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Journal of the Association of Nurses in AIDS Care: JANAC

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https://read.qxmd.com/read/31094867/video-based-preconception-counseling-for-women-living-with-hiv
#1
Brittany M Alexander, Claire E Farel, Lisa Rahangdale, Kara McGee, Julie Thompson, Katherine Barley, James L Harmon
No abstract text is available yet for this article.
May 14, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31094866/the-lived-experience-of-antiretroviral-therapy-for-pregnant-women-antiretroviral-therapy-adherence-as-a-balancing-act
#2
Jessica E Shore, Olimpia Paun, Susan C Vonderheid
We explored 10 pregnant women's experiences with antiretroviral therapy (ART) adherence using a qualitative approach. Semistructured interviews were conducted with pregnant ethnic minority women living with HIV and receiving integrated HIV/obstetric care at a Midwestern academic medical center in the United States. Data were analyzed using an interpretive phenomenology approach to identify major themes. We found an overarching theme: ART Adherence as a Balancing Act (striving to adhere to ART while having to simultaneously navigate daily challenges)...
May 14, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31094865/events-centrality-moderates-the-relationship-between-posttraumatic-growth-and-health-related-quality-of-life-among-people-living-with-hiv
#3
Desmond Uchechukwu Onu, Dorothy Ugwu, Charles Tochukwu Orjiakor
HIV diagnosis and treatment are traumatic events, which may translate to positive growth and affect health outcomes of people living with HIV (PLWH). We hypothesized that the pathway between positive growth and health-related quality of life was impacted by event centrality (EC; how much HIV is integrated into self-definition). Two hundred and one PLWH in Nigeria who had been diagnosed/treated for at least 1 year completed measures of posttraumatic growth, EC, and health-related quality of life. Multiple regression analysis was used to investigate relationships between variables of interest...
May 14, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31094864/effects-of-supervised-exercise-on-physical-health-and-quality-of-life-among-older-adults-living-with-hiv-in-hong-kong
#4
Chi Hong Chung, Vivian W Q Lou
No abstract text is available yet for this article.
May 14, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31033630/are-male-partners-the-missing-link-to-eliminating-mother-to-child-transmission-of-hiv-in-sub-saharan-africa-evidence-from-a-retrospective-case-control-study
#5
Joram Nyandat, Gisela Van Rensburg
When male partners of pregnant women living with HIV do not participate in antenatal care, it decreases the uptake of prevention of mother-to-child transmission interventions, which increases the risk of HIV transmission to newborns. We evaluated the association of male partner involvement and vertical HIV transmission at 6 weeks along 4 constructs: antenatal clinic accompaniment, mother's awareness of partner HIV status, disclosure of mother's HIV status to partner, and couple testing. Thirty-three HIV-exposed infants with positive 6-week polymerase chain reaction (PCR) results were compared with 144 HIV-exposed infants with a negative PCR...
April 26, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31033629/using-real-time-adherence-feedback-to-enhance-communication-about-adherence-to-antiretroviral-therapy-patient-and-clinician-perspectives
#6
Lauren M Hill, Carol E Golin, Allison Pack, Jessica Carda-Auten, Deshira D Wallace, Sruthi Cherkur, Claire E Farel, Elias P Rosen, Monica Gandhi, Heather M Asher Prince, Angela D M Kashuba
New technologies for real-time adherence monitoring hold the potential to enhance antiretroviral therapy adherence interventions by providing objective information about daily medication-taking behavior. To realize this potential, we need to understand how to integrate real-time adherence feedback into existing best practices to promote antiretroviral therapy adherence at the point of care. Using in-depth interviews with 30 HIV-infected patients and 29 HIV care clinicians, our primary aims were to understand patients' and clinicians' perceptions of anticipated benefits and preferred uses of objective feedback to enhance conversations about adherence and to identify concerns about the impact of objective monitoring on patient-clinician relationships and communication...
April 26, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31008817/prep-rn-clinical-considerations-and-protocols-for-nurse-led-prep
#7
Patrick OʼByrne, Paul MacPherson, Lauren Orser, Jean Daniel Jacob, Dave Holmes
HIV pre-exposure prophylaxis (PrEP) is an increasingly important part of the HIV prevention armamentarium. Issues with PrEP, however, include access. We propose that one way to surmount this issue would be to have nurses provide PrEP. Although clinical guidelines exist for PrEP, they are overwhelmingly not targeted to nonprescriber clinicians. In this article, we overview current U.S. and Canadian PrEP guidelines and provide explicit guidance about how nurses can provide PrEP, including the clinical pathways and medical directives we use in our clinic...
April 9, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/30958409/development-of-a-question-prompt-list-for-patients-living-with-hiv-and-assessment-of-their-information-needs
#8
Gwang Suk Kim, Jae-Phil Choi, Jeong Min Yi, Mi-So Shim
A question prompt list (QPL) is an efficient method to facilitate patient active participation and communication by providing patients with questions to ask their health care providers. We developed a QPL based on the information needs of patients living with HIV in Korea. A mixed method study design was used, involving five sequential steps: literature review, focus group interview with experienced nurses, in-depth interviews with patients, expert reviews, and a survey of 170 patients. A QPL with 27 questions was developed through literature reviews and expert reviews, and 12 questions were identified based on the Borich needs assessment model...
April 3, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/30958407/preliminary-validation-of-an-unannounced-telephone-pill-count-protocol-to-measure-medication-adherence-among-young-adults-with-perinatal-hiv-infection
#9
Amelia Bucek, Jeannette Raymond, Cheng-Shiun Leu, Patricia Warne, Elaine J Abrams, Curtis Dolezal, Andrew Wiznia, Seth Kalichman, Moira Kalichman, Claude A Mellins
Unannounced telephone pill counts are an objective antiretroviral therapy adherence measurement tool, but this method has not been validated in young adults (YA) living with perinatal HIV infection. Perinatally infected YA, recruited from the Child and Adolescent Self-Awareness and Health Study, agreed to unannounced telephone pill counts to measure medication adherence over 4 months and phlebotomy to measure viral load (VL). Differences in pill count adherence scores among YA with a VL of ≤20 versus >20, and demographic differences were assessed...
April 3, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/30958406/health-care-provider-perspectives-on-pre-exposure-prophylaxis-a-qualitative-study
#10
Sarahmona Przybyla, Susan LaValley, Noelle St Vil
Although pre-exposure prophylaxis (PrEP) requires a prescription from a health care provider, we lack unanimity in guidelines for the identification of the ideal provider type to prescribe PrEP. The purpose of our study was to understand clinician perspectives on provider categories to determine who is best suited to prescribe this medication to HIV-uninfected patients. We conducted 28 in-depth interviews between September 2017 and January 2018 with current prescribers of PrEP. Qualitative findings indicated that providers were split on recommended PrEP prescriber type...
April 3, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/30958405/a-south-african-couple-based-hiv-prevention-program-preliminary-evidence-of-the-long-term-effects
#11
Jennifer M Belus, Donald H Baucom, Tara Carney, Emily A Carrino, Wendee M Wechsberg
The goal of our study was to provide qualitative data on the long-term effects of a couple-based HIV prevention program, the Couples Health Co-Op (CHC), in South Africa. Qualitative focus group discussions were conducted with nonrandomly selected Black South African men (n = 27) and women (n = 23) who had participated in the Couples Health Co-Op 4 to 6 years prior to our study. The study evaluated: (a) salient content and skills learned, (b) long-term changes and challenges, and (c) recommendations for intervention improvement...
April 3, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/30908348/symptom-profile-and-technology-use-of-persons-living-with-hiv-who-access-services-at-a-community-based-organization-in-the-deep-south
#12
Rebecca Schnall, Karen Musgrove, D Scott Batey
Currently, the Southern United States has the highest rates of new HIV diagnoses with the largest percentage of people living with HIV (PLWH), and the most Americans dying from the disease. Given the increase of the HIV epidemic in the Deep South and the availability of evidence-based self-management tools for PLWH, we conducted an in-person survey in Birmingham, Alabama, to understand the symptom profile and the use of technology by PLWH. Muscle aches or joint pain was the most frequently (67%) reported symptom followed by fatigue, sleep difficulties, neuropathy, and depressive symptoms...
March 21, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/30908349/mental-and-physical-quality-of-life-by-age-groups-in-people-living-with-hiv
#13
Hannah J Jang, Derek D Satre, Wendy Leyden, Amy Leibowitz, Michael J Silverberg
Quality of life (QoL) is relevant to people living with HIV (PLWH) with increased life expectancy because of antiretroviral therapy. Our cross-sectional study examined associations between sociodemographic, HIV-related and psychological variables, and QoL, overall and by age. PLWH (n = 614) completed questionnaires at enrollment in an alcohol treatment study. QoL was assessed by the 12-item Short Form Survey, which includes physical and mental domains. Linear regression models evaluated the association of age and other factors with mental and physical QoL...
March 20, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/30865060/occupational-stress-and-burnout-among-health-care-workers-caring-for-people-living-with-hiv-in-eswatini
#14
Lomthandazo Queeneth Bhembe, Feng-Jen Tsai
We used the Effort-Reward Imbalance Questionnaire and Copenhagen Burnout Inventory in our cross-sectional study to examine associations between occupational stress and burnout among 368 health care workers (HCW) who cared for people living with HIV (PLWH) in Eswatini. Chi-square and logistic regression analyses were conducted. HCW caring for PLWH reported high efforts, imbalanced effort-reward ratios, overcommitment, and low rewards. Health care managers, physicians, and nurses reported higher work efforts, effort-reward ratios, overcommitment, and personal, work-related, and client-related burnout than laboratory staff or peer counselors...
March 7, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/30865059/cognitive-reserve-over-the-lifespan-neurocognitive-implications-for-aging-with-hiv
#15
David E Vance, Loretta Lee, Jose A Muñoz-Moreno, Shannon Morrison, Turner Overton, Amanda Willig, Pariya L Fazeli
Approximately 59% of adults living with HIV experience HIV-associated neurocognitive disorder, a collection of symptoms and cognitive deficits in various cognitive domains. As the HIV population ages, the prevalence and severity of such cognitive deficits are expected to grow. Understanding how these cognitive deficits manifest is important for nurses and health care providers. This article provides an overview of cognitive reserve and evidence of how it is compromised by HIV, aging, and individual characteristics...
March 7, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/30829894/perceived-social-support-among-adults-struggling-with-adherence-to-hiv-care-and-treatment
#16
Maithe Enriquez, Deborah A Mercier, An-Lin Cheng, Julie W Banderas
Few studies have examined perceived social support among the subgroup of the HIV population that struggles with adherence to HIV care and treatment. A secondary analysis from 2 HIV medication adherence intervention studies was conducted using a mixed method design. Participants were not taking HIV medications as prescribed or had fallen out of HIV care. Two major themes emerged from the qualitative data analysis: extreme isolation and constant turmoil. Overall social support scores were low, as measured by the Medical Outcomes Study Social Support Survey...
February 26, 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31026241/engaging-and-supporting-youth-to-promote-adherence-success-easypas-a-cognitive-behavioral-intervention-for-youth-living-with-hiv
#17
Ann-Margaret Dunn Navarra, Hannah Ford, Charles M Cleland, Eva Liang, Karla Rodriguez, Natalie Neu
No abstract text is available yet for this article.
May 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31026240/development-of-a-10-item-tool-to-identify-advanced-practice-nurse-readiness-to-prescribe-pre-exposure-prophylaxis
#18
Gregory A Carter, Wasantha Jayawardene, Jon Agley, Justin R Garcia, Wendy R Miller, Catherine Sherwood-Laughlin, Beth Meyerson
Pre-exposure prophylaxis (PrEP), a biomedical tool to prevent the acquisition of HIV, reduces the risk of HIV in high-risk individuals by more than 90%. An online questionnaire was fielded from March 2017 to May 2017 to a random sample of licensed advanced practice nurses (APNs) from the U.S. state of Indiana. Discriminant function analysis was performed to reveal willingness to prescribe PrEP. Two discriminant functions were identified: Sexual Risk Assessment (r = .686), PrEP Barriers (r = .587), Evidence-Based Practice Implementation (r = ...
May 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31021966/prep-rn-clinical-considerations-and-protocols-for-nurse-led-prep
#19
(no author information available yet)
No abstract text is available yet for this article.
May 2019: Journal of the Association of Nurses in AIDS Care: JANAC
https://read.qxmd.com/read/31021965/ending-the-hiv-epidemic-a-plan-for-america-nurses-needed
#20
Carole Treston
No abstract text is available yet for this article.
May 2019: Journal of the Association of Nurses in AIDS Care: JANAC
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