Patient-Led Decision-Making for HIV Preexposure Prophylaxis

Curr HIV/AIDS Rep. 2021 Feb;18(1):48-56. doi: 10.1007/s11904-020-00535-w. Epub 2021 Jan 8.

Abstract

Purpose of review: Shared decision-making is a process that involves bidirectional exchange of information between patients and providers to support patients in making individualized, evidence-based decisions about their healthcare. We review the evidence on patient-led decision-making, a form of shared decision-making that maximizes patient autonomy, as a framework for decisions about HIV preexposure prophylaxis (PrEP). We also assess the likelihood that patient-led decision-making occurs for PrEP and describe interventions to facilitate this process.

Recent findings: Patient-led decision-making is likely to be uncommon for PrEP, in part because healthcare providers lack knowledge and training about PrEP. Few evidence-based interventions exist to facilitate patient-led decision-making for PrEP. There is a need for rigorously developed interventions to increase knowledge of PrEP among patients and healthcare providers and support patient-led decision-making for PrEP, which will be increasingly important as the range of available PrEP modalities expands.

Keywords: Decision-support; Patient-led decision-making; Preexposure prophylaxis; Shared decision-making.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Anti-HIV Agents* / therapeutic use
  • HIV Infections* / drug therapy
  • HIV Infections* / prevention & control
  • Health Personnel
  • Humans
  • Pre-Exposure Prophylaxis*

Substances

  • Anti-HIV Agents