0920-22FZ Att 4k_Provider Interview Guide

Form Approved

OMB No. 0920-New

Expiration Date: XX/XX/XXXX

mChoice: Improving PrEP Uptake and Adherence among Minority MSM through Provider Training and Adherence Assistance in Two High Priority Settings

Attachment 4k

Provider Interview Guide

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Protocol: AAAT8812

Study: mChoice: Improving PrEP Uptake and Adherence among Minority MSM through Tailored Provider Training and Adherence Assistance in Two High Priority Settings

Post-Provider Training Follow-up Interview Guide:

INTRODUCTION: We are conducting interviews with providers who participated in the implementation of the provider training at their site. The provider training video consisted of three modules: PrEP overview; changes in PrEP guidelines; and cultural competency and humility in PrEP provision. You previously completed this training as well as a pre- and post-training assessment of PrEP knowledge and beliefs. This interview is to help us understand the impact of this training on your daily work as a provider. I’ll be asking you open-ended interview questions. There are no right or wrong answers. The interview will last about 45-60 minutes and will be recorded. We will make every effort to protect your privacy and confidentiality by keeping your responses confidential and not recording any of your identifiable information. Before we start, please remember that your participation is voluntary, meaning that you do not have to answer any question that makes you uncomfortable, and you may stop at any time.

1. Before we begin with some more in-depth questions, I am going to ask a few short questions about your role at [Clinic]:

• How long have you been working at [Clinic]?

• How long have you been working in HIV care?

• How long have you been working with PrEP?

• What is the title of your current position at [Clinic]?

• How would you describe your position and role, especially in terms of facilitating client access to PrEP?

1. What did you think about the provider training video/modules?

[Probes might include]:

• What did you like about it?

• What did you dislike about it?

• Was it long enough?

• Was the content relevant and appropriate?

• Was there any content that you felt was missing?

2. What are some barriers to delivering PrEP care that you have identified as a provider?

[Probe for the following components]:

• Did the provider training address any of these barriers?

• What are some questions that are still left unanswered after participating in the provider training?

3. How have any of your beliefs surrounding PrEP and PrEP care changed?

[Probes might include]:

• Changes in the type(s) of PrEP regimen you recommend?

• Changes in who should be prescribed PrEP?

• Changes in the way you interact with patients about PrEP?

4. What long-term changes do you feel this training might have on your clinic?

[Probes might include]:

• Improvements in the health of Black and Latino YMSM?

• Decreased HIV infections?

• Changes to clinic staff procedures?

• Changes to clinic operations/processes?

• Increased provider education about PrEP and various PrEP options?

• Changes to provider/client relationships?

5. What do you think about the relevancy and usefulness of the three modules?

[Probes might include]:

• Module 1 – PrEP Overview

• Module 2 – Changes to PrEP Guidelines

• Module 3 – Cultural Competency and Humility in PrEP Provision

6. What do you think PrEP care will look like after completion of the provider training?

[Probes might include]:

• If the provider training was available to other staff at the clinic (who are not participating in this study), would you recommend they use it?

• Do you plan to use all, part, or none of what you learned from the training?

• What modifications would you make to the content of the training? Why?

• Will the provider training be adopted as the new standard of PrEP care for your site? Why or why not?

7. How likely do you think other PrEP providers would be to utilize the provider training modules if they were made available?

[Probes might include]:

• Why or why wouldn’t other providers be interested in this training?

8. How do you feel your PrEP clients responded to changes (if any) that you made to your clinical practices surrounding PrEP care as a result of the provider training?

[Probes might include]:

• Patient success(es) as a result of the training

• Challenge(s) of implementing lessons learned from training into practice

• Any ideas of improvement?

• Any specific examples you want to share?

9. What recommendations do you have about implementing the mChoice provider training at other clinics?

End of Interview

This is the end of the interview today. Before we wrap up, is there anything else you would like to share with me? Thank you for your time.