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Decision conflict and the decision support needs of HIV PrEP-eligible Black patients in Toronto regarding the adoption of PrEP for HIV prevention

Objectives: This study examined factors contributing to decision conflict and the decision support needs of PrEP-eligible Black patients. Methods:The Ottawa Decision Support Framework (ODSF) was used to guide the development of a key informant guide used for qualitative data collection. Black patien...

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Autores principales: Ajiboye, Wale, Nelson, LaRon, Odhiambo, Apondi, Yusuf, Abban, Djiadeu, Pascal, Turner, De Anne, Abubakari, M’Rabiu, Pedersen, Cheryl, Brown, Rebecca, Ni, Zhao, Guillaume, Genevieve, Lofters, Aisha, Williams, Geoffrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808024/
https://www.ncbi.nlm.nih.gov/pubmed/35098770
http://dx.doi.org/10.1177/23259582211073399
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author Ajiboye, Wale
Nelson, LaRon
Odhiambo, Apondi
Yusuf, Abban
Djiadeu, Pascal
Turner, De Anne
Abubakari, M’Rabiu
Pedersen, Cheryl
Brown, Rebecca
Ni, Zhao
Guillaume, Genevieve
Lofters, Aisha
Williams, Geoffrey
author_facet Ajiboye, Wale
Nelson, LaRon
Odhiambo, Apondi
Yusuf, Abban
Djiadeu, Pascal
Turner, De Anne
Abubakari, M’Rabiu
Pedersen, Cheryl
Brown, Rebecca
Ni, Zhao
Guillaume, Genevieve
Lofters, Aisha
Williams, Geoffrey
author_sort Ajiboye, Wale
collection PubMed
description Objectives: This study examined factors contributing to decision conflict and the decision support needs of PrEP-eligible Black patients. Methods:The Ottawa Decision Support Framework (ODSF) was used to guide the development of a key informant guide used for qualitative data collection. Black patients assessed by healthcare providers as meeting the basic criteria for starting PrEP were recruited through the St. Michael's Hospital Academic Family Health Team and clinical and community agencies in Toronto. Participants were interviewed by trained research staff. Qualitative content analysis was guided by the ODSF, and analysis was done using the Nvivo. Results: Four women and twenty-five men (both heterosexual and men who have sex with men) were interviewed. Participants reported having difficulty in decision making regarding adoption of PrEP. The main reasons for decision-conflict regading PrEP adoption were: lack of adequate information about PrEP, concerns about the side effects of PrEP, inability to ascertain the benefits or risk of taking PrEP, provider's lack of adequate time for interaction during clinical consultation, and perceived pressure from healthcare provider. Participants identified detailed information about PrEP, and being able to clarify how their personal values align with the benefits and drawbacks of PrEP as their decision support needs. Conclusion:Many PrEP-eligible Black patients who are prescribed PrEP have decision conflict which often causes delay in decision making and sometimes rejection of PrEP. Healthcare providers should offer decision support to Black patients who are being asked to consider PrEP for HIV prevention.
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spelling pubmed-88080242022-02-03 Decision conflict and the decision support needs of HIV PrEP-eligible Black patients in Toronto regarding the adoption of PrEP for HIV prevention Ajiboye, Wale Nelson, LaRon Odhiambo, Apondi Yusuf, Abban Djiadeu, Pascal Turner, De Anne Abubakari, M’Rabiu Pedersen, Cheryl Brown, Rebecca Ni, Zhao Guillaume, Genevieve Lofters, Aisha Williams, Geoffrey J Int Assoc Provid AIDS Care Original Research Article Objectives: This study examined factors contributing to decision conflict and the decision support needs of PrEP-eligible Black patients. Methods:The Ottawa Decision Support Framework (ODSF) was used to guide the development of a key informant guide used for qualitative data collection. Black patients assessed by healthcare providers as meeting the basic criteria for starting PrEP were recruited through the St. Michael's Hospital Academic Family Health Team and clinical and community agencies in Toronto. Participants were interviewed by trained research staff. Qualitative content analysis was guided by the ODSF, and analysis was done using the Nvivo. Results: Four women and twenty-five men (both heterosexual and men who have sex with men) were interviewed. Participants reported having difficulty in decision making regarding adoption of PrEP. The main reasons for decision-conflict regading PrEP adoption were: lack of adequate information about PrEP, concerns about the side effects of PrEP, inability to ascertain the benefits or risk of taking PrEP, provider's lack of adequate time for interaction during clinical consultation, and perceived pressure from healthcare provider. Participants identified detailed information about PrEP, and being able to clarify how their personal values align with the benefits and drawbacks of PrEP as their decision support needs. Conclusion:Many PrEP-eligible Black patients who are prescribed PrEP have decision conflict which often causes delay in decision making and sometimes rejection of PrEP. Healthcare providers should offer decision support to Black patients who are being asked to consider PrEP for HIV prevention. SAGE Publications 2022-01-31 /pmc/articles/PMC8808024/ /pubmed/35098770 http://dx.doi.org/10.1177/23259582211073399 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
Ajiboye, Wale
Nelson, LaRon
Odhiambo, Apondi
Yusuf, Abban
Djiadeu, Pascal
Turner, De Anne
Abubakari, M’Rabiu
Pedersen, Cheryl
Brown, Rebecca
Ni, Zhao
Guillaume, Genevieve
Lofters, Aisha
Williams, Geoffrey
Decision conflict and the decision support needs of HIV PrEP-eligible Black patients in Toronto regarding the adoption of PrEP for HIV prevention
title Decision conflict and the decision support needs of HIV PrEP-eligible Black patients in Toronto regarding the adoption of PrEP for HIV prevention
title_full Decision conflict and the decision support needs of HIV PrEP-eligible Black patients in Toronto regarding the adoption of PrEP for HIV prevention
title_fullStr Decision conflict and the decision support needs of HIV PrEP-eligible Black patients in Toronto regarding the adoption of PrEP for HIV prevention
title_full_unstemmed Decision conflict and the decision support needs of HIV PrEP-eligible Black patients in Toronto regarding the adoption of PrEP for HIV prevention
title_short Decision conflict and the decision support needs of HIV PrEP-eligible Black patients in Toronto regarding the adoption of PrEP for HIV prevention
title_sort decision conflict and the decision support needs of hiv prep-eligible black patients in toronto regarding the adoption of prep for hiv prevention
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808024/
https://www.ncbi.nlm.nih.gov/pubmed/35098770
http://dx.doi.org/10.1177/23259582211073399
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