Linking Women to PrEP Care



Status:Recruiting
Healthy:No
Age Range:18 - Any
Updated:3/30/2019
Start Date:November 29, 2017
End Date:May 2020
Contact:Susan E Ramsey, Ph.D.
Email:sramsey@lifespan.org
Phone:401-444-7831

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Linkage to Community-Based HIV Pre-Exposure Prophylaxsis Care Among at Risk Women Upon Release From Incarceration

Pre-exposure prophylaxis (PrEP) can be very effective at preventing HIV infection among women
at high-risk for HIV but is underused in this population. Periods of incarceration represent
an opportunity to identify women at risk and link them to PrEP care as they leave jail or
prison. This study aims to improve linkage to community-based PrEP care to reduce HIV
acquisition in a high-need, underserved community.

Incarcerated women engage in high rates of sex- and drug-related behavior that place them at
risk for HIV. Pre-exposure prophylaxis (PrEP) is an efficacious means of reducing HIV
acquisition. There is a general lack of knowledge regarding PrEP among women at elevated
risk, and only a small percentage of at-risk women are currently engaged in PrEP care. The
period of incarceration represents an opportunity to identify at-risk women, initiate PrEP
during incarceration, and establish linkage to community-based PrEP care upon release from
incarceration. Further, post-release is a time period that is particularly risky, and there
are numerous barriers that may impede linkage to community-based care in the absence of
intervention.

To date, very little research has been done to improve linkage to PrEP care among US women.
The proposed study will examine the acceptability, feasibility, and preliminary efficacy of a
psychoeducation and motivational interviewing intervention to promote PrEP initiation during
incarceration, followed by a patient navigator intervention to facilitate linkage to
community-based PrEP care upon release from incarceration. The long-term goal of this line of
research is to disseminate an efficacious PrEP Care linkage intervention for at-risk women
post-release from incarceration. The present proposal seeks to develop intervention materials
and conduct a small randomized controlled trial (RCT) of the intervention.

Inclusion Criteria:

- Female at birth; at least 18 years of age; not currently pregnant; risk behavior prior
to incarceration that meets CDC indications for PrEP; likely to be incarcerated for
less than 6 months; able to understand and speak English and to provide written and
verbal informed consent
We found this trial at
1
site
593 Eddy Street
Providence, Rhode Island 02903
401-444-4000
Phone: 401-444-7831
Rhode Island Hospital Founded in 1863, Rhode Island Hospital in Providence, RI, is a private,...
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Providence, RI
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