Is Doxy-PEP Right for Me? Piloting a Novel Patient Decision Aid in an Urban Ambulatory Clinic.

IF 2.4 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

AIDS and Behavior Pub Date : 2025-08-29 DOI:10.1007/s10461-025-04831-7

Joan Bosco, Paul D'Avanzo, Caroline Carnevale, Edward Perez, Jenny Li, Juan Diego Ramirez, Kathrine Meyers, Magdalena Sobieszczyk, Jason Zucker

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Abstract

We iteratively designed a novel patient decision aid (PDA) to improve patient-provider communication regarding the benefits, risks, and proper usage of doxycycline as post-exposure prophylaxis (Doxy-PEP). We tested the feasibility, acceptability, and appropriateness of counseling using this PDA among a pilot group in two academic, urban sexual health clinics. Using a pretest-posttest model we assessed the extent to which this intervention impacted participants' knowledge of and attitudes towards Doxy-PEP. Participants (N = 30) were all assigned male at birth and had at least one sexually transmitted infection in the past year; 30% were living with HIV. We found that counseling using this PDA increased participants' familiarity with, comfort with, and knowledge of Doxy-PEP. Participants found this intervention to be acceptable, appropriate, and feasible. This model of employing formally evaluated PDAs to enhance patient-provider communication may be adaptable for other public health interventions.

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Doxy-PEP适合我吗？在城市门诊试行一种新型病人决策辅助系统。

我们反复设计了一种新的患者决策辅助（PDA），以改善患者与医生之间关于多西环素作为暴露后预防（Doxy-PEP）的益处、风险和正确使用的沟通。我们在两个学术性城市性健康诊所的试点群体中测试了使用这种PDA进行咨询的可行性、可接受性和适当性。使用前测后测模型，我们评估了这种干预对参与者对Doxy-PEP的知识和态度的影响程度。参与者（N = 30）在出生时都被指定为男性，并且在过去一年中至少有过一次性传播感染；30%的人感染了艾滋病毒。我们发现使用这种PDA的咨询增加了参与者对Doxy-PEP的熟悉度、舒适度和知识。参与者发现这种干预是可接受的、适当的和可行的。这种采用正式评估的pda来加强医患沟通的模式可能适用于其他公共卫生干预措施。

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来源期刊

AIDS and Behavior Multiple-

CiteScore

6.60

自引率

13.60%

发文量

382

期刊介绍： AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76