Decentralizing the delivery of HIV pre-exposure prophylaxis (PrEP) through family physicians and sexual health clinic nurses: a dissemination and implementation study protocol

Table 1 Cascade of steps involved in PrEP uptake and corresponding data sources

Step	Description	Outcome measure	Data source
2	Card distribution	Number of cards distributed	CBO partners
2	Card distribution	Number of e-card impressions	Networking apps
3	Patient initiates module	Number of unique codes used to login	Online learning management platform (see section 5.2)
3	Patient completes online patient module	Number of codes/logins reaching end of patient module	Online learning management platform (see section 5.2)
4a	Patient brings postcard to family physician	Number of patients who initiate PrEP discussion with physician	Patient self-report on follow-up questionnaire (section 5.2)
5a	FP initiates CME	Number of unique codes used to login	Online learning management platform
5a	FP completes CME	Number of codes/logins reaching end of module quiz/certificate	Online learning management platform
6a	Physician prescribes PrEP	Number of patients provided PrEP prescription by family physician	Patient and physician follow-up questionnaires
4b	Patient brings postcard to sexual health clinic	Number of patients who approach TPH for an initial PrEP appointment	Patient self-report on follow-up questionnaire
5b	Patient attends sexual health clinic appt.	Number of appointments booked	TPH Appointment Scheduling System
5b	Patient attends sexual health clinic appt.	Number of appointments attended	TPH Appointment Scheduling System
6b	Nurse prescribes PrEP	Number of patients provided PrEP prescription by TPH nurse	TPH patient charts