Telemedicine for PrEP Throughout Mississippi
| Status: | Not yet recruiting |
|---|---|
| Conditions: | HIV / AIDS |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 2/17/2019 |
| Start Date: | May 2019 |
| End Date: | August 2022 |
| Contact: | Larry K Brown, MD |
| Email: | lkbrown@lifespan.org |
| Phone: | (401)-793-8808 |
This study will develop and test a program to deliver PrEP care in underserved communities in
Mississippi (MS) through telemedicine, distance-based, clinical care delivered in local
community based organizations (CBOs). The intervention will be developed in collaboration
with medical specialists at the University of Mississippi Medical Center (UMMC) and local CBO
stakeholders (providers, administrators and patients). Approximately 300 individuals will be
recruited from CBOs in MS. Participants will be able to receive PrEP counseling in the CBO
and PrEP care via telemedicine from a PrEP specialist at UMMC. Participants will complete
four assessments in the six months after enrolling. Our study will provide a wealth of
information about PrEP-related outcomes and HIV testing among MS residents living in
underserved communities. If successful, this program will be able to be disseminated to other
CBOs in the South.
Mississippi (MS) through telemedicine, distance-based, clinical care delivered in local
community based organizations (CBOs). The intervention will be developed in collaboration
with medical specialists at the University of Mississippi Medical Center (UMMC) and local CBO
stakeholders (providers, administrators and patients). Approximately 300 individuals will be
recruited from CBOs in MS. Participants will be able to receive PrEP counseling in the CBO
and PrEP care via telemedicine from a PrEP specialist at UMMC. Participants will complete
four assessments in the six months after enrolling. Our study will provide a wealth of
information about PrEP-related outcomes and HIV testing among MS residents living in
underserved communities. If successful, this program will be able to be disseminated to other
CBOs in the South.
Uptake of PrEP in the southern United States has been slow, especially in areas distant from
academic medical centers that provide PrEP care. Despite underserved populations in the South
having alarmingly high rates of HIV, a large percentage of at-risk individuals are not
engaged in PrEP care due to limited access to academic medical centers. Mississippi (MS), the
site of this proposed project, has the seventh highest incidence of HIV of any state and CBOs
that provide HIV/STI testing outside of urban areas report that very few of their at-risk
individuals use PrEP. Unfortunately, physicians outside of academic centers are often
reluctant to prescribe PrEP because they lack the expertise, training, and the support
necessary to provide comprehensive HIV prevention care. Those are at-risk do not seek PrEP
from academic centers because of stigma, travel burdens, and financial concerns. To overcome
these barriers, this project will develop and pilot test a program to deliver PrEP care in
underserved remote communities in MS through telemedicine clinical care delivered in local
CBOs. Telemedicine will allow specialists to provide care at a distance and while
simultaneously enhancing the capacity of local CBOs to provide quality HIV testing and
counseling, PrEP treatment, and linkage to HIV care if needed. It will allow patients to
receive the highest level of medical care from trusted CBOs within their local communities.
It will also enhance the CBO's mission by allowing it to provide a new, high-quality medical
service.
academic medical centers that provide PrEP care. Despite underserved populations in the South
having alarmingly high rates of HIV, a large percentage of at-risk individuals are not
engaged in PrEP care due to limited access to academic medical centers. Mississippi (MS), the
site of this proposed project, has the seventh highest incidence of HIV of any state and CBOs
that provide HIV/STI testing outside of urban areas report that very few of their at-risk
individuals use PrEP. Unfortunately, physicians outside of academic centers are often
reluctant to prescribe PrEP because they lack the expertise, training, and the support
necessary to provide comprehensive HIV prevention care. Those are at-risk do not seek PrEP
from academic centers because of stigma, travel burdens, and financial concerns. To overcome
these barriers, this project will develop and pilot test a program to deliver PrEP care in
underserved remote communities in MS through telemedicine clinical care delivered in local
CBOs. Telemedicine will allow specialists to provide care at a distance and while
simultaneously enhancing the capacity of local CBOs to provide quality HIV testing and
counseling, PrEP treatment, and linkage to HIV care if needed. It will allow patients to
receive the highest level of medical care from trusted CBOs within their local communities.
It will also enhance the CBO's mission by allowing it to provide a new, high-quality medical
service.
Inclusion Criteria:
- 18 years old or older
- Presented at either of the CBOs for HIV testing during trial months
- PrEP eligible based on Risk Stratification Tool (score of 10 or greater)
- Able to read and speak English
- Able to give meaningful consent as determined by research staff
- No known HIV infection
Exclusion Criteria:
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University of Mississippi Medical Center The University of Mississippi Medical Center, located in Jackson, is...
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