A5089778293- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- Health Policy Implementation Science
- Sex work and related issues
- Food Security and Health in Diverse Populations
- COVID-19 and Mental Health
- Mental Health and Patient Involvement
- Homelessness and Social Issues
- Vaccine Coverage and Hesitancy
- Innovative Human-Technology Interaction
- Cystic Fibrosis Research Advances
- Interprofessional Education and Collaboration
- Mobile Health and mHealth Applications
- Primary Care and Health Outcomes
- Medical Education and Admissions
- Child Nutrition and Feeding Issues
- HIV-related health complications and treatments
- Breastfeeding Practices and Influences
- Infant Development and Preterm Care
- LGBTQ Health, Identity, and Policy
- Diversity and Career in Medicine
- Racial and Ethnic Identity Research
- Dysphagia Assessment and Management
- Urban, Neighborhood, and Segregation Studies
University of Alabama at Birmingham
2018-2025
Washington University in St. Louis
2025
Birmingham VA Medical Center
2020-2024
Tuscaloosa VA Medical Center
2021
Abstract Young Black and Latino men who have sex with are disproportionately affected by the U.S. HIV Epidemic, yet pre-exposure prophylaxis (PrEP) uptake remains low. To understand barriers facilitators to PrEP persistence, we used a concurrent mixed methods design (quantitative: online surveys, n = 19; qualitative: individual interviews, 15) from providers (e.g., nurse practitioners, clinicians, social workers) at 4 clinics providing services in Birmingham, Alabama New York City. Although...
Adherence to pulmonary rehabilitation (PR) is low. This qualitative study used the PRECEDE model identify predisposing (intrapersonal), reinforcing (interpersonal), and enabling (structural) factors acting as barriers or facilitators of adherence PR, elicit recommendations for solutions from patients with chronic obstructive disease (COPD).Focus groups COPD who had attended PR in past year were conducted. Sessions recorded, transcribed verbatim, coded independently by 2 coders, then jointly...
The purpose of this study was to qualitatively explore perceptions related COVID-19 vaccination intention among African American and Latinx participants suggest intervention strategies.
Objective African American (AA) women in the U.S. South experience significant HIV incidence, and efforts to support antiretroviral pre-exposure prophylaxis (PrEP) uptake maintenance among this group have been insufficient. This study aimed explore perceptions, attitudes, implementation preferences surrounding PrEP use for AA South.
Background Although teen pregnancy rates decreased dramatically in the United States over past decade, of sexually transmitted infections (STIs) among adolescents and young adults increased. STI disproportionately affect African American youth adults. Innovative, accessible, culturally relevant sexual health interventions are urgently needed. Objective This study aimed to identify optimal modality for a game-based intervention; develop educational, entertainment, technological aspects...
Background: Supplements were awarded under the National Institutes of Health, ending HIV epidemic (EHE) initiative to foster implementation science through community-engaged research. The objective this study was synthesize lessons learned, identify areas research sufficiently studied, and present an agenda for future on health workforce development from a collaboration across 9 EHE projects in 11 jurisdictions United States. Methods: supplement recipients completed semistructured...
Background: Community–academic partnerships (C-APs) have been central to advancements in HIV research over the past 4 decades and were specifically called for national Ending Epidemic (EHE) initiative. Community engagement research, particularly plays a critical role prioritizing community needs all stages of intervention implementation. Methods: To address known gaps building strong C-APs, 2 EHE Implementation Science Consultation Hubs collaboratively facilitated webinars with panel expert...
Aim: To share insights on Implementation Science (IS) methods, challenges, solutions, and best practices derived from the second National Meeting for Research Community Collaboration toward “Ending HIV Epidemic (EHE) in United States.” Methods: This 2022 hybrid, one-day conference featured presentations 13 projects funded as NIH supplements to CFARs ARCs between 2019 2022. Selected their robust findings, were grouped into four topics: (1) community-based outreach strategies, (2) taking...
Women living with HIV are disproportionally affected by depression and mental healthcare access. A pilot feasibility trial using videoconferencing compared cognitive behavioral therapy for antiretroviral adherence ( N = 11) to supportive psychotherapy 11). Participants completed 10–12 weekly sessions 6-month follow-up. Retention at 6 months was 95 percent. Depression symptoms significantly decreased in both arms; remained high as measured via self-report Wisepill. Satisfaction intervention...
HIV disparities among Young, Black men who have sex with (YBMSM) persist despite concerted efforts to increase uptake of prevention tools like pre-exposure prophylaxis (PrEP). We conducted in-depth interviews 25 YBMSM (aged 18-29 years old) understand factors contributing PrEP access in Birmingham, Alabama. identified that one major barrier was intersectional stigma related their multiple identities and contributed lack feeling able accept sexual identities. Facilitators validation...
Abstract Background Relatively little guidance exists on how to use virtual implementation facilitation successfully implement evidence-based practices and innovations into clinical programs. Yet methods are increasingly common. They have potentially wider reach, emergent public health situations necessitate their use, restrictions resources can make them more attractive. We therefore outline a set of principles for external series recommendations based extensive experience using in national...
Black men in the Deep South have been disproportionally affected by high HIV and hepatitis C virus infection rates. Conventional clinic-based screening approaches had limited success reaching those with undiagnosed or infection. The purpose of this study was to evaluate acceptability, feasibility, best practices an integrated community-based health approach.
The COVID-19 pandemic continues to have a global and multifaceted impact on public health. Marginalized vulnerable populations, such as college students postdoctoral fellows with disabilities or pre-existing conditions, are being disproportionately affected by the pandemic. Various barriers contribute an individual’s intentions seek mental health help, but COVID-19’s unprecedented permeability, more research is needed support this student population. This phenomenological study explored...
Tobacco smoke exposure has negative impacts on the lung health of children with cystic fibrosis (CF), yet evidence-based strategies for smoking cessation have not been tested or tailored to CF caregivers. This qualitative study identified barriers and facilitators in this population outlined potential interventional approaches.We conducted semi-structured interviews familial caregivers who were current former smokers, members care team. We asked about experiences, practices, prerequisites a...
Cisgender men are diagnosed with HIV at a rate four times greater than cisgender women, 71% of infections attributed to male-male sexual contact. Despite expanding accessibility, pre-exposure prophylaxis (PrEP) for prevention is initiated by only 30% people PrEP indications. Five focus groups 42 young who have sex from New York and Alabama were conducted identify key factors initiation persistence. Thirty group participants completed survey on demographics, choices health care attitudes....
Pre-exposure prophylaxis (PrEP) is underused in the southern United States (US), a region with high HIV incidence. Clinical decision support (CDS) tools could increase PrEP prescriptions. We explored barriers to delivery and views of CDS identify refinements for implementation strategies prescribing tools. conducted focus groups health care providers from two federally qualified centers Alabama analyzed results using rapid qualitative methods. Barriers included providers’ lack training PrEP,...
Introduction African American women (AA), particularly those living in the Southeastern USA, experience disproportionately high rates of HIV infection. Pre-exposure prophylaxis (PrEP) is a highly effective prevention tool that may circumvent barriers to traditional tools, such as condom use; however, very little known about how improve PrEP access and uptake among AA who benefit from use. This project aims understand increase rural Southern which ultimately affect incidence this population....
The onset of the COVID-19 pandemic initiated a cascade stressors that occurred concurrently with increasing issues racism and racial injustice events. These compounded healthcare societal significantly impacted mental health individuals worldwide, including university students. To address needs students, survey was administered to undergraduate, graduate, professional students at large public in southeastern United States. Qualitative data were collected regarding student health,...