Expectations of preventative benefits and risk behaviors in a randomized trial evaluating oral HIV preexposure prophylaxis candidates
When participants enrolled in an HIV prevention trial hold a preventive misconception (PM) - expectations that experimental interventions will confer protection from HIV infection - they may engage in behaviors that increase their risk of acquiring HIV. This can raise ethical concerns about whether...
Saved in:
Published in | AIDS care Vol. 36; no. 8; p. 1172 |
---|---|
Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
02.08.2024
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | When participants enrolled in an HIV prevention trial hold a preventive misconception (PM) - expectations that experimental interventions will confer protection from HIV infection - they may engage in behaviors that increase their risk of acquiring HIV. This can raise ethical concerns about whether those enrolled in the trial understand the nature of participation and their safety. Consequently, we systematically evaluated the prevalence of PM and its association with risk behaviors in a trial examining three candidate regimens for oral HIV pre-exposure prophylaxis in which all participants received at least one antiretroviral agent. Overall, trial participants exhibited relatively high preventive expectations that may be associated with an increase in risk behaviors among men who have sex with men. In addition, we identified substantial site variability in PM that necessitates future research to uncover its source. This will allow appropriate measures to be taken to mitigate PM and help ensure that participants have an accurate understanding of the potential risks and benefits of trial participation throughout the course of a trial. |
---|---|
AbstractList | When participants enrolled in an HIV prevention trial hold a preventive misconception (PM) - expectations that experimental interventions will confer protection from HIV infection - they may engage in behaviors that increase their risk of acquiring HIV. This can raise ethical concerns about whether those enrolled in the trial understand the nature of participation and their safety. Consequently, we systematically evaluated the prevalence of PM and its association with risk behaviors in a trial examining three candidate regimens for oral HIV pre-exposure prophylaxis in which all participants received at least one antiretroviral agent. Overall, trial participants exhibited relatively high preventive expectations that may be associated with an increase in risk behaviors among men who have sex with men. In addition, we identified substantial site variability in PM that necessitates future research to uncover its source. This will allow appropriate measures to be taken to mitigate PM and help ensure that participants have an accurate understanding of the potential risks and benefits of trial participation throughout the course of a trial. |
Author | Weir, Brian W Weinfurt, Kevin P Sugarman, Jeremy Dun, Chen Wilkin, Timothy J Gulick, Roy M Mayer, Kenneth H McCauley, Marybeth |
Author_xml | – sequence: 1 givenname: Jeremy orcidid: 0000-0001-7022-8332 surname: Sugarman fullname: Sugarman, Jeremy organization: Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, USA – sequence: 2 givenname: Brian W orcidid: 0000-0003-1634-218X surname: Weir fullname: Weir, Brian W organization: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA – sequence: 3 givenname: Chen orcidid: 0000-0003-4220-5939 surname: Dun fullname: Dun, Chen organization: Department of Biomedical Informatics and Data Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA – sequence: 4 givenname: Roy M orcidid: 0000-0002-1431-8912 surname: Gulick fullname: Gulick, Roy M organization: Department of Medicine, Weill Cornell Medicine, New York, NY, USA – sequence: 5 givenname: Timothy J surname: Wilkin fullname: Wilkin, Timothy J organization: Department of Medicine, Weill Cornell Medicine, New York, NY, USA – sequence: 6 givenname: Kenneth H surname: Mayer fullname: Mayer, Kenneth H organization: The Fenway Institute of Fenway Health and Department of Medicine, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA – sequence: 7 givenname: Marybeth surname: McCauley fullname: McCauley, Marybeth organization: FHI360, Washington, DC, USA – sequence: 8 givenname: Kevin P orcidid: 0000-0002-0624-7448 surname: Weinfurt fullname: Weinfurt, Kevin P organization: Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38606559$$D View this record in MEDLINE/PubMed |
BookMark | eNo1kM1OwzAQhC0Eoj_wCCC_QMr6N8kRVYVWQuICXCsn3lBDa0d2GrXceW9SAYfV7HyrmcNOyLkPHgm5YTBjUMAdlEoC42zGgcsZF4JLqc_ImAkNGUjFRmSS0gcAcNBwSUai0KCVKsfke3Fose5M54JPNDS0jdijP4EeaYUeG9claryl0aXPgWxM70JM1HlqaBwOYee-0NIuOrOl2Jvtfgj7dxri4Jert1MlHtqQ9hGHPbSb49YcXKL1EHbWdJiuyEVjtgmv_3RKXh8WL_Nl9vT8uJrfP2W1kLzLJHJTmlzyxuRK5gZKqArBh2ms1oW1tWoYL00lWQF5rbQGJcraViwXkAvkU3L729vuqx3adRvdzsTj-v8f_AdrKWYN |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1080/09540121.2024.2332446 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Public Health |
EISSN | 1360-0451 |
ExternalDocumentID | 38606559 |
Genre | Randomized Controlled Trial Journal Article |
GrantInformation_xml | – fundername: NIAID NIH HHS grantid: UM1 AI068613 – fundername: NIAID NIH HHS grantid: UM1 AI068636 – fundername: NIAID NIH HHS grantid: U01 AI068636 – fundername: NIAID NIH HHS grantid: UM1 AI068619 – fundername: NIMH NIH HHS grantid: R21 MH092253 – fundername: NIAID NIH HHS grantid: UM1 AI068617 |
GroupedDBID | .7I .QK 0-V 04C 07V 0BK 0R~ 1PE 1TA 23M 2DF 2WC 36B 3V. 4.4 44B 4B3 53G 5GY 5VS 6J9 6PF 7RV 7X7 88E 88I 8AF 8C1 8FE 8FH 8FI 8FJ 8G5 AADGC AAGZJ AAIAR AALUX AAMIU AAPUL AAQRR AATTQ AAWTL ABBKH ABDBF ABEIZ ABFIM ABGNL ABIVO ABJNI ABLCE ABLIJ ABPEM ABTAI ABUPF ABUWG ABWXJ ABXYU ABZLS ACENM ACGEJ ACGFS ACGOD ACIEZ ACIKQ ACKFH ACKLR ACPRK ACTOA ACVOX ACWGZ ADBBV ADCVX ADOJX ADPSL ADVEQ ADXPE AECIN AEGXH AEIQB AEKEX AEOZL AEPSL AETHL AFKRA AFLJA AFRAH AFWDB AGDLA AGFJD AGMYJ AGRBW AGXXK AGYJP AHMBA AIJEM AIKPT AIRBT AJSLH AJWEG AKBVH ALIPV ALMA_UNASSIGNED_HOLDINGS ALQZU ALSLI ALYBC AOVRU APIUT ARALO ARJSQ ASOEW AVBZW AWYRJ AZQEC BBNVY BENPR BHPHI BKEYQ BLEHA BMOTO BMSDO BOHLJ BPHCQ BTKSN BVXVI C04 CAG CCCUG CCPQU CGR COF COGVJ CQ1 CS3 CUY CVF DGFLZ DKSSO DMVAR DWQXO EAP EAS EBC EBD EBS ECF ECM ECT ECV EHN EIF EIHBH EJD EMB EMK EMOBN ENB ENC ENX EPL EPS EPT ESO ESX EX3 E~B E~C F5P FEDTE FYUFA G-F GNUQQ GTTXZ GUQSH H13 HAMGP HCIFZ HEHIP HF~ HMCUK HVGLF HZ~ H~9 IPNFZ J.O KRBQP KSSTO KWAYT KYCEM LJTGL LK8 M1P M2M M2O M2P M2S M4Z M7P NA5 NAPCQ NPM NUSFT NZ~ O9- OVD PCD PQQKQ PROAC PSQYO PSYQQ Q~Q RIG RNANH RVRKI S-F STATR SV3 TBQAZ TEORI TERGH TFL TFW TNTFI TUROJ TUS UC6 UKHRP UT5 UT9 UV3 V5Y VAE WOW WQ9 ~01 ~S~ |
ID | FETCH-LOGICAL-c342t-4e2a9a742fa7547a090b832b83fd668ddc5f129ab41807c5660539cdb173073e2 |
IngestDate | Sat Nov 02 12:29:54 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 8 |
Keywords | preventive misconception HIV prevention ethics behaviors SDG 3: Good health and well-being |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c342t-4e2a9a742fa7547a090b832b83fd668ddc5f129ab41807c5660539cdb173073e2 |
ORCID | 0000-0001-7022-8332 0000-0003-1634-218X 0000-0002-1431-8912 0000-0002-0624-7448 0000-0003-4220-5939 |
PMID | 38606559 |
ParticipantIDs | pubmed_primary_38606559 |
PublicationCentury | 2000 |
PublicationDate | 2024-08-02 |
PublicationDateYYYYMMDD | 2024-08-02 |
PublicationDate_xml | – month: 08 year: 2024 text: 2024-08-02 day: 02 |
PublicationDecade | 2020 |
PublicationPlace | England |
PublicationPlace_xml | – name: England |
PublicationTitle | AIDS care |
PublicationTitleAlternate | AIDS Care |
PublicationYear | 2024 |
SSID | ssj0002060 |
Score | 2.4543486 |
Snippet | When participants enrolled in an HIV prevention trial hold a preventive misconception (PM) - expectations that experimental interventions will confer... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | 1172 |
SubjectTerms | Administration, Oral Adult Anti-HIV Agents - administration & dosage Anti-HIV Agents - therapeutic use Female Health Knowledge, Attitudes, Practice HIV Infections - prevention & control Homosexuality, Male - psychology Humans Male Middle Aged Pre-Exposure Prophylaxis - methods Risk-Taking Sexual Behavior |
Title | Expectations of preventative benefits and risk behaviors in a randomized trial evaluating oral HIV preexposure prophylaxis candidates |
URI | https://www.ncbi.nlm.nih.gov/pubmed/38606559 |
Volume | 36 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3dS9xAEF9OC0UQae2H1rbMg28lkmw2X4_S2p6F-tAq-ib7WQKaHPYE9b3_Rf_YzmQ3l2Ct1D5cOLKwHJnfzc78MvMbxrY1x8zHJjzKBY0wM1JEMtUq4lYYoZTlhSJC_8tBPj0Sn0-yk8nk16hq6XKudvTNnX0l_2NVvId2pS7ZB1h2sSnewO9oX7yihfH6TzYmnWI9H4rZZl6PyWt5K_Rijl4LLCrI-5b8rgRWvsNTyrTn9Q2GnH52R6_8TXXQ1Lc_xdQQt7RXs5Z4RKrlQqOcyauaFK0bUxNb8GMc3u7uf_jWiV0P75q-E2fuG0DshR36J45t7YmCC3IxC6YHA2pfBTC0qH26PAvj3r-214G9DTwFF12VnHe01vvWNKdK0qAvG5yvVz8JICtHnjRJ_EifP1x8qImsMNRMOGX4XOzwFONCT2WOzD477-yelpikZV53_P7VW8rb_dISWypKGgtyQExQOOV5nMd9Rxhptd_1e1bY436PW1lLF70cPmFrIe2AXY-hp2xim3W26jlb8K1oz9jPMZ6gdTDGE_R4ArQ8EJ5ggSeoG5Aw4Ak6PMGAJyA8AeIJRniCEZ5gwNNzdvRx7_D9NApjOiKdCj6PhOWykoXgThaZKGRcxQrPCfw4k-elMTpzGFVKJZIyLjTmD-j4K21UUtABY_kLtty0jd1gYDBYlXjMWCccRvaqtKrgOldSq8zxym2yl_4pns68Fstp_3xf_XVli60McHzNHjn889s3GEnO1dvOpL8BhM92Mw |
link.rule.ids | 780 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Expectations+of+preventative+benefits+and+risk+behaviors+in+a+randomized+trial+evaluating+oral+HIV+preexposure+prophylaxis+candidates&rft.jtitle=AIDS+care&rft.au=Sugarman%2C+Jeremy&rft.au=Weir%2C+Brian+W&rft.au=Dun%2C+Chen&rft.au=Gulick%2C+Roy+M&rft.date=2024-08-02&rft.eissn=1360-0451&rft.volume=36&rft.issue=8&rft.spage=1172&rft_id=info:doi/10.1080%2F09540121.2024.2332446&rft_id=info%3Apmid%2F38606559&rft_id=info%3Apmid%2F38606559&rft.externalDocID=38606559 |