Start the Conversation: Evaluating Implementation of a Multi-level PrEP Initiative for Black Cisgender Women in Nola
Study Details
Study Description
Brief Summary
The study objectives are to:
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Evaluate implementation outcomes from piloting the Start the Conversation Initiative
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Assess initial indicators of clinical effectiveness among patients engaged in the Start the Conversation Initiative
These outcomes will be assessed qualitatively through in-depth interviews (IDIs), debriefing sessions with GYN residents and leadership, medical chart reviews and/or de-identified Epic queries, training records, discussions with the Black Women and PrEP (BWAP) Task Force, and social media metrics.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Start the Conversation Package The pre-intervention phase will last for 4 months (months 1-4). The only study activity during the pre-intervention phase is the collection of routine PrEP uptake data to establish a baseline for PrEP prescribing at the GYN residency clinics and local PrEP clinics. The implementation of the combined-care model at the LSU GYN residency clinic will take place at UMCNO for 4 months (months 5-8). Then we will add implementation of the social media campaign in the NOLA area for 4 months (months 9-12); implementation of the combined-care model at LSU GYN residency clinic at UMCNO will continue. The layered approach allows for an opportunity to assess the effect of the combined-care model, and subsequently, to what extent the social media campaign additionally engages Black women and builds demand for PrEP. |
Behavioral: GYN Residency Training
The combined care model will be implemented and during months 5-8.
Behavioral: Social Media Campaign
The social media campaign will be implemented along with the combined care model in months 9-12.
|
Outcome Measures
Primary Outcome Measures
- Total number of women overall and number of Black cisgender women initiating PrEP at the LSU GYN clinic during the pre-implementation period compared to during the two implementation period phases. [Up to 12 months]
- Comparison of the difference in patient numbers at the LSU GYN clinic during pre-implementation and the two implementation period phases with the difference in patient numbers during the same time frame at the Tulane GYN clinic. [Up to 12 months]
- Number of patients seen at LSU GYN clinic & UMC PrEP clinic combined compared to the number of patients seen at Tulane GYN & PrEP clinics combined [Up to 12 months]
Secondary Outcome Measures
- Proportion of PrEP-eligible women overall and Black cisgender women initiating PrEP at the LSU GYN clinic across the two implementation time periods. care model plus social media company. [Up to 12 months]
- Proportion of women choosing follow-up care at the LSU GYN resident clinic versus transition to a local PrEP provider. [Up to 12 months]
- Proportion of women initiating PrEP at the LSU resident GYN clinic who complete their first follow-up PrEP care visit (can only assess at the LSU GYN resident clinic or UMC PrEP clinic). [Up to 12 months]
- Number of contacts with the LDH navigator [Up to 12 months]
- Number of appointments made through the LDH navigator [Up to 12 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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LSU GYN residents
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Black cisgender women eligible for PrEP per CDC guidelines
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Louisiana State University Health Sciences Center | New Orleans | Louisiana | United States | 70112 |
Sponsors and Collaborators
- Duke University
- Louisiana State University Health Sciences Center in New Orleans
- National Institute of Mental Health (NIMH)
Investigators
- Principal Investigator: Amy Conelli, MPH, PhD, Duke University
- Principal Investigator: Meredith Clement, MD, Louisiana State University Health Sciences Center
Study Documents (Full-Text)
More Information
Publications
None provided.- PRO00113159
- R34MH129211