An Electronic Health Record-based Approach to Increase PrEP Knowledge and Uptake: the EMC2 PrEP Strategy
Adaptation and Pilot Test of an Electronic Health Record-based Approach to Increase PrEP Knowledge and Uptake: the EMC2 PrEP Strategy
1 other identifier
interventional
200
1 country
1
Brief Summary
This study is being conducted to investigate a strategy that may improve knowledge and uptake of pre-exposure prophylaxis for HIV prevention (PrEP) among cisgender women in primary care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable hiv-infections
Started Nov 2023
Shorter than P25 for not_applicable hiv-infections
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 17, 2023
CompletedFirst Posted
Study publicly available on registry
February 2, 2023
CompletedStudy Start
First participant enrolled
November 29, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 29, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
October 29, 2024
CompletedResults Posted
Study results publicly available
May 21, 2025
CompletedMay 30, 2025
May 1, 2025
11 months
January 17, 2023
March 18, 2025
May 21, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
PrEP Uptake (Use)
PrEP uptake will be measured during the intervention period between study arms to investigate the effects of the EMC2 PrEP strategy.
6 months
Secondary Outcomes (7)
PrEP Knowledge
2-6 weeks
Perceived Risk of HIV
2-6 weeks
PrEP Attitudes
2-6 weeks
Health Literacy
2-6 weeks
Health Activation
2-6 weeks
- +2 more secondary outcomes
Study Arms (2)
Usual Care
NO INTERVENTIONUsual care includes: 1) no specific materials to promote PrEP knowledge or uptake among women in primary care, and 2) variable physician counseling on PrEP among women with increased vulnerability to HIV.
The EMC2 PrEP Strategy
ACTIVE COMPARATORThe EMC2 PrEP Strategy will utilize health information and consumer technologies to automatically deposit an interactive PrEP educational material into the patient portal of women with clinically indicated increased vulnerability to HIV. The material will: 1) promote PrEP knowledge, and 2) prompt discrete scheduling of a dedicated PrEP visit among those interested.
Interventions
Patients will receive an interactive PrEP Educational Tool. This interactive tool will be securely sent via the patient portal. After logging into their portal, patients will have the opportunity to review the information on their own time.
Within the interactive PrEP Educational Tool, patients who choose to will have the opportunity to discretely schedule a dedicated PrEP visit with a primary care clinician trained on PrEP delivery. The clinician will have time reserved to allow for 'rapid' scheduling.
Eligibility Criteria
You may qualify if:
- female
- HIV negative
- have received 2 or more tests in the past 12 months for chlamydia, gonorrhea and/or syphilis
- and/or have received a positive diagnosis for at least one of those sexually transmitted infections in the past 6 months
- currently engaged in primary care
- not currently using PrEP
You may not qualify if:
- severe, uncorrectable visual, hearing or cognitive impairments that would preclude study consent or participation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Northwestern Universitylead
- Merck Sharp & Dohme LLCcollaborator
Study Sites (1)
Northwestern University
Chicago, Illinois, 60611, United States
Related Publications (1)
Pack A, O'Conor R, Vasiloff R, Liebovitz D, Masters MC, Alcantara K, Smith R, Wismer G, Tatz R, Yeh F, Curtis LM, Hur S, Bailey SC. An electronic health record-based strategy to increase PrEP decision-making among cisgender women in primary care: results of a randomized pilot study. BMC Health Serv Res. 2025 Apr 24;25(1):589. doi: 10.1186/s12913-025-12745-2.
PMID: 40269861DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Research Assistant Professor
- Organization
- Northwestern University
Study Officials
- PRINCIPAL INVESTIGATOR
Allison Pack, PhD, MPH
Northwestern University
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Assistant Professor
Study Record Dates
First Submitted
January 17, 2023
First Posted
February 2, 2023
Study Start
November 29, 2023
Primary Completion
October 29, 2024
Study Completion
October 29, 2024
Last Updated
May 30, 2025
Results First Posted
May 21, 2025
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will not share