Table 2 Hypothetical audience segments and tailored implementation strategies
Segment name | Example audience segment description | Potential targeted implementation strategies | Implementation resource intensity |
|---|---|---|---|
“Excited and Open” | Consider PrEP in scope of practice; open to prescribing to cis women; low knowledge about cis women specific needs for PrEP; perceived client population at moderate risk; high clinic-level support for PrEP for cis women | Centralizing educational materials to disseminate new data/best practices; provide implementation “how-to” guide for individual provider prescription | Low |
“Needs a Nudge” | Does not consider PrEP in current scope of practice; some openness to prescribing; low levels of PrEP knowledge; perceive patients to be at moderate risk of HIV; moderate clinic-level support for PrEP for cis women | Provider level education about HIV risk and PrEP for cis women; provide implementation “how-to” guide for individual provider prescription; provide ongoing consultation; Identify and prepare implementation champions | Moderate |
“HIV not a problem for women” | Does not consider PrEP in current scope of practice; not comfortable prescribing; low levels of PrEP knowledge; perceive patients to be at low risk of HIV; high clinic-level support for PrEP for cis women | Provider stigma reduction intervention; Provider level education about HIV among cis women; clinic-level implementation structure developed | High |
“Not a Chance” | Does not consider PrEP in current scope of practice; not comfortable prescribing; low levels of PrEP knowledge; perceive patients to be at low risk of HIV; low clinic-level support for PrEP for cis women | Given low levels of provider and clinic-level support for PrEP for women, implementation efforts for this segment are unlikely to yield behavior change in providers. Thus, limited resources should be dedicated to other segments that have a higher likelihood of impact | Too high |