“PrEPping” women’s healthcare providers: motivational interviewing to support ending the HIV epidemic - 26/07/24
Abstract |
In 2018, cisgender women accounted for nearly 20% of new HIV infections, with women of color disproportionately affected. HIV pre-exposure prophylaxis uptake, adherence, and persistence are paramount to ending the HIV epidemic, but current strategies to promote it have not improved uptake among women. Alternatively, pre-exposure prophylaxis marketing and implementation have traditionally targeted men who have sex with men and transwomen. Women feel most comfortable turning to their primary care and reproductive health providers for HIV and pre-exposure prophylaxis counseling, but prescribing is the lowest among these providers. Thus, reframing pre-exposure prophylaxis counseling and education strategies is crucial to better engage providers and patients. Motivational interviewing is a person-centered counseling style for eliciting behavior change. Providers use 4 core skills—open-ended questions, affirmation, reflective listening, and summarizing—to empower individuals for behavior change, such as pre-exposure prophylaxis use. Motivational interviewing is brief, individualized, and effective in increasing pre-exposure prophylaxis uptake, regardless of patients’ readiness to change. Primary care and reproductive health providers can employ motivational interviewing approaches with pre-exposure prophylaxis counseling to increase uptake among cisgender women and end the HIV epidemic.
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Key words : behavior change, cisgender women, HIV prevention, pre-exposure prophylaxis
Plan
G.T.W., J. S.C., N.S., and O.M. received financial support from the National Institute of Mental Health (grant number: 1 R01 MH132146-01) and the University of Michigan Office of the Provost. The sponsors played no role in the study design; collection, analysis, and interpretation of the data; writing of the report; or decision to submit the report for publication. |
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The authors report no conflict of interest. |
Vol 231 - N° 2
P. 223 - août 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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