Adaptation of POCT for pharmacies to reduce risk and optimize access to care in HIV, the APPROACH study protocol: examining acceptability and feasibility

Pilot and Feasibility Studies
Jason KiellyHai Nguyen

Abstract

Approximately 1 in 5 Canadians with HIV are unaware of their status. In many provinces and especially rural communities, barriers to HIV testing include lack of access, privacy concerns, and stigma. The availability of HIV point-of-care testing (POCT) is limited across Canada. Pharmacists are well positioned to address barriers by offering rapid HIV POCT and facilitating linkage to care. We will use a type-2 hybrid implementation-effectiveness design to assess a pilot HIV POCT model in one urban and one rural pharmacy in each of two Canadian provinces over 6 months. In this feasibility trial the research aims include developing and assisting pharmacies in implementing the model, evaluating processes/determinants of program implementation, evaluating the model's effects on client outcomes, preferences, and testing satisfaction. Using a community-based research approach, the research team will engage community stakeholders in each province including individuals with lived experience to inform the development of the pharmacy-based HIV testing model and support the research team throughout the study. A multipronged promotion campaign will be used to promote the study and facilitate recruitment. The pharmacy-based testing model will...Continue Reading

References

Dec 7, 2007·Implementation Science : IS·Christopher CarrollShashi Balain
Jun 12, 2010·Current Opinion in HIV and AIDS·Jean-Paul Moatti, Fred Eboko
Feb 2, 2013·Sexual Health·Nathaniel M LewisCarlye Stein
Nov 22, 2014·Journal of the American Pharmacists Association : JAPhA·Kristin M DarinKimberly K Scarsi
May 2, 2017·Frontiers in Public Health·Alexa MinichielloShabnam Asghari
Dec 7, 2018·PloS One·Robert S HoggJulio S G Montaner

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