Educational initiatives related to improving pre-exposure prophylaxis (PrEP) knowledge, confidence, comfort, and awareness remain a priority for those who can prescribe manage PrEP. An interdisciplinary PrEP bootcamp was designed implemented health care professional students included basics, epistemic justice, patient-clinician communication, social determinants of health. A constructivist educational approach used as new knowledge skills when interacting with simulated patient. Three...

Patient-provider communication is a critical component of healthcare and associated with treatment quality outcomes for women breast cancer. This qualitative study examines similarities differences in patient perspectives needs between Black White cancer survivors. We conducted four focus groups (N = 28) involving early-stage on adjuvant endocrine therapy (AET), stratified by race length time AET (< 6 months >6 months). Each group was moderated race-concordant moderator analyzed emergent...

Importance Adjuvant endocrine therapy (AET) use among women with early-stage, hormone receptor–positive breast cancer reduces the risk of recurrence, but its adverse symptoms contribute to lower adherence. Objective To test whether remote monitoring and treatment adherence or without tailored text messages improves outcomes who are prescribed AET. Design, Setting, Participants This nonblinded, randomized clinical trial (RCT) following intention-to-treat principles included English-speaking...

Focus groups are useful to support HIV prevention research among US subpopulations, such as Black gay, bisexual, and other sexual minority men (BSMM). Virtual synchronous focus provide an electronic means obtain qualitative data convenient implement; however, the protocols acceptability for conducting virtual in BSMM lacking.This paper describes of BSMM.Data this study came from 8 examined 2 studies HIV-negative cities, stratified by age (N=39): ages 18-24 years, 5 25-34 1 group 35 years...

Background Increased pre-exposure prophylaxis (PrEP) use is urgently needed to substantially decrease HIV incidence among Black sexual minority men. Low perceived risk for (PRH) a key unaddressed PrEP barrier Peers and smartphone apps are popular intervention tools promote community health behaviors, but few studies have used these together in multicomponent strategy. Therefore, we designed called POSSIBLE that an existing app PrEPme (Emocha Mobile Health, Inc) peer change agent (PCA)...

Background Increased preexposure prophylaxis (PrEP) initiation is needed to substantially decrease HIV incidence among Black sexual minority men (BSMM). However, BSMM perceive others as PrEP candidates instead of themselves and are less likely than other groups use if prescribed. Peers smartphone apps popular prevention intervention tools typically used independently. they could be useful together in a multicomponent strategy improve perceived risk for this group. Information regarding...

Abstract Background Long-term use of adjuvant endocrine therapy (AET) among women with early-stage, hormone receptor-positive breast cancer significantly reduces the risk hospitalizations, recurrence, and mortality. AET is associated adverse symptoms that often result in poor adherence. A web-enabled app offers a novel way to communicate manage for on AET. In region significant racial disparities outcomes, our study tests impact collects transmits patient-reported healthcare teams facilitate...

Abstract Objective Social support is a critical component of breast cancer care and associated with clinical quality life outcomes. Significant health disparities exist between Black White women cancer. Our study used qualitative methods to explore the social needs hormone receptor‐positive on adjuvant endocrine therapy (AET). Methods We conducted four focus group (FG) interviews (N = 28), stratified by race (ie, White) time AET. FGs were audiotaped, transcribed, analyzed according...

Black sexual minority men (BSMM) are substantially less likely than White SMM to accept a clinician's recommendation initiate HIV pre-exposure prophylaxis (PrEP). The purpose of this study is identify PrEP messaging preferences among BSMM. Data were obtained from 12 focus groups and one in-depth interview BSMM in Baltimore, MD (N = 39). Focus stratified (18-24, 25-34, 35 older), facilitators probed on ways clinicians could discuss with An adapted pile sorting approach was used themes. Most...

ABSTRACT Access to continuing education (CE) for rural nurses is hampered by distance, cost factors, and the lack of sufficient personnel provide coverage when are away from work. Additionally, because function as generalists rather than specialists, CE programs should focus on generalist perspective. The Nevada Area Health Education Center (AHEC) has developed a partnership model providing that addresses these considerations, bringing educational site eliminates travel, cost, problems...

Background: Recent findings suggest that a strong negative social emotion (i.e., shame) increases YMSM's sexual risk-taking. Unchangeable shame (e.g., desire for other men) might undermine (moderate) the link between knowledge and self-efficacy or unprotected anal intercourse (UAI): This may be less likely changeable about risky behavior). Aim: To test hypotheses shame), but not behavior will positively related to UAI moderate relationship and/or among YMSM. Method: In an online national...

Background: Health educators are called on to dismantle health care inequities as they train future clinicians deliver that promotes equity, improves access care, and actively addresses antiracism. Method: Through an Advanced Nursing Workforce grant by the Resources Services Administration, a partnership was established with Institute for Perinatal Quality Improvement provide training students ways SPEAK UP against implicit explicit bias emphasis maternal health. Results: Dismantling racism...

Women with hormone receptor-positive, early-stage breast cancer who adhere to adjuvant endocrine therapy (AET) reduce the risk of recurrence and mortality. AET, however, is associated adverse symptoms that often result in poor adherence. We applied participatory action research (PAR) principles conduct focus groups interviews refine enhance a web-enabled app intervention facilitates patient-provider communication about AET-related other barriers adherence.We conducted four women on AET...

Rural Nursing: Concepts, Theory and Practice is the fourth edition of a text that both timely comprehensive.Content focuses on rural-based nursing practice, education research, health rural dwellers provision care in settings.It retains classic chapters which have been updated combines them with new expand paradigm from national international perspective.

512 Background: Adjuvant endocrine therapy (AET) use among women with early-stage, hormone receptor-positive breast cancer reduces the risk of recurrence, but adverse symptoms contribute to lower adherence. We evaluated effectiveness an app that integrates patient-reported outcomes electronic health records and tailored messages. Methods: Women early-stage initiating AET (November 2018-June 2021) were randomized into three arms: (1) “App” group received instructions access study weekly text...

To identify attitudes towards HIV/STI screening guidelines and explore the acceptability of assessing sexual positioning practices among Black minority men (SMM).

Abstract Purpose This study explored potentially underreported healthcare contexts, clinical experiences, and motivations for adherence in care among virally suppressed Black sexual minority men (BSMM) living with HIV (LWHIV) Baltimore, MD. Methods Go‐alongs two BSMM LWHIV supplemented 27 in‐depth interviews of a larger qualitative guided by Positive Deviance Life Course Theory. The go‐alongs involved accompanying participants’ follow‐up visit to obtain better account contextual factors....

Abstract Background: Discrimination adversely affects mental and physical health. Using mediation analysis, we explore whether patient-provider communication mediates the relationship between perceived discrimination health-related quality of life among early-stage breast cancer survivors. Methods: We analyzed surveys from 303 was measured with Experiences Everyday Scale which assesses frequency (range: 1/almost every day – 6/never). Patient-provider captured Patient Physician Peer...

45 Background: Despite the efficacy of oral adjuvant endocrine therapy (AET) for improving survival among women with hormone receptor-positive early-stage breast cancer, adherence rates remain low. Our THRIVE study (NCT03592771) investigated effectiveness a mobile health remote monitoring app and without tailored educational messages on AET cancer found no statistically significant treatment effects 1-year overall. Health literacy contributes to patients’ understanding their plans. We...