NEW YORK, July 26, 2016 /PRNewswire-USNewswire/ -- Researchers at Montefiore, Albert Einstein College of Medicine, and Columbia University Medical Center, have been awarded nearly $3 million from the National Institute of Mental Health to increase the use of pre-exposure prophylaxis (PrEP) – a medication that reduces the risk of contracting HIV. The intervention will integrate PrEP into Montefiore primary care practices throughout the Bronx, a borough with one of the highest HIV rates in the nation.
"Primary care providers are essential to ending the AIDS epidemic because they regularly reach people before they are infected," said Laurie Bauman, Ph.D., co-principal investigator on the study and director of the Preventive Intervention Research Center, Albert Einstein College of Medicine. "Our goal is to address reservations providers might have about prescribing PrEP, which include their own lack of training and their concerns about patient adherence."
The selection of Montefiore Medical Group's Federally Qualified Health Centers (FQHCs) for this intervention highlights Montefiore's expertise in developing models for treating diseases on a population basis, and its ongoing collaboration with the New York City government to end the AIDS epidemic.
The randomized trial will involve six Montefiore Medical Group FQHCs; three will receive the intervention, which will address diverse barriers to PrEP by:
- Training Montefiore primary care providers to prescribe and manage PrEP
- Developing a PrEP Eligibility Tool that will help providers identify high-risk individuals who might be eligible for PREP
- Making it simple for providers to use the electronic medical record to screen, prescribe, monitor and communicate with patients and other clinicians about PrEP
- Appointing PrEP "champions" at each site to serve as role models to support provider colleagues in talking with patients about their sexual health
- Identifying high-risk individuals in collaboration with BOOM!Health, a Bronx-based community organization that conducts HIV testing and outreach. It will link people to primary care providers who can offer PrEP.
Increasing access to prevention methods in primary care is how you lower the viral load of a community and decrease everyone's risk," said Joanne Mantell, M.S.P.H., Ph.D, co-principal investigator and professor of Clinical Psychology (in Psychiatry) at Columbia University Medical Center. "The intervention will use, evaluate and enhance existing resources to achieve the greatest possible prevention impact by making programs transferable to other primary care sites."
To evaluate the intervention, researchers will use electronic health record data to track the number of people screened and new PrEP prescriptions. They will also assess the effectiveness of each intervention component with qualitative studies of providers and patients who both embraced and opted not to initiate PrEP.
More than 1.2 million people in the United States are living with HIV, including 156,300 (12.8%) who are unaware of their status. The HIV prevalence rate in the Bronx is 1.7%, one of the highest in the United States. In 2013, more than 27,000 Bronx residents were living with HIV.
About Montefiore Health System
Montefiore Health System is one of New York's premier academic health systems and is a recognized leader in providing exceptional quality and personalized, accountable care to approximately three million people in communities across the Bronx, Westchester and the Hudson Valley. It is comprised of 10 hospitals, including the Children's Hospital at Montefiore, Burke Rehabilitation Hospital and close to 200 outpatient care sites. The advanced clinical and translational research at its' medical school, Albert Einstein College of Medicine, directly informs patient care and improves outcomes. From the Montefiore-Einstein Centers of Excellence in cancer, cardiology and vascular care, pediatrics, and transplantation, to its' preeminent school-based health program, Montefiore is a fully integrated healthcare delivery system providing coordinated, comprehensive care to patients and their families. For more information please visit www.montefiore.org. Follow us on Twitter and view us on Facebook and YouTube.
About Albert Einstein College of Medicine
Albert Einstein College of Medicine is one of the nation's premier centers for research, medical education and clinical investigation. During the 2015-2016 academic year, Einstein is home to 731 M.D. students, 193 Ph.D. students, 106 students in the combined M.D./Ph.D. program, and 278 postdoctoral research fellows. The College of Medicine has more than 1,900 full-time faculty members located on the main campus and at its clinical affiliates. In 2015, Einstein received $148 million in awards from the National Institutes of Health (NIH). This includes the funding of major research centers at Einstein in aging, intellectual development disorders, diabetes, cancer, clinical and translational research, liver disease, and AIDS. Other areas where the College of Medicine is concentrating its efforts include developmental brain research, neuroscience, cardiac disease, and initiatives to reduce and eliminate ethnic and racial health disparities. Its partnership with Montefiore Medical Center, the University Hospital and academic medical center for Einstein, advances clinical and translational research to accelerate the pace at which new discoveries become the treatments and therapies that benefit patients. Through its extensive affiliation network involving Montefiore, Jacobi Medical Center—Einstein's founding hospital, and three other hospital systems in the Bronx, Brooklyn and on Long Island, Einstein runs one of the largest residency and fellowship training programs in the medical and dental professions in the United States. For more information, please visit www.einstein.yu.edu, read our blog, follow us on Twitter, like us on Facebook, and view us on YouTube.
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SOURCE Montefiore Medical Center