# Adaptation of a PrEP Shared-Decision Making Tool for Family Planning Clinics

> **NIH NIH F31** · EMORY UNIVERSITY · 2023 · $47,694

## Abstract

PROJECT SUMMARY/ABSTRACT
Cisgender women account for ~20% of new HIV infections in the US, and are systematically under-accessed
for HIV prevention. The intersection of patient-side barriers (lack of patient knowledge, perceived risk, and
medical mistrust), and provider-side barriers (lack of knowledge, discomfort with prevention counseling, and
bias) impacts uptake of novel HIV prevention methods, such as available and forthcoming methods of pre-ex-
posure prophylaxis (PrEP) for HIV (oral, injectable, etc.). To address these barriers, the trainee (Ms. Anderson)
will adapt a family planning (FP) shared decision-making (SDM) tool for use in HIV prevention counseling.
SDM involves introducing choice, describing options, and exploring patient preferences to aid in health care
decisions, while empowering women, decreasing provider bias, increasing satisfaction with care, and increas-
ing adherence to care regimens. The adapted tool will be tested for acceptability/feasibility with providers and
clients at Title X federally-funded FP clinics, a high-reach setting for women at risk for HIV from heterosexual
contact. Guided by the ADAPT-ITT framework for adaptation, the specific aims are to (1) assess the utility of
SDM practices for HIV prevention and barriers/facilitators to implementation, through (a) focus groups with Title
X providers in Metro Atlanta (K=4, N=32) and (b) theater testing interviews with racially/ethnically diverse cis-
gender adult Title X clients (N=40); (2) adapt the evidence-based World Health Organization (WHO) Decision-
Making Tool for FP Clients and Providers for HIV prevention; and, (3) conduct mixed-method acceptability/fea-
sibility testing of the adapted SDM tool with Title X providers (N=40) and clients (N=40). This study will result in
an acceptable and feasible HIV prevention SDM tool for use with cisgender women attending FP clinics, to be
further tested and disseminated to promote HIV prevention among women, advancing efforts to end the HIV
epidemic. Additionally, this work will support the training of Ms. Anderson, who is committed to becoming a
high caliber, NIH-funded researcher in HIV prevention and treatment, and improvement of care interactions.
Ms. Anderson’s 3-year training plan includes: (1) formally developing methodological skills in implementation
science and human-centered design, (2) advancing understanding of the context of clinical HIV prevention,
including biomedical prevention and clinical interactions, and (3) developing skills in the areas of measurement
and evaluation of interventions and interventional pathways. The team of mentors, Drs. Sales (Primary Spon-
sor), Sheth (Co-Sponsor), and Kottke (Expert Advisor), will provide oversight, guidance, and mentorship to Ms.
Anderson during the course of her training, in the topic areas of implementation science, HIV prevention, clini-
cal interactions, and intervention evaluation. Ms. Anderson will leverage resources at Emory University, includ-
ing the...

## Key facts

- **NIH application ID:** 10613804
- **Project number:** 1F31MH132407-01
- **Recipient organization:** EMORY UNIVERSITY
- **Principal Investigator:** Katherine M Anderson
- **Activity code:** F31 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $47,694
- **Award type:** 1
- **Project period:** 2023-02-01 → 2026-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10613804

## Citation

> US National Institutes of Health, RePORTER application 10613804, Adaptation of a PrEP Shared-Decision Making Tool for Family Planning Clinics (1F31MH132407-01). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10613804. Licensed CC0.

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