A5079325693- HIV/AIDS Research and Interventions
- Diverse Educational Innovations Studies
- Maternal Mental Health During Pregnancy and Postpartum
- HIV, Drug Use, Sexual Risk
- Education Systems and Policy
- Family Caregiving in Mental Illness
- HIV-related health complications and treatments
- Mental Health Research Topics
- Mental Health Treatment and Access
- Adolescent Sexual and Reproductive Health
- LGBTQ Health, Identity, and Policy
- Adolescent and Pediatric Healthcare
- Child and Adolescent Psychosocial and Emotional Development
- Medication Adherence and Compliance
- Schizophrenia research and treatment
- HIV Research and Treatment
- Complex Network Analysis Techniques
- Autism Spectrum Disorder Research
- Health Policy Implementation Science
- Attachment and Relationship Dynamics
- Pneumocystis jirovecii pneumonia detection and treatment
- Bipolar Disorder and Treatment
- Sex work and related issues
- HIV/AIDS Impact and Responses
- Higher Education Learning Practices
Harvard University
2022-2024
Massachusetts General Hospital
2022-2024
Fenway Health
2022-2024
Brigham and Women's Hospital
2024
University of Miami
2016-2023
Mississippi State University
1980-1986
Pellissippi State Community College
1984
Virginia Tech
1975
Abstract Introduction Major depressive disorder, highly prevalent among people with HIV (PWH) globally, including South Africa, is associated suboptimal adherence to antiretroviral therapy. Globally, there are insufficient numbers of mental health providers and tested depression treatments. This study's aim was test task‐shared cognitive‐behavioural therapy for (CBT‐AD) in HIV, delivered by clinic nurses Africa. Methods a two‐arm randomized controlled effectiveness trial (recruitment: 14...
Sleep problems are prevalent in people living with HIV/AIDS; however, few studies examine how poor sleep affects mental health and quality of life longitudinally. A sample HIV/AIDS from a randomized trial (N = 240; mean age 47.18; standard deviation 8.3; 71.4% male; 61.2% White) completed measures depression (Montgomery-Åsberg Depression Rating Scale), health-related (AIDS Clinical Trial Group Quality Life Measure), satisfaction (Quality Inventory) at baseline 4, 8, 12 months. Controlling...
Among men who have sex with (MSM), HIV sexual risk and poor self-care behavior is associated syndemics, or co-occurring psychosocial problems. Though prior research has demonstrated an additive total effect of syndemics on infection, mostly within cross-sectional designs, it possible that these associations are not direct but rather disrupt relevant individual-level mediating psychological variables. One the more common variables predicts health generally, specifically, self-efficacy. This...
There is an unmet need to develop effective, feasible, and scalable interventions for poor adherence depression in persons living with HIV low- middle-income countries (LMIC).
Nonadherence, particularly among men who have sex with (MSM) substance use disorders increases the risk of both HIV acquisition in those are uninfected and disease progression transmission HIV. Measuring adherence to pre-exposure chemoprophylaxis (PrEP) antiretroviral therapy (ART), responding suboptimal or changes behavior, remains a challenging public health problem. Despite importance accurate measurement, there no gold standard for detecting medication ingestion events research....
Multilevel factors (individual and structural) influence adherence to antiretroviral therapy, particularly in high HIV prevalence areas such as South Africa. The present study examined the relative importance of structural barriers care behavioral health factors, depression alcohol use, Khayelitsha, Cape Town, People receiving six primary clinics Khayelitsha (N = 194) completed Center for Epidemiologic Studies Depression Scale, Alcohol Use Disorders Identification Test, Structural Barriers...
Abstract Introduction HPTN 083 demonstrated the superiority of long‐acting cabotegravir (CAB‐LA) versus daily oral emtricitabine/tenofovir disoproxil fumarate (TDF/FTC) as pre‐exposure prophylaxis (PrEP) among cisgender men and transgender women who have sex with (MSM/TGW). provided first opportunity to understand experiences injectable PrEP in a clinical trial. Methods Participants from two US sites (Chicago, IL Atlanta, GA) one international site (Rio de Janeiro, Brazil) were purposively...
There is a need for culturally adapted, evidence-based, psychotherapy treatment that effective, acceptable, and feasible integration into primary care in South Africa. This qualitative study used exit interviews to examine participants' experiences of an adapted cognitive-behavioural therapy adherence depression, task-shifted delivered by nurses two peri-urban HIV clinics near Cape Town. Nine semi-structured were conducted with isiXhosa-speaking females analysed using thematic analysis....
Once-daily oral HIV pre-exposure prophylaxis (PrEP) is an effective strategy to prevent HIV, but highly dependent on adherence. Men who have sex with men (MSM) use substances face unique challenges maintaining PrEP Digital pill systems (DPS) allow for real-time adherence measurement through ingestible sensors. Integration of DPS technology other digital health tools, such as phenotyping, may improve understanding nonadherence triggers and development personalized interventions based...
While research with sexual minority men (SMM) has focused on disparities related to HIV, substance use and mental health, synergistic psychosocial pathways driving these epidemics remain underexplored. We used syndemic theory assess how factors sustain methamphetamine hinder recovery efforts for SMM living HIV.
Background In response to the lack of coverage for substance use treatment in Western Cape province South Africa, local government expanded funding evidence-based practices (EBPs) treating use. Yet, little is known about provider and staff attitudes towards adopting EBPs this setting, which particularly relevant context where task shifting clinical care increases demands on paraprofessional providers. This study aimed (1) assess among a range working Town using model; (2) evaluate factors...
Tuberculosis (TB) represents a significant public health threat in India. Adherence to antitubercular therapy (ATT) is the key reducing burden of this infectious disease. Suboptimal adherence ATT and lack demonstrated feasibility current strategies for monitoring highlights need alternative systems.A quantitative survey was conducted assess acceptance willingness use digital pill system (DPS) as tool among stakeholders directly involved management patients with TB Participants reviewed video...