Acceptability and Effectiveness of a One-Hour Healthcare Provider Intervention Integrating HIV Pre-Exposure Prophylaxis and Cultural Competence Training

Sarah K Calabrese; Douglas S Krakower; Sharanya Rao; Nathan B Hansen; Kenneth H Mayer; Manya Magnus; Samuel R Bunting; Julia L Marcus; John F Dovidio

doi:10.1007/s10461-023-04108-x

Acceptability and Effectiveness of a One-Hour Healthcare Provider Intervention Integrating HIV Pre-Exposure Prophylaxis and Cultural Competence Training

AIDS Behav. 2023 Dec;27(12):3932-3940. doi: 10.1007/s10461-023-04108-x. Epub 2023 Jul 4.

Authors

Sarah K Calabrese^{1

2}, Douglas S Krakower^{3

4

5}, Sharanya Rao⁶, Nathan B Hansen⁷, Kenneth H Mayer^{3

4}, Manya Magnus⁸, Samuel R Bunting⁹, Julia L Marcus^{3

5}, John F Dovidio¹⁰

Affiliations

¹ Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA. skcalabrese@gwu.edu.
² Department of Prevention and Community Health, George Washington University, Washington, DC, USA. skcalabrese@gwu.edu.
³ The Fenway Institute, Fenway Health, Boston, MA, USA.
⁴ Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA.
⁵ Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
⁶ Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA.
⁷ Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA.
⁸ Department of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
⁹ Chicago Medical School, Rosalind Franklin University, Chicago, IL, USA.
¹⁰ Department of Psychology, Yale University, New Haven, CT, USA.

Abstract
in English, Spanish

Enhanced provider training could improve PrEP access and equity. We conducted a pilot randomized controlled trial comparing (a) a one-hour, group-based provider intervention integrating PrEP and Cultural Competence (PCC) training with (b) a standard HIV continuing medical education session (n = 56). PCC participants favorably rated the intervention and reported increased PrEP knowledge. The PCC intervention increased their confidence performing PrEP-related clinical activities and intention to prescribe PrEP. The percentage of participants discussing PrEP with patients increased marginally in both study conditions. The percentage of participants who prescribed PrEP and self-rated cultural competence did not change in either study condition.

Una mejor capacitación de los proveedores podría mejorar el acceso y la equidad de la PrEP. Realizamos un ensayo controlado aleatorizado piloto que comparó (a) una intervención grupal de proveedores de una hora que integraba la capacitación en PrEP y competencia cultural (PCC) con (b) una sesión estándar de educación médica continua sobre el VIH (n = 56). Los participantes de PCC calificaron favorablemente la intervención e informaron un mayor conocimiento de la PrEP. La intervención de PCC aumentó su confianza en la realización de actividades clínicas relacionadas con la PrEP y su intención de prescribir la PrEP. El porcentaje de participantes que discutieron la PrEP con los pacientes aumentó marginalmente en ambas condiciones del estudio. El porcentaje de participantes que prescribieron la PrEP y la competencia cultural autoevaluada no cambió en ninguna de las condiciones del estudio.

Keywords: Education, medical, continuing; HIV; Health personnel; Pre-exposure prophylaxis.

Publication types

Randomized Controlled Trial

MeSH terms

Cultural Competency
Education, Medical, Continuing
HIV Infections* / prevention & control
Health Personnel
Humans
Pre-Exposure Prophylaxis*

Abstract in English, Spanish

Publication types

MeSH terms

Grants and funding

Abstract
in English, Spanish