RNNarrative ReviewThe Journal of the Association of Nurses in AIDS Care : JANAC

A Review of Recent HIV Prevention Interventions and Future Considerations for Nursing Science.

Megan Threats, Bridgette M Brawner, Tiffany M Montgomery and 6 others

PMID 33929980

WHAT IT FOUND

HIV prevention interventions had mixed results.

Some condom and abstinence programs worked, others did not. Nurse-led PrEP and HIV testing models are described, but evidence gaps remain, especially for underrepresented populations.

Key findings

01Behavioral HIV prevention trials had mixed results: some increased condom use or abstinence, others did not.

02Oral PrEP with TDF/FTC is described as effective for MSM in the United States, but most PrEP studies included less than 10% Black MSM.

03Nursing-relevant models include nurse-led PrEP services and nurse-initiated rapid testing within cost-effective combinations.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Narrative review without reported search strategy, study selection, quality appraisal, or synthesis methods. Most evidence is from HIV prevention populations and settings, not routine physical therapy, occupational therapy, or speech-language pathology care. Behavioral intervention effects were mixed, and technological studies were often formative rather than outcome-focused. Biomedical PrEP evidence is well documented for some groups, but underrepresented populations are not well covered. Nursing relevance comes from review discussion of nurse-led services, not a trial of nursing care.

Declared interests

The authors report no real or perceived vested interests related to this article.

The easy way to misread this

Do not treat this review as proof that a specific HIV prevention intervention works for your patients. It summarizes published studies without formal methods, and many findings are mixed or focused on populations outside routine PT, OT, or SLP care.

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