Rural PrEP Delivery
HIV/AIDS
About this trial
This is an interventional prevention trial for HIV/AIDS
Eligibility Criteria
Inclusion Criteria:
- Public health client in CTR-PS programs
- Rural or small urban-dwelling residents (Iowa residence NOT residing in Polk, Linn, Scott, or Pottawattamie counties)
- Adults (age 18+)
- Referred by public health for PrEP based on:
HIV-negative by recent (< or = 14 days) testing AND one of following
men sexually active with male partner(s) in the past six months, not in a monogamous partnership with a recently-tested HIV negative man, and reporting either anal sex without condoms in the past six months, any STI in past six months, or relationship with an HIV-positive partner,
OR
sexually-active heterosexual men and women not in a monogamous relationship with an HIV-negative partner and reporting either condom-less sex with partners of unknown HIV status at high risk for HIV infection, or an ongoing sexual relationship with an HIV-positive partner,
OR
- intravenous drug users (IDU) injecting drugs in the past six months and reporting either sharing of drug equipment, receipt of methadone or buprenorphine treatment in the past six months, or risk of sexual acquisition.
Exclusion Criteria:
- Self-reported current PrEP use
- Self-reported inability to access a computer, smartphone, or tablet.
- Residence in a large urban County (i.e. Polk, Linn, Scott, Pottawattamie)
- HIV positive status
Sites / Locations
- University of Iowa Hospitals and Clinics
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention Group
Control Group
Public health personnel identify PrEP-eligible clients. PrEP-eligible clients are given a list of PrEP providers in Iowa and a brochure with info on getting PrEP. Clients are referred to a PrEP navigator, who facilitates linkage to clients' choice of TelePrEP or to community PreP providers. Public health clients choosing TelePrEP complete a video visit with the tele-pharmacist and obtain PrEP relevant lab tests. PrEP medication is mailed to the client and follow up video visits and lab testing are performed. Within 7 days of enrollment, the subject will complete a survey regarding PrEP beliefs (20 minutes). 30 to 40 days after enrollment, the subject will complete a second survey with 4 questions about initiation of PrEP since study enrollment (10 minutes). 6 months following enrollment, a study team member will obtain medical records for the subject from PrEP providers in Iowa to determine if the subject has initiated and been retained in PrEP.
Public health personnel identify PrEP-eligible. Public health personnel give PrEP-eligible clients a list of PrEP providers in Iowa, and a brochure with information on getting PrEP. The client initiates contact with a PrEP provider in Iowa and schedules an appointment. PrEP medication is mailed to the client and follow up video visits and lab testing are performed. Within 7 days of enrollment, the subject will complete a survey regarding PrEP beliefs (20 minutes). 30 to 40 days after enrollment, the subject will complete a second survey with 4 questions about initiation of PrEP since study enrollment (10 minutes). 6 months following enrollment, a study team member will obtain medical records for the subject from PrEP providers in Iowa to determine if the subject has initiated and been retained in PrEP.