A Conceptual Analysis of SBIRT Implementation Alongside the Continuum of PrEP Awareness: Domains of Fit and Feasibility

Overview

Journal Front Public Health

Specialty Public Health

Date 2024 Jan 23

PMID 38259734

Authors

Lesley M Harris

Jelani C Kerr

Blake D Skidmore

Smita Ghare

Andrea Reyes-Vega

Vania Remenik-Zarauz

Harideep Samanapally

Rana Usman Anwar

Rishikesh Rijal

Kendall Bryant

Martin T Hall

Shirish Barve

Affiliations

Soon will be listed here.

Abstract

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a supplementary intervention that can be incorporated into the Pre-Exposure Prophylaxis (PrEP) Care Continuum, complementing initiatives and endeavors focused on Human Immunodeficiency Virus (HIV) prevention in clinical care and community-based work. Referencing the Transtheoretical Model of Change and the PrEP Awareness Continuum, this conceptual analysis highlights how SBIRT amplifies ongoing HIV prevention initiatives and presents a distinct chance to address identified gaps. SBIRT's mechanisms show promise of fit and feasibility through (a) implementing universal Screening (S), (b) administering a Brief Intervention (BI) grounded in motivational interviewing aimed at assisting individuals in recognizing the significance of PrEP in their lives, (c) providing an affirming and supportive Referral to Treatment (RT) to access clinical PrEP care, and (d) employing client-centered and destigmatized approaches. SBIRT is uniquely positioned to help address the complex challenges facing PrEP awareness and initiation efforts. Adapting the SBIRT model to integrate and amplify HIV prevention efforts merits further examination.

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