Integration of Peer Health Navigation Into Comprehensive Re-entry Services: Improving PrEP Implementation for Justice-involved Individuals
University of Texas Southwestern Medical Center
Summary
This 18-month study, "Integration of peer health navigation into comprehensive re-entry services: improving PrEP implementation for justice-involved individuals," aims to increase PrEP awareness and uptake among people with a history of justice involvement in Dallas, primarily clients of Unlocking Doors.
Description
This 18-month study, "Integration of peer health navigation into comprehensive re-entry services: improving PrEP implementation for justice-involved individuals," aims to increase PrEP awareness and uptake among people with a history of justice involvement in Dallas, primarily clients of Unlocking Doors. Guided by the EPIS (Exploration, Preparation, Implementation, Sustainment) framework, the study will: Conduct qualitative interviews with Unlocking Doors staff, clients, health coaches, and PrEP providers to identify barriers and facilitators to integrating a health coach focused on sexual he…
Eligibility
- Age range
- 18–99 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: 1. Age 18 years or older 2. Client of Unlocking Doors 3. Able to provide informed consent 4. Willing to participate in discussions about general health, sexual health, HIV prevention, and PrEP 5. Willing to complete health screening and eligibility assessment 6. For qualitative interview participants: * Unlocking Doors staff, clients, or PrEP providers who agree to participate in a one-time interview. Exclusion Criteria: 1. Under 18 years of age 2. Unable to provide informed consent 3. Not receiving services at Unlocking Doors 4. Non-English speakers 5. Diagnosed wit…
Interventions
- BehavioralHealth Coach Intervention
The intervention integrates a PrEP-focused health coach into Unlocking Doors' re-entry services. The health coach provides clients with general health guidance, sexual health education, HIV and syphilis testing, PrEP education, PrEP eligibility screening, and linkage to PrEP care. The coach also offers ongoing navigation and referrals to medical, behavioral health, and re-entry services as needed. The aim of the intervention is to increase PrEP awareness, interest, and uptake among justice-involved individuals while assessing feasibility, acceptability, and appropriateness of embedding a health coach within legal re-entry services.
Location
- UT Southwestern Medical CenterDallas, Texas