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Erschienen in: Current HIV/AIDS Reports 1/2019

30.01.2019 | The Science of Prevention (JD Stekler and JM Baeten, Section Editors)

A Review of Telehealth Innovations for HIV Pre-Exposure Prophylaxis (PrEP)

verfasst von: Rebecca Touger, Brian R. Wood

Erschienen in: Current HIV/AIDS Reports | Ausgabe 1/2019

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Abstract

Purpose of Review

This review summarizes novel interventions that employ technology to improve HIV pre-exposure prophylaxis (PrEP) availability, uptake, and adherence.

Recent Findings

Several notable technology-based programs are increasing access to PrEP in unique ways. We identified multiple models for using telehealth to bolster PrEP dissemination and adherence, such as mobile applications that offer PrEP prescribing without an in-person visit, longitudinal distance telementoring for community provider PrEP education and clinical guidance, and electronic consults for PrEP specialist support in the primary care setting. Outcomes data for all of these modalities are limited but show promise.

Summary

Technology-based interventions can address gaps in the PrEP care continuum. Future research should assess and compare outcomes, scalability, cost-effectiveness, and sustainability. Costs associated with the creation of new technological tools slow innovation and the field would benefit from a platform for technology sharing.
Literatur
2.
Zurück zum Zitat Smith DK, Van Handel M, Wolitski RJ, Stryker JE, Hall I, Prejean J, et al. Vital signs: estimated percentages and numbers of adults with indications for preexposure prophylaxis to prevent HIV acquisition - United States, 2015. MMWR Surveill Summ. 2015;64:1291–5. Smith DK, Van Handel M, Wolitski RJ, Stryker JE, Hall I, Prejean J, et al. Vital signs: estimated percentages and numbers of adults with indications for preexposure prophylaxis to prevent HIV acquisition - United States, 2015. MMWR Surveill Summ. 2015;64:1291–5.
3.
Zurück zum Zitat •• Smith D, Van Handel M, Grey J. By Race/ethnicity, Blacks have highest number needing PrEP in the United States, 2015. Conference on Retroviruses and Opportunistic Infections (CROI). Boston MA; 2018. Available from: http://www.natap.org/2018/CROI/croi_147.htm. Accessed 27 Apr 2018. Compared to the 2015 CDC Vital Signs report, this 2018 update estimates a similar national number with PrEP indications, with a higher proportion of MSM at risk, and a new breakdown of PrEP uptake by race that shows disproportionate risk among black MSM, particularly in the South. •• Smith D, Van Handel M, Grey J. By Race/ethnicity, Blacks have highest number needing PrEP in the United States, 2015. Conference on Retroviruses and Opportunistic Infections (CROI). Boston MA; 2018. Available from: http://​www.​natap.​org/​2018/​CROI/​croi_​147.​htm. Accessed 27 Apr 2018. Compared to the 2015 CDC Vital Signs report, this 2018 update estimates a similar national number with PrEP indications, with a higher proportion of MSM at risk, and a new breakdown of PrEP uptake by race that shows disproportionate risk among black MSM, particularly in the South.
5.
Zurück zum Zitat Kelley CF, Kahle E, Siegler A, Sanchez T, Del Rio C, Sullivan PS, et al. Applying a PrEP continuum of care for men who have sex with men in Atlanta. Georgia Clin Infect Dis. 2015;61:1590–7.CrossRefPubMed Kelley CF, Kahle E, Siegler A, Sanchez T, Del Rio C, Sullivan PS, et al. Applying a PrEP continuum of care for men who have sex with men in Atlanta. Georgia Clin Infect Dis. 2015;61:1590–7.CrossRefPubMed
6.
Zurück zum Zitat Maloney KM, Krakower DS, Ziobro D, Rosenberger JG, Novak D, Mayer KH. Culturally competent sexual healthcare as a prerequisite for obtaining preexposure prophylaxis: findings from a qualitative study. LGBT Health. 2017;4:310–4.CrossRefPubMedPubMedCentral Maloney KM, Krakower DS, Ziobro D, Rosenberger JG, Novak D, Mayer KH. Culturally competent sexual healthcare as a prerequisite for obtaining preexposure prophylaxis: findings from a qualitative study. LGBT Health. 2017;4:310–4.CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Sullivan PS, Driggers R, Stekler JD, Siegler A, Goldenberg T, McDougal SJ, et al. Usability and acceptability of a mobile comprehensive HIV prevention app for men who have sex with men: a pilot study. JMIR mHealth uHealth. 2017;5:e26.CrossRefPubMedPubMedCentral Sullivan PS, Driggers R, Stekler JD, Siegler A, Goldenberg T, McDougal SJ, et al. Usability and acceptability of a mobile comprehensive HIV prevention app for men who have sex with men: a pilot study. JMIR mHealth uHealth. 2017;5:e26.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Bush S, Magnuson D, Rawlings MK, Hawkins T, McCallister S, Mera Giler R. Racial characteristics of FTC/TDF for pre-exposure prophylaxis users in the U.S. Boston, MA: ASM Microbe; 2016. Bush S, Magnuson D, Rawlings MK, Hawkins T, McCallister S, Mera Giler R. Racial characteristics of FTC/TDF for pre-exposure prophylaxis users in the U.S. Boston, MA: ASM Microbe; 2016.
10.
Zurück zum Zitat Hubach RD, Currin JM, Sanders CA, Kavanaugh KE, Croff JM, Durham AR, et al. Barriers to access and adoption of pre-exposure prophylaxis for the prevention of HIV among men who have sex with men (MSM) in a relatively rural state. AIDS Educ Prev. 2017;29:315–29.CrossRefPubMed Hubach RD, Currin JM, Sanders CA, Kavanaugh KE, Croff JM, Durham AR, et al. Barriers to access and adoption of pre-exposure prophylaxis for the prevention of HIV among men who have sex with men (MSM) in a relatively rural state. AIDS Educ Prev. 2017;29:315–29.CrossRefPubMed
14.
Zurück zum Zitat • Stekler JD, Mcmahan V, Ballinger L, Viquez L, Swanson F, Stockton J, et al. HIV pre-exposure prophylaxis (prep) prescribing through Telehealth. JAIDS Journal of Acquired Immune Deficiency Syndromes. 2017;1. Accessed 15 Mar 2018. A study describing the use of remote teleconference visits for PrEP prescribing with HIV counselors providing on-site care at Gay City, an LGBTQ community center in Seattle. • Stekler JD, Mcmahan V, Ballinger L, Viquez L, Swanson F, Stockton J, et al. HIV pre-exposure prophylaxis (prep) prescribing through Telehealth. JAIDS Journal of Acquired Immune Deficiency Syndromes. 2017;1. Accessed 15 Mar 2018. A study describing the use of remote teleconference visits for PrEP prescribing with HIV counselors providing on-site care at Gay City, an LGBTQ community center in Seattle.
15.
Zurück zum Zitat Wood BR, Unruh KT, Martinez-Paz N, Annese M, Ramers CB, Harrington RD, et al. Impact of a Telehealth program that delivers remote consultation and longitudinal mentorship to community HIV providers. Open Forum Infect Dis. 2016;3:ofw123.CrossRefPubMedPubMedCentral Wood BR, Unruh KT, Martinez-Paz N, Annese M, Ramers CB, Harrington RD, et al. Impact of a Telehealth program that delivers remote consultation and longitudinal mentorship to community HIV providers. Open Forum Infect Dis. 2016;3:ofw123.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat McAdams M, Cannavo L, Orlander J. A medical specialty e-consult program in a VA health care system | federal practitioner. Fed Pract. 2014;31:26–31. Accessed 28 Apr 2018. McAdams M, Cannavo L, Orlander J. A medical specialty e-consult program in a VA health care system | federal practitioner. Fed Pract. 2014;31:26–31. Accessed 28 Apr 2018.
17.
Zurück zum Zitat Chartier M, Gylys-Cowell I, Van Epps P, Beste L, Ohl M, Lowy E, et al. Accessibility and uptake of pre-exposure prophylaxis for HIV prevention in the veterans health administration. Fed Pract. 2018;35:542–8. Chartier M, Gylys-Cowell I, Van Epps P, Beste L, Ohl M, Lowy E, et al. Accessibility and uptake of pre-exposure prophylaxis for HIV prevention in the veterans health administration. Fed Pract. 2018;35:542–8.
18.
Zurück zum Zitat Siddiqui J, Herchline T, Kahlon S, Moyer KJ, Scott JD, Wood BR, et al. Infectious Diseases Society of America position statement on telehealth and telemedicine as applied to the practice of infectious diseases. Clin Infect Dis Oxford University Press. 2017;64:237–42. Accessed 21 Mar 2018. Siddiqui J, Herchline T, Kahlon S, Moyer KJ, Scott JD, Wood BR, et al. Infectious Diseases Society of America position statement on telehealth and telemedicine as applied to the practice of infectious diseases. Clin Infect Dis Oxford University Press. 2017;64:237–42. Accessed 21 Mar 2018.
20.
Zurück zum Zitat Siegler AJ, Mayer KH, Liu AY, Patel RR, Ahlschlager LM, Kraft CS, et al. Developing and assessing the feasibility of a home-based PrEP monitoring and support program. Clin Infect Dis. 2018. Siegler AJ, Mayer KH, Liu AY, Patel RR, Ahlschlager LM, Kraft CS, et al. Developing and assessing the feasibility of a home-based PrEP monitoring and support program. Clin Infect Dis. 2018.
21.
Zurück zum Zitat •• ATN 159: ePrEP - iTech Network [Internet]. iTech Network. [cited 2018 Aug 23]. Available from: https://itechnetwork.org/protocols/atn-159-eprep/. This randomized, controlled trial will assess the efficacy of telehealth PrEP prescription via videoconference using home specimen collection kits for entirely home-based PrEP care. •• ATN 159: ePrEP - iTech Network [Internet]. iTech Network. [cited 2018 Aug 23]. Available from: https://​itechnetwork.​org/​protocols/​atn-159-eprep/​. This randomized, controlled trial will assess the efficacy of telehealth PrEP prescription via videoconference using home specimen collection kits for entirely home-based PrEP care.
22.
Zurück zum Zitat Petroll AE, Walsh JL, Owczarzak JL, McAuliffe TL, Bogart LM, Kelly JA. PrEP awareness, familiarity, comfort, and prescribing experience among US primary care providers and HIV specialists. AIDS Behav. 2017;21:1256–67.CrossRefPubMedPubMedCentral Petroll AE, Walsh JL, Owczarzak JL, McAuliffe TL, Bogart LM, Kelly JA. PrEP awareness, familiarity, comfort, and prescribing experience among US primary care providers and HIV specialists. AIDS Behav. 2017;21:1256–67.CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Wood BR, McMahan VM, Naismith K, Stockton JB, Delaney LA, Stekler JD. Knowledge, practices, and barriers to HIV pre-exposure prophylaxis (PrEP) prescribing among Washington State medical providers. Sex Transm Dis. 2018. Wood BR, McMahan VM, Naismith K, Stockton JB, Delaney LA, Stekler JD. Knowledge, practices, and barriers to HIV pre-exposure prophylaxis (PrEP) prescribing among Washington State medical providers. Sex Transm Dis. 2018.
24.
Zurück zum Zitat Arora S, Thornton K, Murata G, Deming P, Kalishman S, Dion D, et al. Outcomes of treatment for hepatitis C virus infection by primary care providers. N Engl J Med. 2011;364:2199–207.CrossRefPubMed Arora S, Thornton K, Murata G, Deming P, Kalishman S, Dion D, et al. Outcomes of treatment for hepatitis C virus infection by primary care providers. N Engl J Med. 2011;364:2199–207.CrossRefPubMed
Metadaten
Titel
A Review of Telehealth Innovations for HIV Pre-Exposure Prophylaxis (PrEP)
verfasst von
Rebecca Touger
Brian R. Wood
Publikationsdatum
30.01.2019
Verlag
Springer US
Erschienen in
Current HIV/AIDS Reports / Ausgabe 1/2019
Print ISSN: 1548-3568
Elektronische ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-019-00430-z

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