Just4Us: Development of a Counselor-Navigator and Text Message Intervention to Promote PrEP Uptake Among Cisgender Women at Elevated Risk for HIV

Anne M. Teitelman, Beryl A. Koblin, Bridgette M. Brawner, Annet Davis, Caroline Darlington, Rachele K. Lipsky, Emilia Iwu, Keosha T. Bond, Julie Westover, Danielle Fiore, Hong Van Tieu

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

ABSTRACT: In the United States, pre-exposure prophylaxis (PrEP) uptake among eligible cisgender women has been slow, despite the availability of oral PrEP since 2012. Although women make up nearly 20% of those living with HIV, there are currently few PrEP uptake interventions for cisgender women at elevated risk for acquiring HIV. Here we describe the process used to design and pre-pilot test Just4Us, a theory-based behavioral intervention to promote PrEP initiation and adherence among PrEP-eligible cisgender women. This work was part of a multiphase study conducted in New York City and Philadelphia, two locations with HIV rates higher than the national average. The counselor-navigator component of the intervention was designed to be delivered in a 60- to 90-min in-person session in the community, followed by several phone calls to support linkage to care. An automated text messaging program was also designed for adherence support. Just4Us addressed personal and structural barriers to PrEP uptake using an empowerment framework by building on women's insights and resources to overcome barriers along the PrEP cascade. Usability pre-pilot testing results were favorable and provided valuable feedback used to refine the intervention.

Original languageEnglish (US)
Pages (from-to)188-204
Number of pages17
JournalThe Journal of the Association of Nurses in AIDS Care : JANAC
Volume32
Issue number2
DOIs
StatePublished - Mar 1 2021

All Science Journal Classification (ASJC) codes

  • Advanced and Specialized Nursing

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