Developing and Assessing the Feasibility of a Home-based Preexposure Prophylaxis Monitoring and Support Program

• Type of Material: Article
• Authors: Aaron Siegler, Emory University; Kenneth H Mayer, Fenway Institute; Albert Y Liu, San Francisco Department of Public Health; Rupa R Patel, Washington University; Lauren M Ahlschlager, Emory University; Colleen Kraft, Emory University; Rossi Fish, Fenway Institute; Sarah E Wiatrek, Emory University; Patrick S Sullivan, Emory University
• Language: English
• Date: 2019-02-01
• Publisher: Oxford University Press (OUP): Policy B - Oxford Open Option C
• Publication Version: Final Published Version
• Copyright Statement: © The Author(s) 2018. Published by Oxford University Press for the Infectious Diseases Society of America.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1093/cid/ciy529
• Title of Journal or Parent Work: Clinical Infectious Diseases
• ISSN: 1058-4838
• Volume: 68
• Issue: 3
• Start Page: 501
• End Page: 504
• Grant/Funding Information: This work was supported by the National Institute of Mental Health (grant numbers R21MH103187 and R01MH114692) and was facilitated by the Emory Center for AIDS Research (grant number P30AI050409).
• Keywords: ADULTS; MEN; PrEP; HIV prevention; SEX; Immunology; preexposure prophylaxis; Science & Technology; Infectious Diseases; Microbiology; MSM; Life Sciences & Biomedicine; men who have sex with men
• Research Categories: Health Sciences, Immunology; Biology, Microbiology; Health Sciences, Public Health

Abstract

We piloted PrEP@Home, a preexposure prophylaxis system of remote laboratory and behavioral monitoring designed to replace routine quarterly follow-up visits with home care to reduce the patient and provider burden. The system was highly acceptable and in-demand for future use, and more than one-third of participants reported greater likelihood of persisting in care if available.