Acceptability and Feasibility of a Mobile Phone Application to Support HIV Pre-exposure Prophylaxis Among Women with Opioid Use Disorder

Richterman, Aaron; Ghadimi, Fatemeh; Teitelman, Anne M.; Moore, Kevin L.; Acri, Trisha; North, Hannah; Lopez, Kasandra; Ou, Vuthy; Pelt, Amelia E. Van; Momplaisir, Florence

doi:10.1007/s10461-023-04060-w

Cited by 2 publications

(2 citation statements)

References 38 publications

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“…PWUD face multilevel barriers such as housing instability [54], competing health concerns [63], challenges navigating the healthcare system [22], and individual levels barriers that impact capability, opportunity, and motivation to use PrEP. In this study, we identified three adjunctive interventions that sought to enhance adherence via education and decision aids [79], incorporating a behavioral approach to support motivation, problem-solving, and text message reminders [81], and via mobile app support [80]. These adjunctive interventions are crucial given the importance of adherence to PrEP, however, implementation considerations for how to support the adoption, fidelity, and sustainability are needed to ensure their use at scale [35].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, implementation considerations should be explored to determine the optimal delivery settings for this tool. Richterman et al assessed the acceptability of potentially adapting an existing mobile app, which supports opioid use disorder abstinence (reSET-O), to support PrEP uptake and adherence among women with opioid use disorder [80]. The authors interviewed 20 women at baseline regarding the app, finding that most thought an app would be acceptable, though several additional barriers such as inconsistent phone and internet access were identified.…”

Section: Meyer Et Al Developed and Piloted A Decision Aid Formentioning

confidence: 99%

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Pre-exposure prophylaxis (PrEP) among people who use drugs: a qualitative scoping review of implementation determinants and change methods

Merle,

Zapata,

Quieroz

et al. 2024

Addict Sci Clin Pract

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Implementation of pre-exposure prophylaxis (PrEP) to prevent HIV transmission is suboptimal in the United States, particularly among people who use drugs (PWUD). PrEP research among PWUD is scarce, and the factors that impact implementation are largely unknown. Therefore, we conducted a scoping review of implementation determinants (i.e., barriers and facilitators), as well as the change methods (implementation strategies and adjunctive interventions) that have been evaluated to increase PrEP implementation and use among PWUD. We identified 32 peer-reviewed articles assessing determinants and five that evaluated change methods. Determinants were coded using the updated Consolidated Framework for Implementation Research (CFIR), which is an established framework to understand the multilevel barriers and facilitators associated with implementation. Findings indicate that most research was conducted among PrEP recipients (i.e., patients), focusing on awareness and willingness to use PrEP, with less focus on factors impacting clinicians and service delivery systems. Moreover, very few change methods have been evaluated to improve clinician adoption and adherence to CDC guidelines for PrEP provision and/or recipient uptake and adherence to PrEP. Future research is needed that focuses on factors impacting implementation from a clinician standpoint as well as innovative change methods to increase PrEP awareness, reach, adoption, and sustained adherence to guidelines. Implementation Science offers a wealth of knowledge to speed up the effort to end the HIV epidemic in the United States.

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