College of Nursing and Health Science
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Browsing College of Nursing and Health Science by Subject "AIDS"
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Item Engagement with care, substance use, and adherence to therapy in HIV/AIDS(Hindawi, 2014-04-03) Nicholas, Patrice; Willard, Suzanne; Thompson, Clinton J.; Dawson Rose, Carol; Corless, Inge; Wantland, Dean; Sefcik, Elizabeth; Nokes, Kathleen; Kirksey, Kenn; Hamilton, Mary Jane; Holzemer, William; Portillo, Carmen; Rivero-Mendez, Marta; Robinson, Linda M.; Rosa, Maria; Human, Sarie P.; Cuca, Yvette; Huang, Emily; Maryland, Mary; Arudo, John; Sanzero Eller, Lucille; Stanton, Mark A.; Driscoll, MaryKate; Voss, Joachim; Moezzi, Shahnaz; Nicholas, Patrice; Willard, Suzanne; Thompson, Clinton J.; Dawson Rose, Carol; Corless, Inge; Wantland, Dean; Sefcik, Elizabeth; Nokes, Kathleen; Kirksey, Kenn; Hamilton, Mary Jane; Holzemer, William; Portillo, Carmen; Rivero-Mendez, Marta; Robinson, Linda M.; Rosa, Maria; Human, Sarie P.; Cuca, Yvette; Huang, Emily; Maryland, Mary; Arudo, John; Sanzero Eller, Lucille; Stanton, Mark A.; Driscoll, MaryKate; Voss, Joachim; Moezzi, ShahnazEngagement with care for those living with HIV is aimed at establishing a strong relationship between patients and their health care provider and is often associated with greater adherence to therapy and treatment (Flickinger, Saha, Moore, and Beach, 2013). Substance use behaviors are linked with lower rates of engagement with care and medication adherence (Horvath, Carrico, Simoni, Boyer, Amico, and Petroli, 2013). This study is a secondary data analysis using a cross-sectional design from a larger randomized controlled trial () that investigated the efficacy of a self-care symptom management manual for participants living with HIV. Participants were recruited from countries of Africa and the US. This study provides evidence that substance use is linked with lower self-reported engagement with care and adherence to therapy. Data on substance use and engagement are presented. Clinical implications of the study address the importance of utilizing health care system and policy factors to improve engagement with care.Item Self-care behaviors and activities for managing HIV-related anxiety(Lippincott, Williams & Wilkins, 2011-08-11) Kemppainen, Jeanne; Wantland, Dean; Voss, Joachim; Nicholas, Patrice; Kirksey, Kenn; Corless, Inge; willard, suzanne; Holzemer, William; Robinson, Linda; Hamilton, Mary Jane; Sefcik, Elizabeth; Sanzero Eller, Lucille; Huang, Emily; Arudo, John; Moezzi, Shahnaz; Rivero-Mendez, Marta; Rosa, Maria; Human, Sarie; Cuca, Yvette; Lindgren, Terri; Portillo, Carmen J; Maryland, MaryThe goal of this study was to identify the baseline prevalence and effectiveness of anxiety self-management strategies in a convenience sample of persons living with HIV (PLWH; n = 343) in the United States, Puerto Rico, Kenya, and South Africa who reported HIV-related anxiety symptoms. Relationships between demographics and anxiety characteristics were determined, as was the effectiveness of self-care activities/behaviors to reduce anxiety. We found that the use of anxiety self-management strategies varied by gender and that ratings of effectiveness varied by country. Highest anxiety intensity scores were found in participants who were taking antiretroviral medications and who had undetectable viral loads. Forty-five percent of the persons with a diagnosis of AIDS reported anxiety symptoms. As HIV increases in areas of the world where self-care is the primary approach to managing HIV, additional research will be needed to address the effectiveness of cross-cultural differences in strategies for self-managing HIV-related anxiety.