{"title":"Developing a Strengths-Based, Culturally Grounded Intervention for Black Women Living With HIV and Intimate Partner Violence: A Formative Study of 1MoreStep.","authors":"Hyojin Lee, Karin E Tobin, Kamila A Alexander","doi":"10.1097/JNC.0000000000000710","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000710","url":null,"abstract":"<p><strong>Abstract: </strong>Black women in the United States face intersecting challenges of HIV and intimate partner violence. Few programs integrate safety planning with HIV care engagement while addressing strengths and contextual factors that sustain resilience. We developed 1MoreStep, a strengths-based intervention grounded in a cognitive behavioral approach and an HIV stigma framework. Formative work included 12 in-depth interviews, seven focus groups, and a six-member Community Advisory Board. Findings revealed multilevel barriers, including internalized and anticipated stigma, isolation, and structural service gaps. These insights informed a six-session hybrid curriculum incorporating cognitive behavioral tools, peer support, scenario-based activities, and the myPlan app. Guided by participants' feedback, we iteratively refined materials to ensure cultural fit, clarity, fidelity, and flexibility. 1MoreStep targets the psychological, interpersonal, and structural challenges faced by Black women living with HIV who experience intimate partner violence. A randomized, pilot, clinical trial is underway to examine the feasibility, acceptability, and preliminary efficacy of the intervention.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ohemaa B Poku, Kirsten F Siebach, María J Larrea Almeida, Sarah K Zalwango, Sarah M Murray, Amara Ezeamama
{"title":"Self-Disclosure of HIV Status and the Relationship to Mental Health Among Adolescents Living With HIV in Uganda: A Cross-Sectional Secondary Analysis of a Longitudinal Cohort.","authors":"Ohemaa B Poku, Kirsten F Siebach, María J Larrea Almeida, Sarah K Zalwango, Sarah M Murray, Amara Ezeamama","doi":"10.1097/JNC.0000000000000707","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000707","url":null,"abstract":"<p><strong>Abstract: </strong>Research on self-disclosure of HIV status by adolescents living with HIV (ALHIV) is scarce, despite its growing recognition as a determining factor of psychosocial outcomes and HIV treatment adherence, warranting examination of its mental health implications. A secondary analysis of longitudinal data of ALHIV in Uganda was conducted to assess patterns of self-disclosure and associations between sociodemographic factors, disclosure choices, and mental health symptoms. ALHIV disclosed to at least one person, most commonly a nuclear family member, with no significant associations except for disclosure to one's brother (i.e., lower depression symptoms). ALHIV who self-disclosed generally reported lower depression and anxiety symptoms, with a significant association observed for depression. The likelihood of ALHIV to disclose to family members highlights the importance of engaging these individuals in psychosocial interventions. Further research should clarify directionality and causality and examine the factors shaping ALHIV disclosure preferences to inform tailored care.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olivia Hollingdrake, John Rule, Chris Howard, Graham Brown, Brent Clifton, Jo River, Stephanie Edwards, Lisa Wojciechowski, Lucy Stackpool-Moore, Emma Paino, Cherie Bennett, Judith A Dean
{"title":"Nursing and Peer Support Worker Collaboration in Care for Older People Living With HIV in Australia: A Qualitative Interviews and National Roundtable Study.","authors":"Olivia Hollingdrake, John Rule, Chris Howard, Graham Brown, Brent Clifton, Jo River, Stephanie Edwards, Lisa Wojciechowski, Lucy Stackpool-Moore, Emma Paino, Cherie Bennett, Judith A Dean","doi":"10.1097/JNC.0000000000000698","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000698","url":null,"abstract":"<p><strong>Abstract: </strong>Older people living with HIV (PLWH) face intersecting challenges of long-term viral infection, age-related conditions, polypharmacy, and fragmented care from unfamiliar specialists, often compounded by stigma and discrimination. Nurses and peer support workers provide essential support for older PLWH navigating these challenges, yet organizational, cultural, and structural factors can impede their effective cross-sector collaboration. Using in-depth interviews and a roundtable discussion with nurses, peer support workers and older PLWH, our study highlights shared strengths and goals of HIV peer support work and nursing practice, reveals perceived barriers to collaboration, and suggests strategies to improve practice together. Thematic analysis revealed four intersecting themes: different lenses; role clarity; health care culture and power relations; and leadership, coordination and trust. Strengthening collaboration in HIV care requires addressing power dynamics and using transparent, co-constructed frameworks to clarify roles and assumptions, ultimately enhancing care teams and networks to provide optimal care for older PLWH.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Behavioral Determinants of Asymptomatic Chlamydia and Gonorrhea Among People Living With HIV in Thailand: A Cross-sectional Study.","authors":"Supalak Phonphithak, Phenpanat Toomcharoen, Chuleeporn Wongvoranet, Thanawat Nochaiwong, Anchalee Avihingsanon","doi":"10.1097/JNC.0000000000000702","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000702","url":null,"abstract":"<p><strong>Abstract: </strong>Asymptomatic sexually transmitted infections (STIs), particularly Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG), remain common among people living with HIV (PLHIV). To determine the prevalence of asymptomatic CT/NG infections and identify associated behavioral factors among PLHIV using Pender's Health Promotion Model, our cross-sectional study included 657 asymptomatic PLHIV enrolled in an ongoing cohort at a HIV research center in Bangkok, Thailand. Participants underwent CT/NG nucleic acid amplification testing and completed behavioral questionnaires. Modified Poisson regression estimated adjusted prevalence ratios. CT-only, NG-only, and dual CT/NG infections were identified in 12.2%, 6.8%, and 3.0% of participants, respectively. Overall, 16.0% had at least one asymptomatic infection. Younger age, prior STI history, and condom slippage were associated with CT/NG infection, whereas younger age and injection drug use were associated with dual infection. Routine extragenital STI screening and behavioral risk assessment should be integrated into HIV care.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"HIV Awareness and Stigma Reduction Through Immersive Theatrical Drag Storytelling: A Mixed-Methods Pilot Study of Community Members in Western United States.","authors":"Austin Nation, Jonathan Luis Tovar, May Marsh","doi":"10.1097/JNC.0000000000000708","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000708","url":null,"abstract":"<p><strong>Abstract: </strong>HIV stigma remains a barrier to testing, prevention, and health care access among LGBTQ+ communities. Theatrical drag storytelling is a promising, culturally relevant approach to HIV awareness, stigma reduction, and prevention. A convergent mixed-methods pre-post survey design was used. Of 70 adults attending a community theatrical performance, 51 completed matched preperformance and postperformance surveys assessing HIV knowledge, stigma, testing, and empowerment. An open-ended question explored participant experiences. Among 51 matched participants, 94.1% perceived HIV stigma and 41.2% had never been tested for HIV. Following the performance, 90.2% reported increased HIV prevention knowledge and testing empowerment, and 84.3% reported personal relevance. Qualitative themes highlighted authenticity, empowerment, emotional resonance, HIV education, and community belonging. Immersive theatrical storytelling and drag performance may be effective, culturally relevant approaches to increasing HIV awareness, reducing stigma, and promoting testing engagement among LGBTQ+ communities, complementing traditional nursing and public health strategies.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Justin L Bullock, Crystal E Brown, Reggie Casanova-Perez, Brian R Wood
{"title":"\"I Don't Want to Have to Share Every Detail\": Phenomenographic Exploration of Identity Safety in People With HIV in Urban and Rural United States.","authors":"Justin L Bullock, Crystal E Brown, Reggie Casanova-Perez, Brian R Wood","doi":"10.1097/JNC.0000000000000709","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000709","url":null,"abstract":"<p><strong>Abstract: </strong>Identity safety-the freedom to exist as one's authentic self-combats identity-based discrimination, although research in clinical settings remains sparse. This was a multi-institutional, qualitative interview study, which explored how a diverse group of 17 people with HIV (PWH) experience identity safety during health care encounters. Eligible participants were PWH who received care at a clinic with expertise in serving PWH in Idaho, Montana, or Washington. The authors employed phenomenography to analyze the multiple ways PWH experience identity safety. Agentic actions by participants and actions by health care workers could promote identity safety. Sharing an identity with one's health care provider contributed to-but did not guarantee-safety. Participants diverged in how they experienced nonessential, personal questions. For some, questioning about personal details augmented trust; for others, less questioning respected their desired privacy. Our findings identify actionable ways to promote identity safety, even if health care workers' identities differ from that of their patient.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca Schnall, Sophia McInerney, Maeve Brin, Dylan B Yates, Mauda Monger, Makailya Drake, Jessica Schwiesow, Tracy Wynne, Sekiyah Jackson, Kelly Turner, Meredith E Clement, Audrey Hang Hai, Corina T Lelutiu-Weinberger, Haomiao Jia, D Scott Batey
{"title":"CHAMPS+: Protocol for a Randomized Trial of a CHW-Delivered mHealth Intervention to Improve Viral Suppression in the U.S. Deep South.","authors":"Rebecca Schnall, Sophia McInerney, Maeve Brin, Dylan B Yates, Mauda Monger, Makailya Drake, Jessica Schwiesow, Tracy Wynne, Sekiyah Jackson, Kelly Turner, Meredith E Clement, Audrey Hang Hai, Corina T Lelutiu-Weinberger, Haomiao Jia, D Scott Batey","doi":"10.1097/JNC.0000000000000694","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000694","url":null,"abstract":"<p><strong>Abstract: </strong>Viral suppression (VS) disparities persist among persons living with HIV in the U.S. Deep South because of structural barriers and disengagement from care. Community health workers and mobile health (mHealth) interventions may address multilevel challenges, yet real-world evidence is limited. The aim of our study is to evaluate effectiveness and implementation of CHAMPS+, a CHW-delivered mHealth intervention to improve VS. CHAMPS+ is a multisite randomized controlled trial with mixed-method implementation evaluation. A total of 420 virally unsuppressed or out-of-care adults with HIV in Alabama (AL), Louisiana (LA), and Mississippi (MS) are randomized to a 6-month CHW-delivered program supported by WiseApp and electronic adherence monitoring or standard care. Implementation is assessed using RE-AIM. The primary outcome is VS at 6 months; secondary outcomes include medication adherence and psychosocial mediators. The trial will generate evidence on the clinical effectiveness and real-world implementation of a scalable CHW-mHealth intervention in Ending the HIV Epidemic priority jurisdictions.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Outcomes of People Living With HIV in a Tertiary Hospital in Türkiye in the Context of the UNAIDS 95-95-95 and Fourth 95 Targets: A Cross-sectional Study.","authors":"Leman Yörür Meğreli, Aysun Ardıç","doi":"10.1097/JNC.0000000000000705","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000705","url":null,"abstract":"<p><strong>Abstract: </strong>Achieving the UNAIDS 95-95-95 and fourth 95 targets requires understanding both clinical and psychosocial challenges. This cross-sectional study evaluated clinical outcomes and HIV-related stigma among 295 people living with HIV at a Turkish tertiary clinic between October 2024 and June 2025. Data were collected using a clinical form and the Berger HIV Stigma Scale. Incidental HIV diagnosis accounted for 60% of the cohort, whereas 40% underwent voluntary testing. Regarding the care cascade, 55.9% experienced early treatment initiation, 66.1% were adherent to antiretroviral therapy, and 66.8% achieved viral suppression. The mean total stigma score was high (106.56 ± 25.56), particularly within internalized stigma and negative self-image dimensions. Stigma scores did not differ significantly across sociodemographic variables (p > .05). Clinical outcomes must be reinforced with targeted psychosocial interventions and anti-stigma programs. Nurses are strategically positioned to lead case management and peer-supported counseling to dismantle stigma and deliver holistic care.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicholas J SantaBarbara, Laura Kurdziel, Jessica Cellucci, Koby Conz, Hope Finlayson, Ryan McKinney, Leena Bharath
{"title":"Exercise to Mitigate the Effects of Aging With HIV: A Narrative Review With Exercise Recommendations for Practice.","authors":"Nicholas J SantaBarbara, Laura Kurdziel, Jessica Cellucci, Koby Conz, Hope Finlayson, Ryan McKinney, Leena Bharath","doi":"10.1097/JNC.0000000000000703","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000703","url":null,"abstract":"<p><strong>Abstract: </strong>Although antiretroviral therapy (ART) has extended the lifespan of people living with HIV (PWH), many experience complex age-related comorbidities and functional decline. Nurses are increasingly caring for PWH navigating cardiometabolic disease, neurocognitive changes, frailty, and mental health challenges. This narrative review provides a multidimensional overview of aging with HIV and highlights the role of exercise as an accessible, evidence-based strategy to support healthy aging. Chronic immune activation and long-term ART use contribute to inflammation, mitochondrial dysfunction, cardiometabolic risk, and neurocognitive impairment. Evidence demonstrates that aerobic and resistance training can improve immune markers, cardiometabolic health, cognitive function, mood, and quality of life without adversely affecting HIV progression. Practical, adaptable exercise protocols suitable for clinical, home-based, and community-based settings are provided to support integration into routine HIV care. Regular exercise represents a safe and scalable strategy nurses can incorporate into comprehensive, patient-centered care for aging PWH.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perinatal Transmission of HIV: Incidence, Trends, and Associated Risk Factors in a Retrospective Cohort Study of HIV-Exposed Infants From the Southwestern United States.","authors":"Janice Piatt, Laura Clarke-Steffen, Lucia Mirea","doi":"10.1097/JNC.0000000000000697","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000697","url":null,"abstract":"","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}