It appears you don't have support to open PDFs in this web browser. To view this file, Open with your PDF reader
Abstract
Preexposure prophylaxis (PrEP) may prevent new human immunodeficiency virus (HIV) infections. At the project site, there was no consistent process in place for prophylaxis for HIV, so an evidence-based solution was sought. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the Centers for Disease Control and Prevention’s (CDC) Preexposure (PrEP) Practice Guideline would impact new PrEP prescriptions among high-risk adults in a community health center in urban California over four weeks. Nola Pender’s health promotion theory and Kurt Lewin’s change theory provided the theoretical underpinnings of the project. Data on PrEP prescriptions were extracted from the electronic health record. A total of N = 49 patients were included in the project, n = 22 in the comparison group, and n = 27 in the intervention group. A chi-square test showed no statistically significant difference in the PrEP prescription rate between the comparison group (36.4%, n = 8) and the implementation group (63.0%, n = 17), X2 (1, N = 49) = 3.43, p = .064. Despite the lack of statistical significance, clinical significance was demonstrated by a 26.6 % increase in PrEP prescriptions after the implementation. Based on these results, the CDC’s PrEP Practice Guideline may increase PrEP prescription rates. Recommendations are to continue using the CDC Preexposure (PrEP) Practice with PrEP guideline among high-risk adults at the project site, and to expand the project to other primary care clinics to obtain data on a larger sample size over an extended period.
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer