iPrEP intervention survey instrument
nausea, vomiting, kidney problems
The experimental intervention, iPrEP, is based on an adaptation of the HIV Prevention Trials Network (HPTN) 073 study that was developed to assess structural and mental health factors that predicted PrEP uptake and adherence among Black men who have sex with men (MSM) [The team adapted the content and format of the HPTN 037 baseline instrument by integrating both an innovative intervention approach and a novel delivery platform using a tablet device. The intervention elements targeted increased awareness of sexual and substance use behaviors that place individuals at risk for acquiring HIV and promoted enrollment in PrEP programs among cisgender Black women seeking care in the ED [The original iPrEP instrument contained 88 unique questions. The format was updated, questions were collapsed and reformatted to include 41 questions, and the tool was adapted to improve ease of use. The iPrEP intervention uses qualitative themes and is divided into sections addressing factors with historical success at increasing PrEP adherence [Participants’ thoughts on PrEP were evaluated using a 6-point Likert scale, with a ‘don’t know’ option, regarding PrEP’s ability to protect individuals from HIV with daily use, confidence with adherence to a daily pill regimen for HIV prevention, confidence in ability to schedule quarterly appointments with physicians, perception on PrEP reducing worry about condom use, willingness to take PrEP to prevent HIV and reduce the HIV burden on the African American community, willingness to take PrEP with small potential for side effects of nausea, vomiting, kidney problems, or loss of bone density. Scenarios to evaluate willingness to take PrEP using hypothetical scenarios were provided. Participant’s shared their current feelings about starting PrEP (i.e. readiness), and shared the reasons that they would use PrEP. Scales chosen to measure themes and sections are retained from the original HPTN 073 instrument. Scales are also modified (in some cases) for cultural competency and tailoring to cisgender Black women.