Development of a curriculum to improve PrEP awareness and counseling at a national pharmacy chain

Charles M. Burns, Stephanie S. Sperry, Sarah E. Janek, Dan V. Blalock, Sandra Woolson, Pam Gentry, Megan Oakes, Kenric B. Ware, Michael V. Relf, Nwora Lance Okeke, Noelle Esquire, Tariq Omarshah, Miriam C. Fenton, Jennifer Ribbron, Hayden B. Bosworth
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Abstract

Background

Human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) is underutilized nationally. Community pharmacies are an ideal location to provide PrEP services because they are easily accessible and trusted by patients.

Objective

This study aimed to design and implement an educational curriculum on PrEP care for pharmacists.

Methods

We developed a 10-module (5 core and 5 advanced) curriculum that could be accessed as needed to fit within the time constraints of pharmacy personnel. Each module ranged from 8 to 22 minutes in length for a total of 125 minutes. The materials were created by an interdisciplinary team of 5 clinical PrEP experts, 1 pharmacist, 5 implementation scientists, 2 members of the Elton John AIDS Foundation, and 3 members of the Walmart executive pharmacy leadership team. The modules were distributed via an online learning platform on December 1, 2022, to Walmart pharmacies located in the United States. All members of the Walmart pharmacy health care team were eligible to participate in the frcurriculum. Initial invites were sent to 15,477 and 15,461 pharmacists for the core and advanced modules, respectively. Outcomes of interest included the number of participants accessing the curriculum and pre- and postcurriculum learning assessments. Data collection occurred from January 26, 2023, to September 1, 2024.

Results

A total of 3257 individuals registered for the core curriculum with 2598 completing the core, whereas 1725 individuals registered for the advanced topics with 1574 completing the advanced. Most participants were pharmacists and located in the southern United States. Cohen’s d effect sizes for change in the pre- and postcurriculum in the core modules ranged from −0.02 to 1.03.

Conclusions

We successfully created and implemented a pharmacist-centered PrEP educational curriculum within Walmart pharmacies. By increasing PrEP awareness and knowledge among pharmacists, we aimed to increase pharmacist-led PrEP counseling to communities in need of HIV prevention services and contribute toward ending the HIV epidemic in the United States.
制定课程以提高全国连锁药店的预防PrEP意识和咨询
人类免疫缺陷病毒(HIV)暴露前预防(PrEP)在全国未得到充分利用。社区药房是提供PrEP服务的理想地点,因为它们容易获得并受到患者的信任。目的设计并实施一套面向药师的PrEP护理教育课程。方法我们开发了10个模块(5个核心模块和5个高级模块)的课程,可以根据需要访问,以适应药学人员的时间限制。每个模块的长度从8到22分钟不等,总共125分钟。这些材料是由5名临床PrEP专家、1名药剂师、5名实施科学家、2名埃尔顿约翰艾滋病基金会成员和3名沃尔玛执行药房领导团队成员组成的跨学科团队制作的。这些模块于2022年12月1日通过在线学习平台分发给位于美国的沃尔玛药店。沃尔玛药房保健团队的所有成员都有资格参加前课程。初步邀请分别向15,477名和15,461名药剂师发出了核心和高级模块的邀请。感兴趣的结果包括参与课程的人数以及课程前和课程后的学习评估。数据收集时间为2023年1月26日至2024年9月1日。结果共有3257人注册了核心课程,其中2598人完成了核心课程,而1725人注册了高级主题,1574人完成了高级主题。大多数参与者是药剂师,位于美国南部。科恩对核心模块课程前和课程后变化的效应值从- 0.02到1.03不等。结论我们成功地在沃尔玛药店创建并实施了以药剂师为中心的PrEP教育课程。通过提高药剂师对PrEP的认识和知识,我们旨在为需要艾滋病毒预防服务的社区增加药剂师主导的PrEP咨询,并为结束美国的艾滋病毒流行做出贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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