2022
DOI: 10.1186/s12954-022-00703-8
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Using nominal group technique to identify barriers and facilitators to preventing HIV using combination same-day pre-exposure prophylaxis and medications for opioid use disorder

Abstract: Background Preventing HIV transmission among people who inject drugs (PWID) is a key element of the US Ending the HIV Epidemic strategy and includes both pre-exposure prophylaxis (PrEP) and medications for opioid use disorder (MOUD). While both lead to decreases in HIV transmission, MOUD has other social and health benefits; meanwhile, PrEP has additional HIV prevention advantages from sexual risk and the injection of stimulants. However, these medications are often prescribed in different sett… Show more

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Cited by 5 publications
(5 citation statements)
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“…Although PrEP services for people who inject drugs identified in this study were most commonly provided in standalone, fixed healthcare settings, a range of community-based services providing PrEP outside of clinic settings and peer-led services were also identified. These community-based and peer-led models are likely to be most acceptable to people who inject drugs [ 15 , 26 , 30 , 31 ], increasing access to and uptake of PrEP by people who inject drugs. However, there are challenges to implementing integrated PrEP services.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although PrEP services for people who inject drugs identified in this study were most commonly provided in standalone, fixed healthcare settings, a range of community-based services providing PrEP outside of clinic settings and peer-led services were also identified. These community-based and peer-led models are likely to be most acceptable to people who inject drugs [ 15 , 26 , 30 , 31 ], increasing access to and uptake of PrEP by people who inject drugs. However, there are challenges to implementing integrated PrEP services.…”
Section: Discussionmentioning
confidence: 99%
“…Dispensing PrEP through community pharmacies may increase accessibility for individuals and reduce costs [ 31 ]. In several countries, community pharmacies already dispense sterile injecting equipment and OAMT [ 32 – 34 ].…”
Section: Discussionmentioning
confidence: 99%
“…Due to its qualitative nature, the study’s results reflect a situational analysis at the time of the interviews and hypothesis generation. They do not, however, provide an estimate or rank of the importance of barriers identified—which can be done through a mixed methods strategy like nominal group technique, one of the implementation tools used in NIATx [ 41 , 53 , 54 ].…”
Section: Discussionmentioning
confidence: 99%
“…The advantage of NGT compared to traditional focus groups is inclusivity, as it facilitates the equal participation of all group members despite power imbalances. NGT has also been widely successful in health-related research pertaining to identifying barriers and solutions to delivery of various health services [20][21][22]. One focus group session among MSM did not employ NGT, as saturation had been reached from the first two sessions but was still held as a semi-structured focus group session to identify key concepts pertaining to PrEP access among MSM.…”
Section: Methodsmentioning
confidence: 99%