Survey

Clinician Context Matters
 

Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the 
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and 
completing and reviewing the collection of information. An agency may not conduct of sponsor, and a person is not 
required to respond to a collection of information unless it displays a currently valid OMB control number. Send 
comments reporting this burden estimate or any other aspect of this collection of information, including suggestions for 
reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D­74, Atlanta, GA 30333: 
Attn: OMB­PRA (0920­New) 
 
Form Approved OMB No. XXXX­XXXX Exp Date XX/XX/20XX 

 

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Clinician Context Matters
Thank you for agreeing to participate in this survey research to help CDC and [clinic name] understand the beliefs and 
attitudes of clinicians about implementing HIV preexposure prophylaxis (PrEP) with patients in this clinic. We want 
your perspectives on what helps or hinders the introduction of this clinical intervention in community health centers 
serving populations with high rates of HIV infection.  
 
The survey will take about 30 minutes. We will repeat the survey of clinicians in another 12 months and then again in 
another 24 months from today. We are not offering you any money or gifts to take this survey.  
 
The survey will not ask for your name or any other information that would identify you as an individual. You have been 
assigned a study­specific provider ID number that is used only to determine the proportion of eligible providers who 
respond to the survey. All answers you give to survey questions will be confidential. They cannot be linked to you as a 
person by CDC and will not be provided to anyone at the clinic by provider ID.  
 
Taking this survey is completely voluntary. You are free to decide not to participate. If you decide to participate, you are 
free to stop answering survey questions at any time for any reason. You can refuse to answer any individual question. 
Because they are not linked to any identifying information, your individual responses to this survey cannot be disclosed 
to, and will not affect, your employment,  
 
Although this study will not benefit you personally directly, we hope that our results will help us improve HIV prevention 
services at your and other community health centers.  
 
If you have any questions about this study, you may contact [name, email, phone of site PI]. 
 
If you have any questions about your rights as a study participant, you may contact [name, email, phone of chair of the 
local IRB]. 
 
If you feel you have been harmed in any way by participating in this interview, you may contact Dr. Dawn K. Smith at 
404.639.5166 or dsmith1@cdc.gov. 
 

*1. Please enter your confidential ID number
ID number

*2. Please enter the city in which your clinic is located
 

j Chicago
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j Houston
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j Newark
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j Philadelphia
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Clinician Context Matters

*3.

Do you agree to complete the survey?
 

j I agree to participate in the survey
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j I do not agree to participate in the survey this year.
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Thank you for taking time to answer these questions. The first questions are about your professional training and role in 
this clinic. 

4. Which best describes your profession/occupation? (Choose one)
j Physician
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j Nurse Practitioner
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j Registered Nurse
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j Physician's Assistant
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j Medical Assistant
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j Pharmacist
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j Other (please specify profession/occupation)
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n

 

5. Which best describes your professional training or specialization? (Choose one)
 

j General Adult Medicine
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j Pediatrics/Adolescent Health
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j Women’s Health/Obstetrics/Gynecology
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j Infectious Disease/STI
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j HIV Medicine
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j Other (please specify training/specialization)
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6. Year first licensed to practice in the US (if not licensed, enter 9999)
 

 

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Clinician Context Matters
The next set of questions will help us understand the demographic characteristics of clinicians responding to this 
survey. Remember that your responses to these questions are not linked to any information that would identify you as 
an individual. You can refuse to answer any individual questions. but answering these demographic questions will help 
us understand the perspectives of clinicians. 

7. How old are you today?
 

8. What was your sex at birth?
 

j Male
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j Female
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9. Do you consider yourself to be...?
 

j Heterosexual or "Straight"
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j Homosexual, Gay, or Lesbian
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j Bisexual
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j Other (please specify)
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10. Do you consider yourself Hispanic or Latino(a)?
j Yes
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j No
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n

 

 

11. Which race you consider yourself (choose any):
c White
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g

 
 

c American Indian or Alaska Native
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g
c Asian
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g

 

c Black or African American
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g

 

c Native Hawaiian or other Pacific Islander
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e
f
g

 

12. In what country were you born?
 

j United States (including Puerto Rico, Guam, US Virgin Islands, or Northern Marianas)
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j Other country (please specify)
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Clinician Context Matters
13. What year did you come to live in the United States?
Year

 

The next set of questions are about your clinical practices, knowledge, and attitudes related to HIV prevention and 
treatment. Please give us your best estimate of numbers and percentages of patients in the questions that follow. 

14. What percentage of the patients you provide direct clinical care do you estimate are:
(the totals do not need to equal 100%)
Adult women (18 years or older)
Adult heterosexual men (18 years or older)
Adult men who have sex with men (18 years or older)
Adolescents (13­17 years)
Injecting drug users (currently injecting)

15. In an average month, for approximately how many HIV­infected patients do you
prescribe antiretrovirals or provide other clinical care?
Number HIV+ patients

16. For approximately what percentage do you know the HIV status of their current sexual
partner(s)?

Percent of HIV+ patients with known status of partner(s)

17. For approximately how many HIV­uninfected patients have you ever prescribed 28
days of antiretrovirals for nonoccupational postexposure prophylaxis (nPEP)
Number patients ever prescribed nPEP

18. For approximately how many HIV­uninfected patients have you ever
prescribed/provided antiretrovirals for PrEP
Number patients ever prescribed PrEP

 

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Clinician Context Matters
19. When doing an initial clinical care visit with a person not known to have HIV infection,
for which patients do you do the following: (Choose one response per row)
Any patients I feel  Any patients that I 
All new patients

Take a sexual activity 

are at moderate 

suspect are at 

Only for patients 

risk for getting HIV high risk for getting  who bring it up

For no patients

infection

HIV infection

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history
Ask about sexual 
orientation
Take a substance 
abuse history
Ask about prior HIV 
tests
Conduct an HIV test 
(unless refused
Ask about HIV status 
of sexual partner(s)

 

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Clinician Context Matters
20. How would you manage the following patients if their reported risk behaviors indicated
potential utility for PrEP?
(Choose one response per row)
Provide PrEP 
Provide PrEP 

with an 

Adjust the dose  Withold PrEP 

with Truvada alternative drug 
regimen
Patient has an 

Discontinue 

of Truvada for 

until specific 

PrEP with 

PrEP

conditions met

Truvada

Not Sure/Don’t 
Know

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estimated creatinine 
clearance <60 ml/min 
before initiating PrEP
Patient has an 
estimated creatinine 
clearance <60 ml/min 
8 months after 
initiating PrEP
Patient reports a 
negative HIV test 3 
months ago at a 
confidential testing 
site
Patient has a negative 
rapid test for HIV and 
reports having a fever 
and mile diarrhea for 
several days 2 weeks 
ago
Patient’s spouse is 
HIV­positive but is not 
on antiretroviral 
therapy
Patient has hepatitis C 
infection and is not 
currently on treatment
Patient has chronic 
active hepatitis B 
infection and is not 
currently on treatment
Patient is pregnant, 
her husband is HIV­
positive and has an 

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Clinician Context Matters
undetectable viral load
Patient has been on 

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PrEP for 6 months, is 
reporting consistent 
daily pill adherence 
and less condom use 
than when PrEP was 
initiated
Patient has been on 
PrEP for 6 months, is 
reporting consistent 
daily pill adherence, 
but has filled only 2 of 
5 monthly refills.
Patient is actively 
injecting heroine and 
doesn’t want to enter 
treatment right now
Patient is actively 
injecting 
methamphetamines 
and doesn’t want to 
enter treatment right 
now

 

We are interested in your views about changes in medical practice based on new evidence. Please rate your agreement 
or disagreement with each statement on the following scale. 

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Clinician Context Matters
21. Please rate your agreement or disagreement with each statement.
(One response per row)
Clinical experience is 

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

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more important than 
randomized controlled 
trials
I am comfortable 
practicing in ways 
different than other 
doctors
Evidence­based 
medicine makes a lot 
of sense to me
I don’t have the time to 
read up on every 
practice decision
It is best to change 
the way I treat a 
certain problem when 
my local colleagues 
are making the same 
changes
I follow practice 
guidelines if they are 
not much hassle
The opinions of 
respected authorities 
should guide clinical 
practice
I am too busy taking 
care of patients to 
keep up with the 
recent literature
Clinical experience is 
the most reliable way 
to know what really 
works
I am uncomfortable 
doing things differently 
from the way I was 

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Clinician Context Matters
trained
I am often critical of 

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accepted practices
Patient care should be 
based where possible 
on randomized 
controlled trials, rather 
than the opinions of 
respected authorities
My colleagues 
consider me to be 
someone who 
marches to my own 
drummer
I follow practice 
guidelines as long as 
they don’t interfere too 
much with the flow of 
patients
It is not prudent to 
practice out of step 
with other physicians 
in my area
The best practice 
guidelines are based 
on the results of 
randomized controlled 
trials
Evidence­based 
medicine is not very 
practical in real patient 
care

 

The next set of questions are about your assessment of changes in clinical practice related to implementing PrEP at 
your clinic  

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Clinician Context Matters
22. Please rate the strength of evidence for this statement:
Practice goals for providing PrEP will improve outcomes for patients with high risk for
acquiring HIV infection.

Based on your own 

Very weak

Weak

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Neither weak 

Strong

Very Strong

Don’t know/NA

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nor strong

assessment, the 
evidence basis for this 
statement is
Based on your 
assessment of how 
respected clinical 
experts in your 
institution feel about 
the strength of the 
evidence, this 
statement is

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Clinician Context Matters
23. Please rate the strength of your agreement with the following statements:
(one response per row)
The proposed practice changes or guideline implementation for providing PrEP:

are(is) supported by 

Neither agree 

Agree

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l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

RCTs or other 
scientific evidence
should be effective, 
based on current 
scientific knowledge
are supported by 
clinical experience 
with patients in 
community health 
centers
conform to the 
opinions of clinical 
experts in practice 
settings similar to ours
have been well­
accepted by patients 
in a pilot study
are consistent with 
clinical practices that 
have been accepted 
by patients in 
community health 
centers
take into consideration 
the needs and 
preferences of 
community health 
center patients
appear to have more 
advantages than 
disadvantages for 
community health 

Page 12

Clinician Context Matters
center patients

 

24. Please rate the strength of your agreement with the following statements:
Senior leadership/clinical management in your organization

Reward clinical 

Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

innovation and 
creativity to improve 
patient care
Solicit opinions of 
clinical staff regarding 
decisions about 
patient care
Seek ways to improve 
patient education and 
increase patient 
participation in 
treatment

Page 13

Clinician Context Matters
25. Please rate the strength of your agreement with the following statements:
Staff members in your organization

Have a sense of 

Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

personal responsibility 
for improving patient 
care and outcomes
Cooperate to maintain 
and improve 
effectiveness of patient 
care
Are willing to innovate 
and /or experiment to 
improve clinical 
procedures
Are receptive to 
change in clinical 
procedures

Page 14

Clinician Context Matters
26. Please rate the strength of your agreement with the following statements:
Senior leadership/clinical management in your organization

Provide effective 

Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

management for 
continuous 
improvement of patient 
care
Clearly define areas of 
responsibility and 
authority for clinical 
managers and staff
Promote team building 
to solve clinical care 
problems
Promote 
communication among 
clinical services and 
units
Provide staff with 
information on 
community health 
center performance 
measures and 
guidelines
Establish clear goals 
for patient care 
processes and 
outcomes
Provide staff members 
with feedback/data on 
effects of clinical 
decisions
Hold staff members 
accountable for 
achieving results

 

Page 15

Clinician Context Matters
27. The PrEP project clinical champion
Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

accepts responsibility 

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

for the success of this 
project
has the authority to 
carry out the 
implementation
is considered a clinical 
opinion leader
works well with the 
intervention team and 
providers

28. Senior leadership/clinical management/staff opinion leaders

Agree on the goals for 

Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

this intervention (PrEP 
delivery)
Will be informed and 
involved in the 
intervention (PrEP 
delivery)
Agree on adequate 
resources to 
accomplish the 
intervention (PrEP 
delivery)
Set a high priority on 
the success of the 
intervention (PrEP 
delivery)

 

Page 16

Clinician Context Matters
29. The PrEP delivery implementation team members

share responsibility for 

Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

the success of the 
project (PrEP delivery)
have clearly defined 
roles and 
responsibilities (for 
PrEP delivery)
have release time or 
can accomplish 
intervention tasks (for 
PrEP delivery) within 
their regular work load
have staff support and 
other resources 
required for the project 
(PrEP delivery)

30. The implementation plan for this intervention (PrEP delivery)

Identifies specific roles 

Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

and responsibilities
Clearly describes 
tasks and timelines
Includes appropriate 
provider/patient 
education
Acknowledges staff 
input and opinions

 

Page 17

Clinician Context Matters
31. Communication about PrEP delivery will be maintained through

Regular project 

Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
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n

j
k
l
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n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

meetings with the 
project champion and 
team members
Involvement of quality 
management staff in 
project planning and 
implementation (of 
PrEP)
Regular feedback to 
clinical management 
on progress of (PrEP 
delivery) project 
activities and resource 
needs
Regular feedback to 
clinicians on effects of 
practice changes on 
patient care/outcomes

Page 18

Clinician Context Matters
32. Progress of the PrEP project will be measured by
Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Collecting feedback 

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

from patients regarding 
implemented changes 
to provide PrEP
Collecting feedback 
from staff regarding 
proposed/implemented 
changes to provide 
PrEP
Developing and 
distributing regular 
performance measures 
to clinical staff
Providing a forum for 
presentation/discussion 
of results and 
implications for 
continued 
improvements

 

33. The following are available to make the selected plan for PrEP delivery work
Neither agree 

Agree

Staff incentives

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Equipment and 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Provider buy­in

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Intervention team

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Evaluation protocol

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

materials
Patient 
awareness/need

Page 19

Clinician Context Matters
34. Plans for evaluation and improvement of this intervention (PrEP delivery) include
Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Periodic outcome 

nor disagree

Disagree

Strongly 

Strongly Agree

disagree

Don’t know/NA

measurement
Staff 
participation/satisfaction 
survey
Patient satisfaction 
survey
Dissemination plan for 
performance measures
Review of results by 
clinical leadership

 

The last few questions are about your overall assessment of readiness to implement PrEP in your clinic 

Page 20

Clinician Context Matters
35. For each of the following statements, please rate the strength of your agreement with
the statement.

I am confident about 

Neither agree 

Agree

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

nor disagree

Disagree

Strongly 

Strongly agree

disagree

Don’t know/NA

my ability to 
implement PrEP 
where I work.
I believe that I can 
overcome barriers in 
implementing PrEP.
I am sure about how to 
measure the 
outcomes of PrEP 
clinical care.
I know how to 
implement PrEP 
sufficiently enough to 
make practice 
changes.
I am sure that I can 
access the best 
resources in order to 
implement PrEP.
I am sure that 
implementing PrEP 
will improve the care 
that I deliver to my 
patients.
I believe that critically 
appraising evidence is 
an important step in 
the PrEP process.
I am clear about the 
steps of PrEP.
I am sure that 
evidence­based 
guidelines can improve 
PrEP clinical care.
I believe that EBP 
results in the best 

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Clinician Context Matters
clinical care for 
patients.
I believe the care that I 

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deliver is evidence­
based
I believe PrEP is 
difficult
I believe that PrEP 
takes too much time

 

Thank you for completing this survey 

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