Summary
This study evaluates a proposed community-based implementation strategy to scale up screening, identification, and intervention on Health-Related Social Needs (HRSN) among persons on Long-Acting Injectable Pre-exposure Prophylaxis (LAI-PrEP). To do so, (1) screening for HRSN will occur at provider visits every 4 months, (2) navigation and establishment of connections with community resources through collaboration with two established community-based organization (CBO) partners, and (3) development of a tracking system integrated into the Electronic Medical Record (EMR) for monitoring and assessment of referral outcomes.
Eligibility Criteria
Age Range: 18 years to No maximum
Inclusion Criteria:
For Patient participant group: In order to be eligible for participation in this study, an individual must meet all of the following criteria:
* 18 years of age or older
* Does not have HIV AND vulnerable for HIV infection per WHO, NHS, and CDC recommendations
* On or initiating LAI-PrEP as part of standard of care prior to study participation
* Identify as either a Black/Latine cisgender woman OR Black/Latine MSM OR Transgender or Nonbinary Individual
* Capacity and willingness to provide consent
For Medical Staff participant group: In order to be eligible for participation in this study, an individual must meet all of the following criteria:
* 18 years of age or older
* Works with patients who go to the Bellevue Pride Center
* Be employed at NYU Langone Health or NYC H+H/Bellevue as one of the following occupations
* Physician
* Clinical Pharmacist
* Nurse
* Medical Phlebotomist
* Social Worker/Navigator
* Community Health Worker
* Medical Leader (i.e., director of services)
For CBO Partner participant group: In order to be eligible for participation in this study, an individual must meet all of the following criteria:
* 18 years of age or older
* Works with patients who go to the Bellevue Pride Center
* Be employed at one of the established CBOs
* Capacity and willingness to provide consent
For Patient Who Declines LAI-PrEP participant group: In order to be eligible for participation in this study, an individual must meet all of the following criteria:
* 18 years of age or older
* Declines LAI-PrEP as part of standard of care
* Capacity and willingness to provide consent
Exclusion Criteria:
For Patient participant group: An individual who meets any of the following criteria will be excluded from participation in this study:
* Less than 18 years old
* Known HIV seropositive status or test positive at screening
* Does not identify as one of the listed priority populations
* Not fluent in either English or Spanish
* Not interested in HIV PrEP
* Not willing to consent for study participation
* Does not reside within New York State
* Pregnant or planning to become pregnant at the time of consent.
* Without capacity to consent to participate in the study
For Medical Staff participant group: An individual who meets any of the following criteria will be excluded from participation in this study:
* Do not work with patients who go to the Bellevue Pride Center
* Is not employed at NYU Langone Health or NYC/H+H Bellevue as one of the following occupations
* Physician
* Clinical Pharmacist
* Nurse
* Medical Phlebotomist
* Social Worker
* Community Health Worker
* Medical Leader (i.e., directors of services)
For CBO Partner participant group: An individual who meets any of the following criteria will be excluded from participation in this study:
• Does not work with patients who go to the Bellevue Pride Center
For Patient Who Declines LAI-PrEP participant group: An individual who meets any of the following criteria will be excluded from participation in this study:
* Less than 18 years old
* Interested in initiating LAI-PrEP as part of standard of care or on LAI-PrEP