Preparing for pharmacy-based delivery of long-acting injectable antiretrovirals: a pre-implementation study

作者：Jennifer Cocohoba, Yvette P. Cuca, Elizabeth M Sherman, Kelly Hester, George Udeani, Michael Sigua, Parya Saberi · 发表于：BMC Health Services Research · 年份：2025 · DOI：10.1186/s12913-025-12971-8 · 被引用次数：5 · 研究领域：HIV/AIDS Research and Interventions、HIV/AIDS drug development and treatment、HIV-related health complications and treatments

BACKGROUND: Use of long-acting injectable antiretroviral therapy (LA-ART) for human immunodeficiency virus (HIV) treatment and prevention is increasing, but there are challenges that could limit broad expansion of these important treatments. The goal of this study was to explore attitudes, barriers, and facilitators for implementing LA-ART administration within community pharmacies. METHODS: We conducted a mixed-methods study focusing on pre-implementation aspects of community pharmacy-administered LA-ART. Pharmacists, clinic staff members, and persons with HIV completed a baseline survey followed by an individual semi-structured qualitative interview with questions based on the Consolidated Framework for Implementation Research (CFIR v.1.0). RESULTS: A total of 63 participants (pharmacist n = 19, clinic staff n = 20, person with HIV n = 24) from Alabama, California, Florida, and Texas were included in the study. Most pharmacist participants were employed in retail pharmacies that processed fewer than 500 prescriptions per day (75%) and most had more than 10 years of experience working with people with HIV (53%). Clinic staff participants were also highly experienced in working with people with HIV (55%). People with HIV enrolled in the study were either on oral antiretroviral therapy but interested in LA-ART (59%) or were already on LA-ART (29%). Clinics were the preferred location for LA-ART administration while community pharmacy was the second preferred location. Attitude...