Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses

Objective To report the results of a nurse-led pre-exposure prophylaxis (PrEP) delivery service.Design This was a prospective cohort study conducted from 5 August 2018 to 4 March 2020. It involved manual chart review to collect data. Variables were described using frequencies and percentages and ana...

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Autores principales:	Patrick O'Byrne, Amanda Vandyk, Lauren Orser, Marlene Haines
Formato:	article
Lenguaje:	EN
Publicado:	BMJ Publishing Group 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/6eaf3c2c07d04f8a8de8fae516a0d923
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spelling	oai:doaj.org-article:6eaf3c2c07d04f8a8de8fae516a0d9232021-11-19T13:00:06ZNurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses10.1136/bmjopen-2020-0408172044-6055https://doaj.org/article/6eaf3c2c07d04f8a8de8fae516a0d9232021-01-01T00:00:00Zhttps://bmjopen.bmj.com/content/11/1/e040817.fullhttps://doaj.org/toc/2044-6055Objective To report the results of a nurse-led pre-exposure prophylaxis (PrEP) delivery service.Design This was a prospective cohort study conducted from 5 August 2018 to 4 March 2020. It involved manual chart review to collect data. Variables were described using frequencies and percentages and analysed using χ2 testing. Those significant in bivariate analysis were retained and entered into a binary multiple logistic regression. Hierarchical modelling was used, and only significant factors were retained.Setting This study occurred in an urban public health unit and community-based sexually transmitted infection (STI) clinic in Ottawa, Canada.Participants Of all persons who were diagnosed with a bacterial STI in Ottawa and everyone who presented to our STI clinic during the study period, there were 347 patients who met our high-risk criteria for PrEP; these criteria included patients who newly presented with any of the following: HIV contacts, diagnosed with a bacterial STI or single use of HIV PEP. Further, eligibility could be determined based on clinical judgement. Patients who met the foregoing criteria were appropriate for PrEP-RN, while lower-risk patients were referred to elsewhere. Of the 347 patients who met our high-risk criteria, 47% accepted and 53% declined. Of those who accepted, 80% selected PrEP-registered nurse (RN).Primary and secondary outcome measures Uptake, acceptance, engagement and attrition factors of participants who obtained PrEP through PrEP-RN.Findings 69% of participants who were eligible attended their intake PrEP-RN visit. 66% were retained in care. Half of participants continued PrEP and half were lost to follow-up. We found no significant differences in the uptake, acceptance, engagement and attrition factors of participants who accessed PrEP-RN regarding reason for referral, age, ethnicity, sexual orientation, annual income, education attainted, insurance status, if they have a primary care provider, presence or absence of depression or anxiety and evidence of newly acquired STI during the study period.Conclusions Nurse-led PrEP is an appropriate strategy for PrEP delivery.Patrick O'ByrneAmanda VandykLauren OrserMarlene HainesBMJ Publishing GrouparticleMedicineRENBMJ Open, Vol 11, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Patrick O'Byrne Amanda Vandyk Lauren Orser Marlene Haines Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses
description	Objective To report the results of a nurse-led pre-exposure prophylaxis (PrEP) delivery service.Design This was a prospective cohort study conducted from 5 August 2018 to 4 March 2020. It involved manual chart review to collect data. Variables were described using frequencies and percentages and analysed using χ2 testing. Those significant in bivariate analysis were retained and entered into a binary multiple logistic regression. Hierarchical modelling was used, and only significant factors were retained.Setting This study occurred in an urban public health unit and community-based sexually transmitted infection (STI) clinic in Ottawa, Canada.Participants Of all persons who were diagnosed with a bacterial STI in Ottawa and everyone who presented to our STI clinic during the study period, there were 347 patients who met our high-risk criteria for PrEP; these criteria included patients who newly presented with any of the following: HIV contacts, diagnosed with a bacterial STI or single use of HIV PEP. Further, eligibility could be determined based on clinical judgement. Patients who met the foregoing criteria were appropriate for PrEP-RN, while lower-risk patients were referred to elsewhere. Of the 347 patients who met our high-risk criteria, 47% accepted and 53% declined. Of those who accepted, 80% selected PrEP-registered nurse (RN).Primary and secondary outcome measures Uptake, acceptance, engagement and attrition factors of participants who obtained PrEP through PrEP-RN.Findings 69% of participants who were eligible attended their intake PrEP-RN visit. 66% were retained in care. Half of participants continued PrEP and half were lost to follow-up. We found no significant differences in the uptake, acceptance, engagement and attrition factors of participants who accessed PrEP-RN regarding reason for referral, age, ethnicity, sexual orientation, annual income, education attainted, insurance status, if they have a primary care provider, presence or absence of depression or anxiety and evidence of newly acquired STI during the study period.Conclusions Nurse-led PrEP is an appropriate strategy for PrEP delivery.
format	article
author	Patrick O'Byrne Amanda Vandyk Lauren Orser Marlene Haines
author_facet	Patrick O'Byrne Amanda Vandyk Lauren Orser Marlene Haines
author_sort	Patrick O'Byrne
title	Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses
title_short	Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses
title_full	Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses
title_fullStr	Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses
title_full_unstemmed	Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses
title_sort	nurse-led prep-rn clinic: a prospective cohort study exploring task-shifting hiv prevention to public health nurses
publisher	BMJ Publishing Group
publishDate	2021
url	https://doaj.org/article/6eaf3c2c07d04f8a8de8fae516a0d923
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Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses

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