{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T05:45:56Z","timestamp":1791783956506,"version":"4.3.4"},"reference-count":35,"publisher":"Wiley","issue":"S5","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006967","name":"Center for AIDS Research, Duke University","doi-asserted-by":"publisher","award":["5P30AI064518"],"award-info":[{"award-number":["5P30AI064518"]}],"id":[{"id":"10.13039\/100006967","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Despite systemic inequities in pre\u2010exposure prophylaxis (PrEP) uptake among Latines (a gender\u2010inclusive term for people of Latin American descent, used to promote inclusivity and language justice), clinic\u2010level implementation strategies addressing health equity\u2010related PrEP barriers are underutilized. This multi\u2010method study assessed the feasibility and acceptability of community\u2010co\u2010designed, equity\u2010focused strategies to improve PrEP uptake among Latines in the Southern United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Facilitated by a community\u2010based organization (CBO)\/academic partnership, a workgroup of local community and public health constituents with HIV\/PrEP experience from Mecklenburg County, North Carolina, co\u2010developed PrEP implementation strategies over 6 months (March\u2212August 2023), using implementation mapping, human\u2010centred design and participatory methods. The resulting strategies were pilot\u2010tested at a federally qualified health centre and a non\u2010profit community healthcare organization (March\u2212August 2024). Process measures included quantitative implementation strategy fidelity and descriptive strategy modifications. Outcomes included: quantitative acceptability of the workgroup process (using exit surveys) and qualitative feasibility and acceptability of the implementation strategies (using 23 qualitative key informant interviews conducted October 2024\u2212February 2025).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten exit surveys were collected from workgroup members, with 60% identifying as Latine and 40% with HIV lived experience. Members reported high satisfaction with workgroup activities. The workgroup developed three health equity\u2010focused strategies: (1) a needs assessment; (2) blended implementation facilitation (weekly facilitation meetings between a CBO external facilitator and clinic\u2010based internal facilitator); and (3) a bilingual, culturally tailored PrEP awareness mass media campaign. Process data indicated: 100% fidelity to the needs assessment, 88% average completion of facilitation meetings and delayed campaign dissemination. Adaptations included fewer facilitation meetings, increased leadership engagement and a sustainability planning workshop. Key informant interviews included six pilot implementers and 17 potential adopters. Notable themes centred on strategy feasibility (e.g. concrete\/actionable feedback, staffing challenges impacted feasibility), acceptability (e.g. an approachable implementation team) and perceived strategy benefits (e.g. improved patient outreach and engagement).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The community co\u2010design process and resulting strategies were generally acceptable and feasible. Study findings highlighted the need to balance rapid actionability with implementation timelines that ensure time for meaningful change. Future trials may test whether this approach to PrEP implementation improves PrEP uptake and sustainment for Latines and other underserved populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.70196","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:10:04Z","timestamp":1791526204000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Acci\u00f3n PrEP: A Multi\u2010Method Pilot Design to Assess the Feasibility of Community Co\u2010Designed Implementation Strategies to Advance PrEP Uptake Among Latines in the U.S. South"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1028-6028","authenticated-orcid":false,"given":"Sarah M.","family":"Wilson","sequence":"first","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences Duke University School of Medicine  Durham North Carolina USA"},{"name":"Department of Population Health Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Montenegro","sequence":"additional","affiliation":[{"name":"Latinos in the South Program Latino Commission on AIDS  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0525-4865","authenticated-orcid":false,"given":"Lisvel A.","family":"Matos","sequence":"additional","affiliation":[{"name":"Duke University School of Nursing  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1869-5608","authenticated-orcid":false,"given":"Carrie B.","family":"Dombeck","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5195-2147","authenticated-orcid":false,"given":"Carolina","family":"Mejia","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamilah","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleida","family":"Espinal","sequence":"additional","affiliation":[{"name":"Latinos in the South Program Latino Commission on AIDS  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan A.","family":"Reaves","sequence":"additional","affiliation":[{"name":"Duke Office of Clinical Research Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristofer","family":"Navas","sequence":"additional","affiliation":[{"name":"Department of Epidemiology &amp; Biostatistics University of Arizona  Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7398-820X","authenticated-orcid":false,"given":"Samantha","family":"Fortier","sequence":"additional","affiliation":[{"name":"Duke Physician Assistant Program Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4082-0751","authenticated-orcid":false,"given":"Reeva","family":"Kandel","sequence":"additional","affiliation":[{"name":"UNC School of Medicine  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4629-4329","authenticated-orcid":false,"given":"Amy","family":"Corneli","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"National Profile | Volume 26 Number 2 | HIV Surveillance | Reports | Resource Library | HIV\/AIDS | CDC [Internet]. 2021 [cited 2022 Feb 20]. 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