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Markers of Quality Care in PrEP Services

Qualitatively Exploring Dimensions of Support Among Persons Who Engage in High-Risk Alcohol Use

Bibliographic Data

ID15736666
AuthorsNqobile Nzama (0009-0002-9338-2230, University of Louisville, corresponding author), Lesley Maradik Harris (0000-0002-1981-064X, University of Louisville), Blake D Skidmore (0009-0005-3649-0456, University of Louisville), Juma S Mwenda (University of Louisville), Jelani Kerr (0000-0003-4749-985X, University of Louisville), Jelani C Kerr (University of Louisville, KY, USA), Martin T Hall (0000-0002-0923-4554, University of Louisville), Sadaf Sedaghatshoar (University of Louisville), Andrea Reyes-Vega (0000-0003-1633-6097, University of Louisville), Harideep Samanapally (0000-0002-1319-7549, University of Louisville), Anupama Raghuram (University of Louisville), Smita Ghare (0009-0005-9627-4843, University of Louisville), Shirish Barve (0009-0008-7833-527X, University of Louisville)
Year2026
Volume13
Pages23333936261429417-23333936261429417
Publication date2026-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Qualitative Nursing Research (JOURNAL)
Journal identifiersISSN: 2333-3936 • E-ISSN: 2333-3936
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/23333936261429417
PMID41884077
OpenAlexW7138913167
LanguageEN
References cited57

Healthcare providers employ various strategies to ensure continuous care for patients taking pre-exposure prophylaxis (PrEP) for HIV prevention. However, sustained engagement in care remains challenging, especially among populations at a higher risk of acquiring HIV, such as individuals who engage in high-risk alcohol use or have alcohol dependence. Understanding the provider-level factors-markers of quality care-that positively influence patient engagement remains underexplored. Through a descriptive qualitative approach and thematic analysis of 38 interviews with 14 participants who use PrEP and who screened positive for hazardous or harmful alcohol consumption (AUDIT scores >7), six major themes were constructed that characterize PrEP quality care: (1) Access to Care and Continuity of Treatment, (2) Positive Patient-Provider Relationships, (3) Educational Engagement, (4) Psychosocial Support and Motivation, (5) Financial Accessibility, and (6) Peer Support. Overall, quality care in the context of PrEP is multifaceted, encompassing efficient service provision, positive patient-provider interactions, accessible and well-defined health education, psychosocial reinforcement, affordability, and peer-based support systems. These findings underscore the need for holistic approaches to PrEP care that address logistical, relational, educational, and financial factors to enhance patient experiences and outcomes

Alcohol consumption · Context (archaeology · Health care · Psychosocial · Qualitative research · Quality (philosophy · Thematic analysis · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues

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Citation velocityhistorical
Highly citedNo
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