Journal Article
Perceived Discrimination, Adherence to Antiretroviral Therapy, and HIV Care Engagement Among HIV-positive Black Adults: The Mediating Role of Medical Mistrust
Perceived discrimination and mistrust have indirect negative effects on adherence to antiretroviral therapy among HIV-positive Black adults.
Mar 31, 2022
Journal Article
Examination of Mediators and Moderators to Understand How and in What Context Game Changers Increases HIV Prevention Advocacy Among Persons Living With HIV in Uganda
These findings highlight the importance of helping PLWH cope with self-stigma and gain comfort with disclosure, as well as the potential influence of network support, trustworthiness, connectedness, and stigmatization on engagement in prevention advocacy.
Apr 28, 2021
Journal Article
Stepped Care for Depression at Integrated Chronic Care Centers (IC3) in Malawi: Study Protocol for a Stepped-Wedge Cluster Randomized Controlled Trial
This study will compare the effects of an evidence-based depression care model versus usual care on depression symptom remediation as well as physical health outcomes for chronic care conditions.
2021
Journal Article
A Pilot Test of Game Changers, a Social Network Intervention to Empower People with HIV to Be Prevention Advocates in Uganda
We developed and conducted a pilot test of Game Changers, a 6-session group-based intervention that aims to empower people with HIV to be agents for HIV prevention by initiating conversations about HIV with social network members.
Aug 7, 2020
Journal Article
Sexual Violence in Childhood and Post-Childhood: The Experiences of Young Men Who Have Sex With Men in Beirut
We examined the prevalence of childhood and post-childhood experiences of sexual violence, and how they are correlated with each other as well as with measures of mental health, substance use, sexual behavior, and sexuality-related discrimination.
Dec 17, 2019
Journal Article
Changes in ART Adherence Relate to Changes in Depression as Well! Evidence for the Bi-directional Longitudinal Relationship Between Depression and ART Adherence from a Prospective Study of HIV Clients in Uganda
While other research has examined and supported the influence of depression on ART adherence, our data support the reciprocal relationship: that non-adherence and changes in adherence are associated with levels and changes in depression.
2019
Journal Article
Gearing Up for PrEP in the Middle East and North Africa: An Initial Look at Willingness to Take PrEP Among Young Men Who Have Sex with Men in Beirut, Lebanon
These findings delineate a need and opportunity for public health researchers to work with Ministries of Health and policy makers to extend pre-exposure prophylaxis coverage and services to young men who have sex with men.
2019
Journal Article
Sources of Resilience as Mediators of the Effect of Minority Stress on Stimulant Use and Sexual Risk Behavior Among Young Black Men Who Have Sex with Men
Minority Stress Theory proposes that stigma, prejudice, and discrimination facing sexual and racial minorities are stressors that lead to increased risk behaviors. This study examined whether minority stress is associated with stimulant use and sexual risk by depleting resiliencies.
2019
Journal Article
Utilization of Prevention of Mother-to-Child Transmission (PMTCT) Services Among Pregnant Women in HIV Care in Uganda: A 24-Month Cohort of Women from Pre-Conception to Post-Delivery
Improved provider-client communication could enhance post-birth care and prevention of mother-to-child transmission among HIV infected women in care.
May 3, 2018
Journal Article
Stigma Gets in My Way: Factors Affecting Client-Provider Communication Regarding Childbearing Among People Living with HIV in Uganda
Among Ugandan HIV clients and health care providers, communication about childbearing needs is poor and associated with stigma.
Apr 10, 2018
Journal Article
Text Messaging for Improving Antiretroviral Therapy Adherence: No Effects After 1 Year in a Randomized Controlled Trial Among Adolescents and Young Adults
Short text reminders to HIV-positive young adults in Uganda did not improve their adherence to antiretroviral therapy regimens, in contrast to prior interventions that used reminder messages.
Nov 2, 2017
Journal Article
This Is Who We Are: Building Community for HIV Prevention with Young Gay and Bisexual Men in Beirut, Lebanon
Programs to diffuse safer sex practices and HIV testing norms among young gay men in Beirut must protect confidentiality and security while promoting social ties and safer sex behavior.
Oct 13, 2017
Journal Article
Safer Conception for Couples Affected by HIV: Structural and Cultural Considerations in the Delivery of Safer Conception Care in Uganda
Sociocultural and structural factors, such as a reluctance to discuss childbearing desires, can present barriers to the implementation of safer conception counseling for HIV-affected couples.
Aug 3, 2017
Journal Article
A Randomized Controlled Trial of Rise, a Community-Based Culturally Congruent Adherence Intervention for Black Americans Living with HIV
A community-based, culturally specific intervention improved antiretroviral treatment adherence among Black Americans living with HIV.
May 30, 2017
Journal Article
Medical Mistrust as a Key Mediator in the Association Between Perceived Discrimination and Adherence to Antiretroviral Therapy Among HIV-positive Latino Men
Treatment education that focused on the necessity of medication could increase adherence to ART among HIV-positive Latino men.
May 2, 2017
Journal Article
Effects of Depression Alleviation on Work Productivity and Income Among HIV Patients in Uganda
Alleviation of major depression among a sample of Ugandans with HIV was associated with better work functioning, which suggests that integrating care for depression and HIV may improve the economic well-being of people living with HIV.
Mar 16, 2017
Journal Article
Prevalence and Correlates of Use of Safer Conception Methods in a Prospective Cohort of Ugandan HIV-affected Couples with Fertility Intentions
Among a sample of Ugandan couples with an HIV-positive partner who hope to conceive, about one-third used a "safer" conception method such as timed unprotected intercourse to reduce HIV transmission, but only about half were aware of such methods.
Mar 16, 2017
Journal Article
Depression at Treatment Initiation Predicts HIV Antiretroviral Adherence in Uganda
Presence of depression at the start of HIV antiretroviral therapy can affect whether patients take their medications, which suggests that screening and early treatment could help boost rates of medication adherence.
Dec 8, 2016
Journal Article
A Structured Protocol Model of Depression Care Versus Clinical Acumen: A Cluster Randomized Trial of the Effects on Depression Screening, Diagnostic Evaluation, and Treatment Uptake in Ugandan HIV Clinics
Trained lay workers and medical providers in Uganda were able to successfully implement depression screening, diagnosis, and treatment prescription when given training and ongoing supervision from mental health specialists.
Oct 18, 2016
Journal Article
A Microfinance Program Targeting People Living with HIV in Uganda: Client Characteristics and Program Impact
Ugandans living with medically stable HIV are able to repay microcredit loans; paired with business training, the loans can help this vulnerable population improve their weekly income and build assets.
Sep 30, 2016
Journal Article
Effects of Depression Alleviation on ART Adherence and HIV Clinic Attendance in Uganda, and the Mediating Roles of Self-Efficacy and Motivation
Alleviating depression in people living with HIV may improve their HIV care adherence and clinic attendance.
Aug 29, 2016
Journal Article
HIV Prevalence and Demographic Determinants of Condomless Receptive Anal Intercourse Among Trans Feminine Individuals in Beirut, Lebanon
Nearly all of the participants in this study of trans feminine individuals in Lebanon had experienced gender identity discrimination; more than half reported condomless receptive anal intercourse with male partners in the past three months.
Aug 26, 2016
Journal Article
HIV Prevalence and Demographic Determinants of Unprotected Anal Sex and HIV Testing Among Male Refugees Who Have Sex with Men in Beirut, Lebanon
Male refugees in Beirut who have sex with men are at high risk of practicing unsafe sex and are unlikely to be tested for HIV.
Aug 24, 2016
Journal Article
Association of Internalized and Social Network Level HIV Stigma with High-Risk Condomless Sex Among HIV-positive African American Men
HIV-positive African-American men who internalize stigma about HIV, or who perceive peer stigma, are more likely to have high-risk sex.
Aug 1, 2016
Journal Article
Multi-level Correlates of Safer Conception Methods Awareness and Attitudes Among Ugandan HIV Clients with Fertility Intentions
We examined awareness and attitudes towards SCM, and the correlates of these constructs among 400 HIV clients with fertility intentions in Uganda.
Jun 5, 2016
Journal Article
Discrimination and Hate Crimes in the Context of Neighborhood Poverty and Stressors Among HIV-Positive African-American Men Who Have Sex with Men
For HIV-positive African-American men who have sex with men, higher neighborhood poverty is associated with experiencing more discrimination and hate crimes.
Jun 1, 2016
Journal Article
"If You Tell People That You Had Sex with a Fellow Man, It Is Hard to Be Helped and Treated": Barriers and Opportunities for Increasing Access to HIV Services Among Men Who Have Sex with Men in Uganda
Ugandan men who have sex with men face many barriers to HIV treatment related to stigma among health care providers and the community.
May 2, 2016
Journal Article
Supporting Treatment Adherence Readiness Through Training (START) for Patients with HIV on Antiretroviral Therapy: Study Protocol for a Randomized Controlled Trial
A "new generation" adherence support program targets patients before they begin HIV treatment. If proven efficacious and cost effective, the program could give clinicians a model for assessing their patients' readiness to adhere to HIV treatment.
Apr 22, 2016
Journal Article
Medical Mistrust Among Social Network Members May Contribute to Antiretroviral Treatment Nonadherence in African Americans Living with HIV
Nonadherence to antiretroviral therapy among HIV-positive African Americans is linked to conspiracy beliefs among members of their social networks, especially among others who are HIV-positive.
Apr 22, 2016
Journal Article
Increasing Antiretroviral Adherence for HIV-positive African Americans (Project Rise): A Treatment Education Intervention Protocol
The Rise HIV treatment intervention, currently in randomized control trials, aims to address the needs of African Americans living with HIV and help improve adherence to medication regimens to reduce the amount of HIV in the body.
Apr 21, 2016
Journal Article
Dissemination as Dialogue: Building Trust and Sharing Research Findings Through Community Engagement
In order to develop culturally relevant interventions, researchers and community members should engage in partnerships; researchers present some processes for establishing trust and two-way partnerships.
Mar 29, 2016
Journal Article
Barriers to Linkage to HIV Care in Ugandan Fisherfolk Communities: A Qualitative Analysis
High population mobility, competing needs, low or inconvenient access to healthcare, and HIV stigma all play a role in impeding linkage to HIV care among fisherfolk.
Mar 18, 2016
Journal Article
A Comparison of Home-Based Versus Outreach Event-Based Community HIV Testing in Ugandan Fisherfolk Communities
Among Ugandan fisherfolk, more new HIV cases were identified in home-based testing than in community-based testing, but fewer of those tested at home were linked to care.
2016
Journal Article
Do People Know I'm Poz? Factors Associated with Knowledge of Serostatus Among HIV-positive African Americans' Social Network Members
We examined how functional social support, HIV-related discrimination, internalized HIV stigma, and social network structure and composition were cross-sectionally associated with network members' knowledge of respondents' serostatus among 244 HIV-positive African Americans in Los Angeles.
2016
Journal Article
Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV Providers
This study examines high rates of childbearing desires and serodiscordant partnerships among people living with HIV PLHA in Uganda and highlights the need for safer conception counseling.
Dec 3, 2015
Journal Article
Social Network Characteristics Moderate the Association Between Stigmatizing Attributions About HIV and Non-Adherence Among Black Americans Living with HIV: A Longitudinal Assessment
This study examines whether social network characteristics moderate stigma's effects among HIV-positive Black Americans.
Dec 1, 2015
Journal Article
Safer Conception Methods and Counseling: Psychometric Evaluation of New Measures of Attitudes and Beliefs Among HIV Clients and Providers
With data from 400 HIV clients with fertility intentions and 57 HIV providers in Uganda, we evaluated the psychometrics of new client and provider scales measuring constructs related to safer conception methods (SCM) and safer conception counselling (SCC).
Nov 20, 2015
Journal Article
Forms of Safety and Their Impact on Health: An Exploration of HIV/AIDS-related Risk and Resilience Among Trans Women in Lebanon
Using minority stress theory, the authors investigated risk behaviors of transgender women (trans women) in Lebanon.
Oct 5, 2015
Journal Article
Benefits of PrEP as an Adjunctive Method of HIV Prevention During Attempted Conception Between HIV-uninfected Women and HIV-infected Male Partners
Data on effectiveness of preexposure prophylaxis (PrEP) for human immunodeficiency virus (HIV)–uninfected women attempting conception with HIV-infected male partners are limited to observational studies.
Jul 8, 2015
Journal Article
An Exploratory Study of HIV Risk Behaviors and Testing Among Male Sex Workers in Beirut, Lebanon
The purpose was to explore the factors influencing sexual risk behaviors and HIV testing among Male sex workers (MSW).
May 21, 2015
Journal Article
Impact of Food Support on Food Security and Body Weight Among HIV Antiretroviral Therapy Recipients in Honduras: A Pilot Intervention Trial
Optimal strategies to improve food security and nutrition for people living with HIV (PLHIV) may differ in settings where overweight and obesity are prevalent and cardiovascular disease risk is a concern.
Apr 1, 2015
Journal Article
Assessing Usual Care in Clinical Trials
We describe the assessment of usual care within the 16 studies in Multisite Adherence Collaboration in HIV (MACH 14), a multisite collaboration on adherence to antiretroviral therapy.
Mar 1, 2015
Journal Article
Effectiveness of Antidepressants and Predictors of Treatment Response for Depressed HIV Patients in Uganda
This study examined the effectiveness of antidepressant treatment and predictors of treatment response among depressed HIV patients in Uganda.
Jan 9, 2015
Journal Article
Correlates of Use of Timed Unprotected Intercourse to Reduce Horizontal Transmission Among Ugandan HIV Clients with Fertility Intentions
We examined the correlates of use of safer conception methods (SCM) in a sample of 400 Ugandan HIV clients (75 % female; 61 % on antiretroviral therapy; 61 % with HIV-negative or unknown status partners) in heterosexual relationships with fertility intentions.
2015
Journal Article
Engagement in HIV Prevention Advocacy Associated with Increased Consistent Condom Use Among HIV Clients in Uganda
We examined whether engagement in prevention advocacy among HIV clients is associated with their own condom use and HIV care adherence.
Dec 23, 2014
Journal Article
Giving ''sadness'' a Name: The Need for Integrating Depression Treatment Into HIV Care in Uganda
Depression is common among people living with HIV/AIDS (PLWHA) in sub-Saharan Africa (SSA), and can have significant consequences for HIV disease progression, treatment response and prevention.
Nov 5, 2014
Journal Article
Social, Relational and Network Determinants of Unprotected Anal Sex and HIV Testing Among Men Who Have Sex with Men in Beirut, Lebanon
Social, relational and network determinants of condom use and HIV testing were examined among 213 men who have sex with men (MSM) in Beirut.
Nov 1, 2014
Journal Article
INtegration of DEPression Treatment Into HIV Care in Uganda (INDEPTH-Uganda): Study Protocol for a Randomized Controlled Trial
The aims of this trial are to evaluate the implementation outcomes and cost-effectiveness of a task-shifting, protocolized model of antidepressant care for HIV clinics in Uganda.
Jun 1, 2014
Journal Article
HIV Prevalence and Demographic Determinants of Unprotected Anal Sex and HIV Testing Among Men Who Have Sex with Men in Beirut, Lebanon
The limited epidemiological data in Lebanon suggest that HIV incident cases are predominantly among men who have sex with men (MSM).
May 1, 2014
Journal Article
Depression and Sexual Risk Behavior Among Clients About to Start HIV Antiretroviral Therapy in Uganda
We investigated depression in relationship to sexual risk behavior with primary partners among HIV clients in Uganda.
2014
Journal Article
Impact of Antidepressant Therapy on Cognitive Aspects of Work, Condom Use, and Psychosocial Well-Being Among HIV Clients in Uganda
The authors assessed the impact of antidepressant therapy on measures of work, condom use, and psychosocial well-being among depressed HIV clients in Uganda.
2014
Journal Article
Measuring Agreement Between Egos and Alters: Understanding Informant Accuracy in Personal Network Studies
In personal network studies, respondents (egos) are asked to report information about members of their personal network (alters); egos respond based on their perceptions.
2014
Journal Article
Changes in Condom Use During the First Year of HIV Treatment in Uganda and the Relationship to Depression
We examined the effect of antiretroviral therapy (ART), and the predictive role of depression, on condom use with primary partners.
2014
Journal Article
Medical Mistrust Is Related to Lower Longitudinal Medication Adherence Among African-American Males with HIV
Medical mistrust among African American males with HIV predicts lower adherence to medication regimes.
2014
Journal Article
The Role of Depression in Work-Related Outcomes of HIV Treatment in Uganda
The primary goal of this analysis was to examine the influence of depression above and beyond the effects of HIV treatment on work activity and function.
2014
Journal Article
Tailored Nutrition Education and Food Assistance Improve Adherence to HIV Antiretroviral Therapy: Evidence from Honduras
Food insecurity and malnutrition negatively affect adherence to antiretroviral therapy (ART) and are associated with poor HIV clinical outcomes.
2014
Journal Article
Prospective Cohort Study of the Impact of Antiretroviral Therapy on Employment Outcomes Among HIV Clients in Uganda
This study evaluates the impact of antiretroviral treatment (ART) on employment-related outcomes using prospective, longitudinal analysis.
Dec 1, 2013
Journal Article
AIDS Treatment and Mental Health: Evidence from Uganda
Increased access to antiretroviral therapy (ART) in developing countries over the last decade is believed to have contributed to reductions in HIV transmission and improvements in life expectancy.
Sep 1, 2013
Journal Article
Sexual Stigma, Psychological Well-Being and Social Engagement Among Men Who Have Sex with Men in Beirut, Lebanon
Findings suggest that effective coping with both internal and external sexual stigma is central to the psychological well-being and social engagement of men who have sex with men in Beirut, much as has been found in Western gay communities.
Jun 1, 2013
Journal Article
Association of Discrimination-Related Trauma with Sexual Risk Among HIV-positive African American Men Who Have Sex with Men
Men who experienced discrimination-related interpersonal trauma in their lifetime were more likely than were those who had not experienced such trauma to have engaged in unprotected anal intercourse with a male partner.
May 1, 2013
Journal Article
Fertility Desires Among HIV-infected Men and Women in Los Angeles County: Client Needs and Provider Perspectives
Combination antiretroviral therapy for persons living with HIV/AIDS (PLHA) has extended life expectancy, and enabled PLHA to live productive lives that can include having children.
May 1, 2013
Journal Article
Perceived Discrimination and Physical Health Among HIV-positive Black and Latino Men Who Have Sex with Men
Findings suggest that the stress of multiple types of discrimination plays a role in health outcomes.
May 1, 2013
Journal Article
Fertility Desires and Intentions and the Relationship to Consistent Condom Use and Provider Communication Regarding Childbearing Among HIV Clients in Uganda
We examined the correlates of fertility desires and intentions among 767 HIV clients (34% male) starting antiretrovirals in Uganda.
2013
Journal Article
The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS
Unemployed HIV + clients in sub-Saharan Africa being treated with ART were more likely to become employed, compared with those not under treatment. Having a higher income was associated with being male and having some secondary education.
2013
Journal Article
MACH14: A Multi-Site Collaboration on ART Adherence Among 14 Institutions
The integration of original data from multiple antiretroviral (ARV) adherence studies offers a promising, but little used method to generate evidence to advance the field.
2013
Journal Article
Pilot Controlled Trial of the Adherence Readiness Program: An Intervention to Asses and Sustain HIV Antiretroviral Adherence Readiness
Intervention benefits on adherence and viral suppression warrant further investigation.
2013
Journal Article
A Qualitative Analysis of the Effects of Depression and Antidepressants on Physical and Work Functioning Among Antiretroviral Therapy Clients in Uganda
Depression plays a role in the deleterious effects of HIV on functioning, and antidepressant treatment provided alongside ART may serve to help individuals regain functioning, particularly employment.
2013
Journal Article
Strategies for Optimizing Clinic Efficiency in a Community-Based Antiretroviral Treatment Programme in Uganda
We address a critical aspect of antiretroviral therapy (ART) scale-up: poor clinic organization leading to long waiting times and reduced patient retention.
2013
Journal Article
Impact of HIV Antiretroviral Therapy on Depression and Mental Health Among Clients with HIV in Uganda
With wide-reaching harmful effects of depression, and the absence of psychiatric treatment in most HIV care programs in sub-Saharan Africa, we examined the effects of antiretroviral therapy (ART) on depression and other mental health indicators.
Nov 1, 2012
Journal Article
Role of Antiretroviral Therapy in Improving Food Security Among Patients Initiating HIV Treatment and Care
HIV antiretroviral therapy (ART) helps alleviate the food insecurity of adults with HIV; in turn, reducing food insecurity may improve ART outcomes.
Nov 1, 2012
Journal Article
Depression and Its Relationship to Work Status and Income Among HIV Clients in Uganda
Despite high levels of depression among persons living with HIV (PLWHIV), little research has investigated the relationship of depression to work status and income in PLWHIV in sub-Saharan Africa, which was the focus of this analysis.
Sep 1, 2012
Journal Article
A Qualitative Exploration of Sexual Risk and HIV Testing Behaviors Among Men Who Have Sex with Men in Beirut, Lebanon
Men who have sex with men (MSM) may account for most new HIV infections in Lebanon, yet little is known about the factors that influence sexual risk behavior and HIV testing in this population.
Sep 1, 2012
Journal Article
Reasons Why High Religiosity Can Co-Exist with and Precipitate Discontinuation of Anti-Retroviral Therapy Among Different HIV Clients in Uganda: An Exploratory Study
When high religiosity among people living with HIV (PHAs) becomes a barrier to ART adherence, the adherence counseling provided can draw on experiences of PHAs with high religiosity who have sustained good adherence to ART and achieved good health outcomes.
Sep 1, 2012
Journal Article
Socioeconomic Support Reduces Nonretention in a Comprehensive, Community-Based Antiretroviral Therapy Program in Uganda
We evaluated the benefit of socioeconomic support (S-E support), comprising various financial and nonfinancial services that are available based on assessment of need, in reducing mortality and lost to follow-up (LTFU) at Reach Out Mbuya, a community-based, antiretroviral therapy program in Uganda.
Apr 1, 2012
Journal Article
Community HIV Treatment Advocacy Programs May Support Treatment Adherence
Treatment advocacy (TA) programs, based in AIDS service organizations and clinics, aim to engage clients into care and support antiretroviral treatment (ART) adherence through client-centered counseling; advocate for patients with providers; and provide social service referrals. Systematic evaluations of TA are lacking.
Feb 1, 2012
Journal Article
Electronic Medical Records and Same Day Patient Tracing Improves Clinic Efficiency and Adherence to Appointments in a Community Based HIV/AIDS Care Program, in Uganda
Patients who miss clinic appointments make unscheduled visits which compromise the ability to plan for and deliver quality care.
Feb 1, 2012
Journal Article
Factors Associated with Intention to Conceive and Its Communication to Providers Among HIV Clients in Uganda
Persons living with HIV/AIDS (PLHA) must discuss their fertility intentions with healthcare providers to receive the support needed to have children safely and limit transmission risks.
Feb 1, 2012
Journal Article
Depression in the Pathway of HIV Antiretroviral Effects on Sexual Risk Behavior Among Patients in Uganda
A controlled study of HIV antiretroviral therapy (ART) in sub-Saharan Africa found that ART increase sexual activity and condom use, but depression undercuts the prevention benefits of ART, highlighting the need to integrate mental health services into HIV care.
2012
Journal Article
Discrimination as a Key Mediator of the Relationship Between Posttraumatic Stress and HIV Treatment Adherence Among African American Men
This study highlights the critical role that discrimination plays in adherence to antiretroviral therapy among African American men experiencing posttraumatic stress.
2012
Journal Article
Provider and Patient Correlates of Provider Decisions to Recommend HCV Treatment to HIV Co-Infected Patients
Despite low uptake of hepatitis C virus (HCV) treatment among HIV co-infected patients, few studies have examined the factors that contribute to provider decisions to recommend treatment.
2012
Journal Article
A Qualitative Exploration of the Economic and Social Effects of Microcredit Among People Living with HIV/AIDS in Uganda
In developing countries, HIV medical care is often insufficient to achieve social and economic health, and hence innovative economic support programs are much needed.
2012
Journal Article
Patient and Provider Characteristics Associated with the Decision of HIV Coinfected Patients to Start Hepatitis C Treatment
A patient's decision to start or defer hepatitis C treatment is influenced by the stage of their disease and by their providers' confidence about the efficacy of hepatitis C treatment.
Sep 1, 2011
Journal Article
Longitudinal Association of HIV Conspiracy Beliefs with Sexual Risk Among Black Males Living with HIV
In a sample of HIV-positive African American men, greater belief in HIV conspiracies was associated with a higher likelihood of reporting unprotected intercourse.
Aug 1, 2011
Journal Article
Economic Status and Coping Mechanisms of Individuals Seeking HIV Care in Uganda
This study uses novel data to conduct a comprehensive evaluation of the demographic and economic circumstances facing HIV-positive individuals who have just entered HIV care in Uganda.
Jun 1, 2011
Journal Article
The Role of the Home Environment and Routinization in ART Adherence
This study explores home-based medication triggers for taking antiretrovial therapy, including meals, pillboxes, time of day, and visual cues.
Apr 20, 2011
Journal Article
Evaluating a Palliative Care Intervention for Veterans: Challenges and Lessons Learned in a Longitudinal Study of Patients with Serious Illness
Longitudinal studies examining care for seriously ill patients are needed to understand patients' experience of illness, evaluate interventions, and improve quality of care.
Mar 14, 2011
Journal Article
Impact of Prolonged Exposure on PTSD Symptoms and Associated Psychopathology in People Living with HIV: A Randomized Test of Concept
The present study tested the efficacy of prolonged exposure (PE) at reducing posttraumatic stress disorder symptoms (PTSS), depression, negative posttraumatic cognitions, and substance use in people living with HIV (PLWH).
2011
Journal Article
Social Networks of PLHA in Uganda: Implications for Mobilizing PLHA as Agents for Prevention
People living with HIV/AIDS in Uganda have social networks that enable them to feel fairly protected and supported in discussing HIV and prevention, and those on antiretroviral treatment may be better prepared to act as prevention advocates.
2011
Journal Article
An Exploratory Study of HIV-prevention Advocacy by Persons in HIV Care in Uganda
To explore how people living with HIV (PLHIV) and in care encourage others to adopt HIV-protective behaviours, we conducted in-depth interviews with a purposive sample of 40 HIV clinic patients in Kampala, Uganda.
2011
Journal Article
A Closer Look at Depression and Its Relationship to HIV Antiretroviral Adherence
Cognitive depressive symptoms and severe depression appear to pose strong challenges to adherence and highlight the need for early detection and treatment of depression.
2011
Journal Article
Patient Characteristics Associated with HCV Treatment Adherence, Treatment Completion and Sustained Virologic Response in HIV Co-Infected Patients
Good mental health may be an indicator of readiness to adhere to treatment for Hepatitis C among individuals who also have HIV.
2011
Journal Article
A Qualitative Exploration of the Impact of HIV and ART on Social Disruption and Household Continuity in Uganda
HIV care and ART, with related improvements in clients' physical and work-related functioning, together with family support, helped to reverse some of the deleterious effects of having HIV.
2011
Journal Article
Conspiracy Beliefs About HIV Are Related to Antiretroviral Treatment Nonadherence Among African American Men with HIV
HIV conspiracy theories among African Americans are neither rare nor extreme, and they discourage individuals who need HIV care from adhering to treatment.
2010
Journal Article
Longitudinal Relationships Between Antiretroviral Treatment Adherence and Discrimination Due to HIV-serostatus, Race, and Sexual Orientation Among African-American Men with HIV
Sexual orientation, HIV-serostatus, and racial discrimination all reduce treatment adherence among African American men, but racial discrimination has the most powerful effect.
2010
Journal Article
Factors Associated with Condom Use Among HIV Clients in Stable Relationships with Partners at Varying Risk for HIV in Uganda
In Uganda, the most significant factor in whether HIV+ couples in stable relationships use condoms is their sense of self efficacy about condom use.
2010
Journal Article
Provider Communication and Patient Understanding of Life-Limiting Illness and Their Relationship to Patient Communication of Treatment Preferences
Medical decision making in the context of serious illness ideally involves a patient who understands his or her condition and prognosis and can effectively formulate and communicate his or her care preferences.
2010
Journal Article
Understanding the Influence of Depression on Self-Efficacy, Work Status, and Condom Use Among HIV Clients in Uganda
Depression affects self-efficacy, work status, and condom use among HIV+ men in sub-Saharan Africa.
2010
Research Brief
Improving Mass Delivery of Antiretroviral Therapy in Sub-Saharan Africa
Provides a summary of strategies for making access to antiretroviral therapy widespread, sustainable, more cost-effective, and efficient, while still providing quality care in sub-Saharan Africa.
Apr 9, 2009
Journal Article
Factors That Influence an HIV Coinfected Patient's Decision to Start Hepatitis C Treatment
Patients infected with both HIV and hepatitis C decide to start treatment for hepatitis C based on a number of factors such as readiness for treatment and willingness to deal with side effects, but the relationship with their providers is also influential.
2009
Journal Article
A Qualitative Analysis of the Economic Impact of HIV and Antiretroviral Therapy on Individuals and Households in Uganda
Despite the acceleration of antiretroviral therapy (ART) scale-up in sub-Saharan Africa, little is known about the social and economic effects of ART on individuals and households.
2009
Journal Article
Treat Early or Wait and Monitor? A Qualitative Analysis of Provider Hepatitis C Virus Treatment Decision-Making in the Context of HIV Coinfection
Liver disease is a leading cause of death among patients with HIV coinfected with hepatitis C (HCV); yet, studies show that less than 10% receive HCV treatment, in part because of limited treatment response, high treatment toxicity, and psychosocial barri
2009
Journal Article
Antiretroviral (ARV) Drug Resistance in the Developing World
Describes prevalence of antiretroviral resistance in the developing world, focusing on treatment naive populations, resistance consequences of regimes to prevent mother-to-child transmission, and the relationship of medication adherence to resistance.
2007
Journal Article
Formative Evaluation of Antiretroviral Therapy Scale-Up Efficiency in Sub-Saharan Africa
It is important for ART programs to develop effective mechanisms for coordinating and referring clients to support service organizations.
2007
Journal Article
Cognitive-behavioral Intervention to Enhance Adherence to Antiretroviral Therapy: A Randomized Controlled Trial (CCTG 578)
Randomized, multi-site, controlled trial of a cognitive-behavioral adherence intervention for patients initiating or changing an ART regimen.
2006
Journal Article
A Practical Method to Calibrate Self-Reported Adherence to Antiretroviral Therapy
The method efficiently identified survey items to improve self-reported adherence measurement.
2006
Journal Article
Utility of Self-Reported Antiretroviral Adherence: Comment on Simoni Et Al. (2006)
RE: Self-reported measures of antiretroviral therapy adherence: A review with recommendations for HIV research and clinical management.
2006
Journal Article
Couple-focused Support to Improve HIV Medication Adherence: A Randomized Controlled Trial
Assess the efficacy of a couple-based intervention to improve medication-taking behavior in a clinic population with demonstrated adherence problems.
2005
Journal Article
Hepatitis C Virus Treatment Decision-Making in the Context of HIV Co-Infection: The Role of Medical, Behavioral and Mental Health Factors in Assessing Treatment Readiness
HCV-related liver disease is among the leading causes of death among HIV patients, yet few co-infected patients receive the standard of care.
2005
Journal Article
Correlates of HIV Antiretroviral Adherence in Persons with Serious Mental Illness
This is the first published study of HIV antiretroviral adherence and its correlates among persons diagnosed with serious mental illness.
2004
Journal Article
Is the Influence of Social Desirability on Patients' Self-Reported Adherence Overrated?
Improved self-reported measures will forward the ability of clinicians and investigators to assess adherence accurately.
2004
Journal Article
Relationship Between Routinization of Daily Behaviors and Medication Adherence in HIV-positive Drug Users
Evaluated whether a brief, yet more comprehensive measure of the routinization of daily behaviors and activities is predictive of medication adherence
2004
Journal Article
Adherence to HIV Antiretrovirals Among Persons with Serious Mental Illness
Despite the absence of empirical evidence, serious mental illness is assumed to be a high risk factor for nonadherence to HIV antiretroviral regimens.
2003
Journal Article
Assessing Usual Care in Clinical Trials of Adherence Interventions for Highly Active Antiretroviral Therapy
Despite the absence of empirical evidence, serious mental illness is assumed to be a high risk factor for nonadherence to HIV antiretroviral regimens.
2003
Journal Article
Does Discontinuing the Use of Pill Boxes to Facilitate Electronic Monitoring Impede Adherence?
Discontinuing the use of the pill box in order to implement electronic monitoring does not impede adherence.
2003
Journal Article
Factors Associated with Accurate Self-Reported Adherence to HIV Antiretrovirals
The purpose of this study was to determine the conditions in which self-reports provide an accurate assessment of adherence to HIV antiretrovirals.
2003
Journal Article
Levels and Correlates of Psychological Distress in Male Couples of Mixed HIV Status
Results suggest the need for 'couple-focused' clinical interventions for HIV-discordant couples.
2003
Journal Article
Pill Taking 'Routinization': A Critical Factor to Understanding Episodic Medication Adherence
This exploratory study examines the contextual factors that lead to episodic nonadherence to highly active antiretroviral therapy.
2003
Journal Article
Placebo Practice Trials: The Best Predictor of Adherence Readiness for HAART Among Drug Users?
This study assessed the utility of a placebo practice trial in determining adherence readiness among drug users.
2003
Journal Article
Correlates of Adherence to Combination Antiretroviral Therapy Among Members of HIV-positive Mixed Status Couples
This exploratory study assessed medication adherence and its correlates in HIV-positive members of HIV mixed status couples.
2002
Journal Article
Electronic Monitoring: Adherence Assessment or Intervention?
Electronic-monitored adherence is often used as the primary outcome measure for evaluating adherence interventions.
2002
Journal Article
Placebo Practice Trials, a Tool to Assess and Improve Adherence Readiness
Antiretroviral therapy is being increasingly delayed until later stages of illness.
2002
Journal Article
Predictors of Antiretroviral Adherence as Measured by Self-Report, Electronic Monitoring, and Medication Diaries
This study reports on the prevalence and predictors of adherence as measured by self-report, medication diaries, and electronic monitoring.
2002