Just4Us: Development of a Counselor-Navigator and Text Message Intervention to Promote PrEP Uptake Among Cisgender Women at Elevated Risk for HIV.
Anne M Teitelman, Beryl A Koblin, Bridgette M Brawner and 8 others
PMID 33427767WHAT IT FOUND
Four women rated a PrEP counseling session as acceptable, and four women rated self-written text reminders as extremely helpful for daily medication.
This tested feasibility, not whether the program increases PrEP use.
Key findings
01In-person pre-pilot participants reported satisfaction with the video, discussions, tablet activities, and text-message setup, and said they learned a lot and would recommend the session.
02Text-message pre-pilot participants all created their own reminder messages and rated the daily reminder as extremely helpful for taking their daily medication.
03The tested package combined a counselor-navigator session, phone follow-up, materials, and text reminders, so the contribution of any single component cannot be separated.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only four women tested the in-person session and four women tested the text-message program, so these findings are about feasibility and feedback, not effectiveness. The text-message pre-pilot used women living with HIV taking daily antiretroviral medication, not women taking PrEP, because no PrEP users could be located. The intervention combined several components at once: a counselor-navigator session, phone follow-up, written materials, condoms and lube, and text reminders, so the contribution of any single component cannot be separated. The paper reports satisfaction and process feedback, not outcomes such as PrEP initiation or adherence. Participants were women in urban Northeastern US settings, and the study excluded pregnant women and women unable to read and write English at a fifth-grade level, so findings may not apply to rural areas, adolescents, pregnant women, incarcerated women, or non-English readers.
Declared interests
The publication types list NIH extramural research support. The supplied text does not include an author conflict-of-interest declaration.
The easy way to misread this
Do not read the positive feedback as evidence that Just4Us increases PrEP initiation or adherence. Only four women tested the session and four tested text reminders, and the text pre-pilot used women already taking daily HIV medication rather than women taking PrEP.