Janac-Journal of the Association of Nurses in Aids Care最新文献_第10页

Strategies to Eliminate Inequity in PrEP Services in the US South and Rural Communities. 消除美国南部和农村社区PrEP服务不平等的战略。

IF 16.4 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-03-01 Epub Date: 2023-11-14 DOI: 10.1097/JNC.0000000000000437

Emiko Kamitani, Yuko Mizuno, Linda J Koenig

{"title":"Strategies to Eliminate Inequity in PrEP Services in the US South and Rural Communities.","authors":"Emiko Kamitani, Yuko Mizuno, Linda J Koenig","doi":"10.1097/JNC.0000000000000437","DOIUrl":"10.1097/JNC.0000000000000437","url":null,"abstract":"Abstract: Inequity in preexposure prophylaxis (PrEP) care in the US South and rural communities is likely attributed to Social Determinants of Health and structural issues beyond individuals' control. We describe three approaches to modify PrEP care practice models to make access easier-\"normalizing,\" \"digitalizing,\" and \"simplifying.\" \"Normalizing\" approaches are defined as practice models where medical providers who have access to PrEP candidates prescribe PrEP routinely (e.g., primary care providers, community pharmacists); these approaches are found to be highly applicable in real-world settings. Telehealth and other dHealth tools are examples of \"digitalizing\" PrEP, and their use has been increasing rapidly since the COVID-19 pandemic. \"Simplifying\" PrEP care (e.g., with HIV self-testing, on-demand PrEP) is highlighted in the most recent World Health Organization PrEP guideline. Identifying, implementing, and scaling up these new strategies can allow PrEP candidates to access it, potentially addressing inequities and promoting HIV risk reduction in the US South and rural communities.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"153-160"},"PeriodicalIF":16.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11090982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evolution of HIV Health Care Workforce Needs in the U.S. Mountain West During the COVID-19 Pandemic: A Mixed Method Study. COVID-19 大流行期间美国西部山区艾滋病医疗保健人员需求的演变：混合方法研究。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-03-01 Epub Date: 2024-01-12 DOI: 10.1097/JNC.0000000000000448

Claudia R Amura, Julia Thorne, Meagan Bean, Lisa Krug Avery, Laurie N Sylla, Hillary K Liss, Paul F Cook

{"title":"Evolution of HIV Health Care Workforce Needs in the U.S. Mountain West During the COVID-19 Pandemic: A Mixed Method Study.","authors":"Claudia R Amura, Julia Thorne, Meagan Bean, Lisa Krug Avery, Laurie N Sylla, Hillary K Liss, Paul F Cook","doi":"10.1097/JNC.0000000000000448","DOIUrl":"10.1097/JNC.0000000000000448","url":null,"abstract":"Abstract: The COVID-19 pandemic drastically affected health care delivery for vulnerable populations. Many facilities shifted services to telemedicine, and people with HIV or at risk of acquiring HIV experienced interruptions in care. Simultaneously, traditional training approaches to help providers adapt were disrupted. Using a mixed method approach to examine changes over time, we integrated data on trainee needs collected by the Mountain West AIDS Education and Training Center (AETC): a 10-state needs assessment survey in 2020; feedback from a 2020 community of practice; aggregate training data from 2000 to 2022; and a second survey in 2022. HIV care providers' training needs evolved from wanting support on telemedicine and COVID-19 patient care issues, to a later focus on mental health and substance use, social determinants of health, and care coordination. This integrative analysis demonstrates the vital role that AETCs can play in addressing evolving and emergent public health challenges for the HIV workforce.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"35 2","pages":"78-90"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A 2-Year, Randomized, Clinical Trial Examining the Effects of Speed of Processing Cognitive Training on Quality-of-Life Indicators in Adults With HIV-Associated Neurocognitive Disorder in Birmingham, Alabama: Results of the Think Fast Study. 一项为期两年的随机临床试验，研究处理速度认知训练对阿拉巴马州伯明翰艾滋病毒相关神经认知障碍成人生活质量指标的影响：快速思考研究的结果。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-03-01 Epub Date: 2024-01-18 DOI: 10.1097/JNC.0000000000000449

David E Vance, Pariya L Fazeli, Andres Azuero, Jennifer S Frank, Virginia G Wadley, James L Raper, Caitlin N Pope, Alexandra Jacob, Karlene K Ball

{"title":"A 2-Year, Randomized, Clinical Trial Examining the Effects of Speed of Processing Cognitive Training on Quality-of-Life Indicators in Adults With HIV-Associated Neurocognitive Disorder in Birmingham, Alabama: Results of the Think Fast Study.","authors":"David E Vance, Pariya L Fazeli, Andres Azuero, Jennifer S Frank, Virginia G Wadley, James L Raper, Caitlin N Pope, Alexandra Jacob, Karlene K Ball","doi":"10.1097/JNC.0000000000000449","DOIUrl":"10.1097/JNC.0000000000000449","url":null,"abstract":"Abstract: Speed of processing (SOP) cognitive training may improve indicators of the quality of life (QoL) in people living with HIV. In this 2-year, longitudinal, randomized, controlled trial, 216 participants ages 40 years and older with HIV-associated neurocognitive disorder or borderline HIV-associated neurocognitive disorder were assigned to one of three groups: (a) 10 hr of SOP training (n = 70); (b) 20 hr of SOP training (n = 73), or (c) 10 hr of internet navigation control training (a contact control group; n = 73). Participants completed several QoL measures at baseline, posttest, and Year 1 and Year 2 follow-ups. Using linear mixed-effect models, no strong pattern of training effects across QoL outcomes was apparent, with small-magnitude, nonsignificant, between-group differences in depression, locus of control, and Medical Outcomes Study-HIV scales. In conclusion, despite prior work showing some transfer of SOP cognitive training improving QoL, that was not observed. Implications for research and practice are posited.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"35 2","pages":"104-121"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11217600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality of Nursing Care Perceived by People With HIV in Brazil: A Cross-Sectional Study. 巴西艾滋病毒感染者感知的护理质量:一项横断面研究。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 Epub Date: 2023-11-28 DOI: 10.1097/JNC.0000000000000440

Adriano Maia Dos Santos, Laio Magno, Eduarda Ferreira Dos Anjos, Jessica Prates Porto, Rosemary Rocha Fonseca Barroso, Maria da Purificação Nazaré Araújo, Bárbara Emanuely de Brito Guimarães, Nília Maria Brito Lima Prado

{"title":"Quality of Nursing Care Perceived by People With HIV in Brazil: A Cross-Sectional Study.","authors":"Adriano Maia Dos Santos, Laio Magno, Eduarda Ferreira Dos Anjos, Jessica Prates Porto, Rosemary Rocha Fonseca Barroso, Maria da Purificação Nazaré Araújo, Bárbara Emanuely de Brito Guimarães, Nília Maria Brito Lima Prado","doi":"10.1097/JNC.0000000000000440","DOIUrl":"10.1097/JNC.0000000000000440","url":null,"abstract":"Abstract: We evaluated the quality of care provided by the nursing team within specialized care services (SCS) from the perspective of persons with HIV (PWH). A cross-sectional study was conducted in 25 SCS selected by a single-stage cluster sampling in 21 municipalities in Brazil. Systematic sampling was performed between October 2019 and March 2020 in the reception areas of SCS locations to choose the study population ( N = 377). The adapted and validated Quality of Care Through the Patient's Eyes-HIV (QUOTE-HIV) questionnaire was used to measure the quality of perceived care, and the Mann-Whitney test to compare the scores between men and women. Of the 377 PWH, most were women (57.71%), Black or Brown (85.9%), heterosexual (67.1%), and cisgendered (96.0%); the mean age was ≥30 years (76.1%). Users' evaluation of the care provided by SCS according to scores of importance and performance of the QUOTE-HIV instrument ranged from 5.60 to 8.95 and 0.03 to 0.76, respectively. The perception of PWH about the quality of care provided by the nursing team in SCS suggests that there are opportunities to improve.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"40-50"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the Sick Quitting Hypothesis for Frailty Status and Reducing Alcohol Use Among People With HIV in a Longitudinal Clinical Cohort Study. 在一项纵向临床队列研究中，评估艾滋病毒感染者的虚弱状态和减少饮酒的 "病态戒酒假说"。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 DOI: 10.1097/JNC.0000000000000441

Stephanie A Ruderman, Lydia N Drumright, Joseph A C Delaney, Allison R Webel, Annette L Fitzpatrick, Bridget M Whitney, Robin M Nance, Andrew W Hahn, Jimmy Ma, L Sarah Mixson, Sherif Eltonsy, Amanda L Willig, Kenneth H Mayer, Sonia Napravnik, Meredith Greene, Mary McCaul, Edward Cachay, Stephen B Kritchevsky, Steven N Austad, Alan Landay, Michael S Saag, Mari M Kitahata, Bryan Lau, Catherine Lesko, Geetanjali Chander, Heidi M Crane, Michelle C Odden

{"title":"Evaluating the Sick Quitting Hypothesis for Frailty Status and Reducing Alcohol Use Among People With HIV in a Longitudinal Clinical Cohort Study.","authors":"Stephanie A Ruderman, Lydia N Drumright, Joseph A C Delaney, Allison R Webel, Annette L Fitzpatrick, Bridget M Whitney, Robin M Nance, Andrew W Hahn, Jimmy Ma, L Sarah Mixson, Sherif Eltonsy, Amanda L Willig, Kenneth H Mayer, Sonia Napravnik, Meredith Greene, Mary McCaul, Edward Cachay, Stephen B Kritchevsky, Steven N Austad, Alan Landay, Michael S Saag, Mari M Kitahata, Bryan Lau, Catherine Lesko, Geetanjali Chander, Heidi M Crane, Michelle C Odden","doi":"10.1097/JNC.0000000000000441","DOIUrl":"10.1097/JNC.0000000000000441","url":null,"abstract":"Abstract: \"Sick quitting,\" a phenomenon describing reductions in alcohol consumption following poor health, may explain observations that alcohol appears protective for frailty risk. We examined associations between frailty and reductions in drinking frequency among people with HIV (PWH). At six Centers for AIDS Research Network of Integrated Clinical Systems (CNICS) sites between January 2012 and August 2021, we assessed whether frailty, measured through validated modified frailty phenotype, precedes reductions in drinking frequency. We associated time-updated frailty with quitting and reducing frequency of any drinking and heavy episodic drinking (HED), adjusted for demographic and clinical characteristics in Cox models. Among 5,654 PWH reporting drinking, 60% reported >monthly drinking and 18% reported ≥monthly HED. Over an average of 5.4 years, frail PWH had greater probabilities of quitting (HR: 1.56, 95% confidence interval [95% CI] [1.13-2.15]) and reducing (HR: 1.35, 95% CI [1.13-1.62]) drinking frequency, as well as reducing HED frequency (HR: 1.58, 95% CI [1.20-2.09]) versus robust PWH. Sick quitting likely confounds the association between alcohol use and frailty risk, requiring investigation for control.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":"35 1","pages":"5-16"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the Sick Quitting Hypothesis for Frailty Status and Reducing Alcohol Use Among People With HIV in a Longitudinal Clinical Cohort Study. 在一项纵向临床队列研究中，评估艾滋病毒感染者的虚弱状态和减少饮酒的 "病态戒酒假说"。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 DOI: 10.1097/JNC.0000000000000445

引用次数: 0

An Analysis of Biopsychosocial Factors Associated With Chronic Pain Severity Among Hospitalized People Living With HIV in Shenzhen, China: A Cross-Sectional Study. 中国深圳住院艾滋病病毒感染者慢性疼痛严重程度的相关生物心理社会因素分析：一项横断面研究。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 DOI: 10.1097/JNC.0000000000000438

Ni Wu, Hanhan Kong, Lu Han, Yongfeng Chen, Jinbing Bai, Yanqun Liu

引用次数: 0

Now Is the Time. 就是现在

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 Epub Date: 2023-12-05 DOI: 10.1097/JNC.0000000000000446

Michael V Relf

引用次数: 0

"I Have to Do It in Secrecy": Provider Perspectives on HIV Service Delivery and Quality of Care for Key Populations in Zambia. “我必须保密”:提供者对赞比亚关键人群艾滋病毒服务提供和护理质量的看法。

IF 1.6 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 Epub Date: 2023-11-29 DOI: 10.1097/JNC.0000000000000443

Drosin M Mulenga, Joseph G Rosen, Lunda Banda, Maurice Musheke, Michael T Mbizvo, Henry F Raymond, Ryan Keating, Harold Witola, Lyson Phiri, Scott Geibel, Waimar Tun, Nanlesta Pilgrim

{"title":"\"I Have to Do It in Secrecy\": Provider Perspectives on HIV Service Delivery and Quality of Care for Key Populations in Zambia.","authors":"Drosin M Mulenga, Joseph G Rosen, Lunda Banda, Maurice Musheke, Michael T Mbizvo, Henry F Raymond, Ryan Keating, Harold Witola, Lyson Phiri, Scott Geibel, Waimar Tun, Nanlesta Pilgrim","doi":"10.1097/JNC.0000000000000443","DOIUrl":"10.1097/JNC.0000000000000443","url":null,"abstract":"Abstract: Key populations (KPs) experience suboptimal outcomes along the HIV care and prevention continua, but there is limited study of the challenges service providers encounter delivering HIV services to KPs, particularly in settings like Zambia, where provision of these services remains legally ambiguous. Seventy-seven providers completed in-depth interviews exploring constraints to HIV service delivery for KPs and recommendations for improving access and care quality. Thematic analysis identified salient challenges and opportunities to service delivery and quality of care for KPs, spanning interpersonal, institutional, and structural domains. Limited provider training in KP-specific needs was perceived to influence KP disclosure patterns in clinical settings, impeding service quality. The criminalization of KP sexual and drug use behaviors, coupled with perceived institutional and legal ambiguities to providing HIV services to KPs, cultivated unwelcoming service delivery environments for KPs. Findings elucidate opportunities for improving HIV service delivery/quality, from decentralized care to expanded legal protections for KPs and service providers.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"27-39"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10842367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138452974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Social, Mental, and Physical Health Impacts of the COVID-19 Pandemic on People With HIV: Protocol of an Observational International Multisite Study. COVID-19 大流行对艾滋病毒感染者的社会、心理和身体健康的影响：国际多地点观察研究方案》。

IF 2 4区医学

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-01-01 Epub Date: 2023-12-14 DOI: 10.1097/JNC.0000000000000444

Yvette P Cuca, Christine Horvat Davey, Inge B Corless, J Craig Phillips, Álvaro José Sierra-Perez, Solymar Solís Báez, Emilia Iwu, Motshedisi Sabone, Mercy Tshilidzi Mulaudzi, Christina Murphey, Sheila Shaibu, Wei-Ti Chen, Diane Santa Maria, Rebecca Schnall, Patrick Palmieri, Panta Apiruknapanond, Tongyao Wang, Tania de Jesús, Emily Huang, Janessa Broussard, Carol Dawson-Rose

{"title":"The Social, Mental, and Physical Health Impacts of the COVID-19 Pandemic on People With HIV: Protocol of an Observational International Multisite Study.","authors":"Yvette P Cuca, Christine Horvat Davey, Inge B Corless, J Craig Phillips, Álvaro José Sierra-Perez, Solymar Solís Báez, Emilia Iwu, Motshedisi Sabone, Mercy Tshilidzi Mulaudzi, Christina Murphey, Sheila Shaibu, Wei-Ti Chen, Diane Santa Maria, Rebecca Schnall, Patrick Palmieri, Panta Apiruknapanond, Tongyao Wang, Tania de Jesús, Emily Huang, Janessa Broussard, Carol Dawson-Rose","doi":"10.1097/JNC.0000000000000444","DOIUrl":"10.1097/JNC.0000000000000444","url":null,"abstract":"Abstract: As the COVID-19 pandemic spread across the world, immunocompromised individuals such as people with HIV (PWH) may have faced a disproportionate impact on their health and HIV outcomes, both from COVID-19 and from the strategies enacted to contain it. Based on the SPIRIT guidelines, we describe the protocol for an international multisite observational study being conducted by The International Nursing Network for HIV Research, with the Coordinating Center based at the University of California, San Francisco (UCSF) School of Nursing. Site Principal Investigators implement a standardized protocol to recruit PWH to complete the study online or in-person. Questions address demographics; HIV continuum of care indicators; mental and social health; COVID-19 and vaccination knowledge, attitudes, behaviors, and fears; and overall outcomes. Results of this study will contribute to knowledge that can inform responses to future public health crises to minimize their impacts on vulnerable populations such as PWH.","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":" ","pages":"60-74"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10749681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0