{"id":"https://openalex.org/W4200600487","doi":"https://doi.org/10.1093/ofid/ofab466.1051","title":"856. Barriers to PrEP Implementation among Patient-Facing Staff in Three Urban Clinics","display_name":"856. Barriers to PrEP Implementation among Patient-Facing Staff in Three Urban Clinics","publication_year":2021,"publication_date":"2021-11-01","ids":{"openalex":"https://openalex.org/W4200600487","doi":"https://doi.org/10.1093/ofid/ofab466.1051"},"language":"en","primary_location":{"id":"doi:10.1093/ofid/ofab466.1051","doi":"https://doi.org/10.1093/ofid/ofab466.1051","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofab466.1051","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1093/ofid/ofab466.1051","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5051549950","display_name":"Sheela Shenoi","orcid":"https://orcid.org/0000-0001-7654-4344","observed_orcids":["https://orcid.org/0000-0001-7654-4344"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sheela Shenoi","raw_affiliation_strings":["Yale University, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077650262","display_name":"Robert J Sideleau","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert J Sideleau","raw_affiliation_strings":["Yale University, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041295186","display_name":"Sharen E. McKay","orcid":"https://orcid.org/0000-0002-2640-2759","observed_orcids":["https://orcid.org/0000-0002-2640-2759"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sharen E McKay","raw_affiliation_strings":["Yale University, New Haven, Connecticut"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale University, New Haven, Connecticut","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102850061","display_name":"Lydia Barakat","orcid":"https://orcid.org/0000-0003-4994-2907","observed_orcids":["https://orcid.org/0000-0003-4994-2907"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lydia A Aoun-Barakat","raw_affiliation_strings":["Yale School of Medicine, New Haven, CT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yale School of Medicine, New Haven, CT","institution_ids":["https://openalex.org/I32971472"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I32971472"],"apc_list":{"value":3465,"currency":"USD","value_usd":3465},"apc_paid":{"value":3465,"currency":"USD","value_usd":3465},"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"8","issue":"Supplement_1","first_page":"S519","last_page":"S519"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10082","display_name":"HIV/AIDS Research and Interventions","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11860","display_name":"HIV, Drug Use, Sexual Risk","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/federally-qualified-health-centers","display_name":"federally qualified health centers","score":0.8399999737739563},{"id":"https://openalex.org/keywords/prescribers","display_name":"prescribers","score":0.6949999928474426},{"id":"https://openalex.org/keywords/employee-training","display_name":"employee training","score":0.5860000252723694},{"id":"https://openalex.org/keywords/prep-uptake","display_name":"PrEP uptake","score":0.6740000247955322},{"id":"https://openalex.org/keywords/insurance-barriers","display_name":"insurance barriers","score":0.6549999713897705},{"id":"https://openalex.org/keywords/patient-counseling","display_name":"patient counseling","score":0.6399999856948853},{"id":"https://openalex.org/keywords/urban-clinics","display_name":"urban clinics","score":0.5950000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8313719630241394},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.6681572794914246},{"id":"https://openalex.org/C2779496540","wikidata":"https://www.wikidata.org/wiki/Q7239230","display_name":"Pre-exposure prophylaxis","level":5,"score":0.6514559984207153},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5900914669036865},{"id":"https://openalex.org/C2780084366","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demographics","level":2,"score":0.5445350408554077},{"id":"https://openalex.org/C105776082","wikidata":"https://www.wikidata.org/wiki/Q617473","display_name":"Likert scale","level":2,"score":0.504095196723938},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3369128704071045},{"id":"https://openalex.org/C3013748606","wikidata":"https://www.wikidata.org/wiki/Q15787","display_name":"Human immunodeficiency virus (HIV)","level":2,"score":0.30640318989753723},{"id":"https://openalex.org/C2776939746","wikidata":"https://www.wikidata.org/wiki/Q853451","display_name":"Men who have sex with men","level":4,"score":0.26818931102752686},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.10579651594161987},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.0},{"id":"https://openalex.org/C2776983459","wikidata":"https://www.wikidata.org/wiki/Q41083","display_name":"Syphilis","level":3,"score":0.0},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/ofid/ofab466.1051","doi":"https://doi.org/10.1093/ofid/ofab466.1051","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofab466.1051","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1093/ofid/ofab466.1051","doi":"https://doi.org/10.1093/ofid/ofab466.1051","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ofid/ofab466.1051","pdf_url":null,"source":{"id":"https://openalex.org/S2735126445","display_name":"Open Forum Infectious Diseases","issn_l":"2328-8957","issn":["2328-8957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Open Forum Infectious Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.4000000059604645,"display_name":"Reduced inequalities"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2554190977","https://openalex.org/W2426840394","https://openalex.org/W7203840287","https://openalex.org/W2748440794","https://openalex.org/W7171567805","https://openalex.org/W3008940138","https://openalex.org/W2802534222","https://openalex.org/W7162454533","https://openalex.org/W4302307389","https://openalex.org/W7143438557"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"PrEP":[2,15,26,42,96,108,155,163,205,212,240,253,290],"implementation":[3,27],"has":[4,17],"lagged":[5],"in":[6,14,36,44,314,328],"the":[7,68,264,274,329],"US.":[8],"The":[9,76,277],"role":[10],"of":[11,49,70,81,127,193,215,219,252,279,322,331],"multidisciplinary":[12,281],"staff":[13,50,63,71,224],"rollout":[16],"been":[18],"neglected.":[19],"We":[20],"sought":[21],"to":[22,25,46,55,61,107,186,204,239,286,289],"identify":[23],"barriers":[24,106,203,238,288],"among":[28],"3":[29],"urban":[30],"federally":[31],"qualified":[32],"health":[33],"centers":[34],"(FQHCs)":[35],"Connecticut":[37],"that":[38,162,177],"provide":[39],"HIV":[40],"and":[41,83,86,93,101,104,124,157,179,189,223,231,236,250,271,310],"services":[43],"order":[45],"inform":[47],"development":[48],"training.":[51,261],"Methods":[52],"A":[53],"link":[54],"an":[56],"anonymous":[57],"survey":[58,77],"was":[59,129],"emailed":[60],"patient-facing":[62],"members":[64,283],"or":[65,300],"posted":[66],"at":[67,242],"end":[69],"trainings":[72],"October":[73],"2020-April":[74],"2021.":[75],"requested":[78],"demographics,":[79],"duration":[80,126],"employment,":[82],"using":[84],"4":[85],"5":[87],"point":[88],"Likert":[89],"scales,":[90,100],"ascertained":[91],"knowledge":[92],"beliefs":[94],"toward":[95],"based":[97],"on":[98],"established":[99],"perceived":[102],"individual":[103,235],"systemic":[105,237],"uptake.":[109],"Results":[110],"Among":[111,134,199,244],"101":[112],"respondents,":[113],"40%":[114],"were":[115,118,121,151,170],"36-54yo,":[116],"22%":[117],"male,":[119],"68%":[120],"non-prescribing":[122],"clinicians,":[123],"median":[125],"employment":[128],"6":[130],"years":[131],"(IQR":[132],"2-14).":[133],"32":[135],"(31%)":[136],"prescribers":[137],"(physicians,":[138],"PAs,":[139],"APRNs),":[140],"97%":[141],"felt":[142],"comfortable":[143],"discussing":[144],"sexual":[145],"risk":[146],"with":[147,154,259],"patients,":[148],"though":[149],"15%":[150],"not":[152],"familiar":[153],"efficacy":[156],"safety":[158,251],"data,":[159],"28%":[160],"responded":[161,176],"use":[164],"would":[165],"encourage":[166],"risky":[167],"behaviors,":[168],"34%":[169],"concerned":[171],"about":[172],"side":[173],"effects,":[174],"53%":[175],"educational":[178],"behavioral":[180],"interventions":[181],"should":[182],"be":[183,257],"attempted":[184],"prior":[185],"prescribing":[187],"PrEP,":[188],"59%":[190],"identified":[191,233,263],"lack":[192,214,218],"provider":[194],"training":[195],"as":[196,273],"a":[197],"barrier.":[198],"69":[200],"(68%)":[201],"non-prescribers,":[202],"uptake":[206,241],"included:":[207],"patients":[208],"don\u2019t":[209],"ask":[210],"for":[211,226,249,266,306],"(43%),":[213],"insurance":[216],"(47%),":[217],"clinic":[220,280],"guidelines/protocol":[221],"(42%),":[222],"time":[225],"counseling":[227,272],"(31%).":[228],"Conclusion":[229],"Prescribers":[230],"non-prescribers":[232],"distinct":[234],"FQHCs.":[243],"prescribers,":[245],"uncertainty":[246],"regarding":[247],"indications":[248],"exist,":[254],"which":[255],"will":[256],"addressed":[258],"targeted":[260],"Non-prescribers":[262],"need":[265],"patient":[267],"outreach,":[268],"financial":[269],"assistance,":[270],"top":[275],"priorities.":[276],"input":[278],"team":[282],"is":[284,319,326],"essential":[285],"addressing":[287],"implementation.":[291],"Disclosures":[292],"Sheela":[293],"Shenoi,":[294],"MD,":[295],"MPH,":[296],"Merck":[297,307],"(Other":[298],"Financial":[299],"Material":[301],"Support,":[302],"SS\u2019s":[303],"spouse":[304],"worked":[305],"pharmaceuticals":[308],"1997-2007":[309],"retains":[311],"company":[312],"stock":[313],"his":[315],"retirement":[316],"account.":[317],"There":[318],"no":[320],"conflict":[321],"interest,":[323],"but":[324],"it":[325],"included":[327],"interest":[330],"full":[332],"disclosure.)":[333]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2021-12-31T00:00:00"}