Updating an HIV Knowledge Questionnaire With Pre-exposure Prophylaxis Through Expert Opinions in the United States Using Delphi Methodology: A Qualitative Study

Se Hee Min; Mirjam-Colette Kempf; Amy Kristen Johnson; Gina Wingood; Robert Klitzman; Tonda L Hughes; Victoria McDonald; Jessica Lee Corcoran; Jodie A Dionne; Jianfang Liu; Rebecca Schnall

doi:10.1097/JNC.0000000000000510

Updating an HIV Knowledge Questionnaire With Pre-exposure Prophylaxis Through Expert Opinions in the United States Using Delphi Methodology: A Qualitative Study

J Assoc Nurses AIDS Care. 2025 Jan 9. doi: 10.1097/JNC.0000000000000510. Online ahead of print.

Authors

Se Hee Min^{1

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11}, Tonda L Hughes^{1

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11}, Victoria McDonald^{1

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11}, Jessica Lee Corcoran^{1

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11}, Jodie A Dionne^{1

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11}, Jianfang Liu^{1

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11}, Rebecca Schnall^{1

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Affiliations

¹ Se Hee Min, PhD, RN, is an Assistant Professor, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
² Mirjam-Colette Kempf, PhD, MPH, is a Professor of Nursing, Health Behavior, Infectious Diseases and Epidemiology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
³ Amy Kristen Johnson, MSW, PhD, is a Research Associate Professor, Ann & Robert H. Lurie Children's Hospital of Chicago & Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
⁴ Gina Wingood, ScD, MPH, is a Sidney and Helaine Lerner Professor of Public Health Promotion (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA.
⁵ Robert Klitzman, MD, is a Professor of Psychiatry (in Sociomedical Sciences), Columbia University School of Public Health, New York, New York, USA.
⁶ Tonda L. Hughes, PhD, RN, FAAN, is a Henrik H. Bendixen Professor of International Nursing (in Psychiatry), Columbia University School of Nursing, New York, New York, USA.
⁷ Victoria McDonald, MPH, is a Researcher V, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA.
⁸ Jessica Lee Corcoran, PhD, CRNP, CRNP-PC, is an Assistant Professor, The University of Alabama at Birmingham School of Nursing, Birmingham, Alabama, USA.
⁹ Jodie A. Dionne, MD, MSPH, is an Associate Professor of Medicine, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
¹⁰ Jianfang Liu, PhD, is an Associate Professor of Quantitative Research (in Nursing), Columbia University School of Nursing, New York, New York, USA.
¹¹ Rebecca Schnall, PhD, MPH, RN-BC, FAAN, is a Mary Dickey Lindsay Professor of Disease Prevention and Health Promotion in Nursing, Columbia University School of Nursing, New York, New York, USA.

PMID: 39787331
DOI: 10.1097/JNC.0000000000000510

Abstract

Our study was designed to update the HIV Knowledge Questionnaire by incorporating pre-exposure prophylaxis (PrEP) knowledge questions, as previous HIV knowledge tools lack this focus. Four rounds of Delphi surveys were conducted with 47 expert participants, each with extensive HIV-related expertise (mean experience: 18.94 years). Expert participants rated item relevance on a scale of 0-3 and provided feedback. An item was removed if over 70% scored it two or less. The process continued until consensus was reached, defined as 80% of items scoring above two by more than 70% of expert participants, with no new suggestions. The final measure included 31 items covering general HIV knowledge, transmission modes, treatment, risk, and PrEP definitions, types, and dosages. Future research is essential to validate this tool for research and clinical settings, ensuring it accurately measures patients' diverse knowledge levels.

Abstract

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