A5006111135- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Medication Adherence and Compliance
- Hepatitis B Virus Studies
- HIV/AIDS drug development and treatment
- Food Security and Health in Diverse Populations
- Hepatitis C virus research
- COVID-19 and Mental Health
- Functional Brain Connectivity Studies
- Maternal Mental Health During Pregnancy and Postpartum
- Tryptophan and brain disorders
- Malaria Research and Control
- Systemic Lupus Erythematosus Research
- HIV Research and Treatment
- Healthcare Systems and Practices
- Healthcare Policy and Management
- Pharmaceutical Practices and Patient Outcomes
- Global Maternal and Child Health
- HIV-related health complications and treatments
University of Nebraska Medical Center
2015-2025
Nebraska Department of Health and Human Services
2019
Abstract Background People with HIV (PWH) face challenges, including behavioral health, stigma, financial constraints, homelessness and homophobia that negatively impact their care. Unfortunately, limited, tailored programs exist to address these problems. Additionally, transportation time constraints may hinder participation in available programs. Thus, Nebraska’s Specialty Care Center implemented the Intervention Telehealth Text Improve Engagement (i2TEC), a Health Resources Services...
Abstract Background Despite effective HIV treatment, Nebraska's viral suppression rate falls short of national targets (66% vs. 90%). Adherence to Antiretroviral (ART) is a major factor in achieving (VS). ART refill history has been shown correlate with VS, but limited data exists on factors that influence history. We aimed explore the relationship between self-reported adherence barriers and pharmacy PWH who gained Medicaid coverage through recent expansion. Methods conducted prospective...
<sec><title>BACKGROUND</title>Tuberculosis preventive therapy (TPT) is critical for TB elimination but underutilised. Long-acting (LA) TPT can potentially improve linkage to care, treatment adherence and outcomes.</sec><sec><title>METHODS</title>We conducted a cross-sectional in-person survey in two high burden countries evaluate preferences concerns about LA formulations TPT. The compared oral pills injections, implants, microarray patches (MAPs). A...
Long-acting technologies (LATs) for hepatitis C virus (HCV) are under development as a strategy to improve linkage care, treatment adherence and outcomes. We conducted survey of HCV prescribers policymakers in low- middle-income countries (LMICs) regarding acceptability feasibility LATs. included one-time intramuscular injection, subdermal implant transdermal patch potential LAT options. surveyed participants optimal health system patient characteristics, concerns, barriers, overall...
The introduction of the Affordable Care Act (ACA) has provided unprecedented opportunities for uninsured people with HIV infection to access health insurance, and examine impact this change in access. AIDS Drug Assistance Programs (ADAPs) have been directed pursue individuals enroll ACA as both a cost-saving strategy increase patient care. We evaluated ADAP-facilitated insurance enrollment on outcomes, demographic clinical factors that influenced whether or not eligible patients enrolled....
People with HIV (PWH) may be particularly vulnerable to the psychological impacts of COVID-19. To assess this, participants were recruited from two established cohorts PWH and HIV- adults available pre-pandemic baseline data completed Beck Depression Inventory-II (BDI-II), Anxiety Inventory (BAI), Alcohol Use Identification Test (AUDIT), National Institute on Drug Abuse Quick Screen (NIDA-QS), Pittsburgh Sleep Quality Index (PSQI) at distinct intra-pandemic time periods. All outcomes...
Healthcare delivery changes associated with viral suppression (VS) could contribute to the United States' "Ending HIV Epidemic" (EtHE) initiative. This study aims determine whether Qualified Health Plans (QHPs) purchased by AIDS Drug Assistance Programs (ADAPs) are VS for low-income people living (PLWH) across 3 states.A multistate cohort of ADAP clients eligible ADAP-funded QHPs were studied (2014-2015). A log-binomial model was used estimate association demographics and healthcare factors...
We evaluated patient knowledge, attitudes, and beliefs regarding changes present with the Affordable Care Act (ACA). HIV-infected adults attending an academic medical center HIV clinic in Omaha, Nebraska were asked to complete a self-administered survey between November 2013 March 2014. Information collected included demographics, knowledge healthcare reform policies, as well attitudes potential impact of ACA on access healthcare. Basic descriptive statistics used assess demographic...
Despite available curative treatments, global rates of hepatitis C virus (HCV) infection persist with significant burden in low- and middle-income countries (LMICs). Long-acting (LA) antiviral products are development. This study explored the challenges opportunities LA-HCV treatment across three LMICs: Egypt, Ethiopia India. The survey focused on understanding barriers facilitators to treatment, emphasis LA preferences. Four-hundred respondents completed a including demographics, HCV...
Adherence to antiretroviral therapy (ART) remains the main predictor of sustained HIV virologic suppression for people with (PWH). Mail-order pharmacy services are often offered patients as an alternative option traditional services. Some payers mandate ART be dispensed from specific mail-order pharmacies regardless patient choice complicating adherence affected by social disparities. Yet, little is known about perspectives regarding mandates.Eligible program at University Nebraska Medical...
ABSTRACT. Antimalarial medications are recommended for chemoprevention as part of malaria control programs to decrease the morbidity and mortality related more than 200 million infections each year. We sought evaluate patient provider acceptability in a long-acting formulation. administered questionnaires patients providers endemic districts Kenya Zambia. Questions explored preferences concerns around antimalarial formulations compared with oral formulations. recruited 202 respondents...
Abstract Background Human immunodeficiency virus (HIV) viral suppression (VS) is a major predictor for improved clinical outcomes and decreased transmission in patients with HIV (PWH). There evidence to suggest that enrollment the Affordable Care Act (ACA) qualified health plan associated VS, however there inconsistency literature on whether Medicaid can lead similar outcomes. Previous research has shown PWH living expansion states are more likely be covered by less uninsured compared those...
Abstract Background In individual states, the Patient Protection and Affordable Care Act has been associated with improved viral suppression (VS) rates for AIDS Drug Assistance Program (ADAP) clients or low-income people living HIV (PLWH). This study aims to assess whether this association is consistent in multiple states (Nebraska, South Carolina, Virginia). Methods The multistate cohort included ADAP who were eligible ADAP-funded Qualified Health Plans (QHPs). Data collected from 2014...
Abstract Background Control and prevention of HIV infection require sustained adherence to antiretroviral therapy (ART) for patients with (PWH) or those on pre-exposure prophylaxis (PrEP). ART is increasingly designated by payers as a specialty medication often mandates mail-order pharmacy refills. Little known about patient perspectives choice preferences ART. Methods A 20-question survey was distributed (PWH PrEP) the Specialty Care Center in Omaha, NE. Participants &gt;19 years,...