DYnamic decisioN Support for IntegrAting PrEP in Clinics for Young People in Alabama and Botswana
NCT07597824 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 1000
Last updated 2026-05-19
Summary
This study evaluates strategies to improve access to HIV prevention through the integration of pre-exposure prophylaxis (PrEP) into existing healthcare settings, rather than limiting delivery to specialty clinics. The study addresses barriers to PrEP uptake, including limited awareness, stigma, and restricted access, and recognizes that availability alone may not ensure initiation or sustained use.
The study includes two components. First, a longitudinal cohort of current PrEP users will be followed to assess changes in access, preferences, and PrEP use over time in real-world settings. Second, a dynamic decision-support toolkit will be developed and evaluated to support patients and providers in PrEP-related decision-making. The toolkit will include patient- and provider-facing components to support clinical decision-making, improve risk understanding, and facilitate integration of PrEP into routine healthcare. The toolkit will be refined and beta-tested in selected healthcare facilities in Botswana and Alabama.
Conditions
- HIV Infections
- Contraception
- PrEP
Interventions
- OTHER
-
Observational cohort (PrEP use in real-world settings)
No intervention
Sponsors & Collaborators
-
National Institute of Allergy and Infectious Diseases (NIAID)
collaborator NIH -
Beth Israel Deaconess Medical Center
collaborator OTHER -
Harvard School of Public Health (HSPH)
collaborator OTHER -
University of Alabama at Birmingham
lead OTHER
Principal Investigators
-
Rena Patel, MD, MPH, MPhil · University of Alabama at Birmingham
-
Rebecca Zash · Division of Infectious Disease Beth Israel Deaconess Medical Center
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-06-30
- Primary Completion
- 2031-12-31
- Completion
- 2031-12-31
Countries
- Botswana
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