). These insights from providers furthest along the cascade indicate the importance of including comprehensive content and interactive formats in future PrEP training initiatives.
扩大 PrEP 的可及性需要进行培训，以支持医疗保健提供者在 PrEP 实施阶梯上的进展，从 PrEP 意识提升到处方开具。我们调查了 359 名美国提供者关于 PrEP 培训内容和格式的建议。我们研究了阶梯位置与培训建议之间的关联。大多数提供者了解 PrEP（100%），愿意开具 PrEP（97.2%），与患者讨论过 PrEP（92.2%），并开具了 PrEP（79.9%）。潜在类别回归分析显示，阶梯位置与培训建议相关。尽管所有提供者都建议 PrEP 特定内容（例如，患者资格），但位于阶梯更远处的提供者还建议更全面的内容，包括性史采集以及性少数群体和性别少数群体能力培训。处于阶梯更远处的提供者也更有可能推荐互动培训形式（例如角色扮演）。来自阶梯最远处的提供者的这些见解表明，在未来的 PrEP 培训计划中，包括全面的内容和互动形式非常重要。
