Academic Detailing to Optimize PrEP Implementation in Pediatric Primary Care Settings: ADOPT-PrEP
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBoston Children's Hospital
About this trial
In this study, 50 pediatricians will participate in academic detailing, an evidence-based, 1-on-1 outreach education technique intended to promote clinician behavior change through brief, highly interactive, and individualized dialogues with trained educators, or "detailers". The goals of this study are to learn about whether this is a practical and acceptable technique, and whether it changes how pediatricians prescribe pre-exposure prophylaxis (PrEP) to adolescents and young adults (AYA) and how patients take it.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Primary care provider at one of our 3 study sites (Boston Children's Hospital Adolescent/Young Adult Medicine, Martha Eliot Health Center, Children's Hospital Primary Care Center)
Disqualifiers
None
Trial design
Design model
Single group
Treatments tested in this trial
Academic detailing
BehavioralAcademic detailing is an evidence-based, 1-on-1 outreach education technique intended to promote clinician behavior change. Information gained during earlier focus groups will be used to develop study-specific materials.
Treatment groups
50 Participants
are divided into 1 treatment groupGroup A: pediatriciansExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Feasibility
Feasibility will be assessed using survey question from other academic detailing campaigns and assessed on a 5-point Likert scale. Questions will be: "the key messages are feasible to implement in my practice" (1= not at all through 5= extremely)
Time frame
From enrollment to end of study interview at 4 months2
Feasibility
Feasibility of academic detailing based on number of enrolled providers who complete both academic detailing visits
Time frame
From enrollment to end of second academic detailing session at 1 month3
Acceptability
Acceptability of academic detailing as measured by provider satisfaction with the academic detailing visit. This will be assessed via the Prescriber Satisfaction with Academic Detailing questionnaire (PSAD). Answers are on a 5 point Likert scale (1=not at all through 5=extremely).
Time frame
From enrollment to end of second academic detailing visit at 1 month.4
Acceptability
Acceptability of academic detailing based on completion of academic detailing sessions
Time frame
From enrollment to end of second academic detailing session at 1 monthSecondary outcomes
1
Impact of academic detailing on PrEP knowledge and prescribing
Preliminary impact of academic detailing on their knowledge, intentions and readiness to prescribe PrEP. This will be assessed via adapted questionnaires from other academic detailing campaigns. Questions will be assessed on a 5 point Likert scale (1=strongly agree through 5= strongly disagree). Example questions include: "I am or would be comfortable prescribing and managing patients on PrEP;" "I am willing to talk to my patients about PrEP if it might be indicated."
Time frame
From enrollment to end of study interview at 4 months2
Change in PrEP Prescriptions
Changes in PrEP prescriptions provided by participants to their patients by review of electronic medical record following academic detailing intervention. This will include refills of oral PrEP medications and on-time injections of injectable PrEP.
Time frame
From 6 months prior to enrollment to 6 months after intervention3
HIV Testing
Participant rates of HIV testing of their patients by review of the medical record.
Time frame
From 6 months prior to enrollment to 6 months after academic detailing intervention4
Fidelity to intervention
Fidelity will be assessed by having academic detailers observe each other and then will provide feedback on adherence to academic detailing procedures by using a structured checklist (e.g., detailer delivers key messages, seeks commitment to behavior change from pediatrician).
Time frame
From enrollment to end of second academic detailing visit at 1 month.Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: