Adolescent Behavior, HIV/AIDS, PrEP
Conditions
Brief summary
This project is designed to 1) develop a PrEP implementation plan for a general adolescent clinic. Investigators will develop a replicable implementation plan for providing PrEP to adolescents in a primary care setting; and 2) Determine the acceptability and preliminary effectiveness of a telehealth intervention to promote adherence in adolescents.
Interventions
Telehealth coaching to promote adherence
Sponsors
Study design
Eligibility
Inclusion criteria
* Females between 15 to 21 years old * Established patients at the Adolescent Health Center * HIV negative
Exclusion criteria
* HIV positive patients * patients weighing less than 35kg * patients with creatinine clearance \<60 ml/min * patients with documented osteopenia or osteoporosis or history of pathologic fractures * patients with previous allergic reactions to either emtricitabine or tenofovir * patients who are on post-exposure prophylaxis for HIV (they can become eligible after completion of therapy) * patients with hepatic impairment * For patients who become pregnant, they may be able to continue on PrEP after a discussion with their obstetrics/gynecology (OB/GYN) provider.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to PrEP | 1 year | Retention of adolescent females in PrEP care (attendance at follow-up visits) and adherence to emtricitabine/tenofovir evidenced by dried blood spot sampling |
Countries
United States