CU Nursing - Fall/Winter 2020 - 7

7

RESEARCH

Sensor and Survey
Measures Associated
With Daily Fatigue in HIV

Comorbid Mental Health Disorders in Persons Living
with HIV: Adherence to Antiretrovial Therapy

Journal of Association of Nurses in AIDS
Care, 2019

Anna Smith, BS Honors student, Paul F. Cook, PhD

Makic, Mary Beth PhD, RN, CNS; Danielle
Gilbert, BA; Catherine Jankowski, PhD;
Blaine Reeder, PhD; Nasser Al-Salmi, RN,
CNS; Whitney Starr, NP; Paul F. Cook, PhD*

his study looked at factors that hinder and help promote good medication
adherence among people who have both HIV and a mental health or substance use disorders. It found that PLWH who had reliable housing were
over six times more adherent than those with unreliable housing.

F

atigue is the most common
symptom of people living with
HIV and remains a significant
concern despite viral suppression.
Studies show that fatigue reduces
treatment adherence and in turn
efficacy of ART, while increasing the
risk of HIV transmission. Causes of
fatigue may have many causes. This
study used daily smartphone surveys
and Fitbit data to characterize fatigue
experiences and self-management
behaviors. Research that clarifies the
co-occurrence of fatigue with other
symptoms, and the situations in which
fatigue symptoms are most likely to
occur can help patients and clinicians
discover new options for symptom
management. PLWH reported new
insights into fatigue from self-monitoring, an interest in reducing fatigue,
and a willingness to use self-monitoring technology. Thus presenting
potential opportunities to improve
sleep, activity, or stress management
to alleviate fatigue in this population.

Archives of Psychiatric Nursing, 33(4), 364-370. August, 2019

T

Catherine
Jankowski, PhD

CURRENT FUNDED STUDY

High Intensity Exercise to Attenuate Limitations
and Train Habits (HEALTH) in Older Adults with
HIV, R01, National Institute on Aging
Mary Beth
Makic, PhD

Principal Investigators: Kristine Erlandson, MD, A. Webel
Co-Investigator: Catherine M. Jankowski, PhD

T

he global aim of this study is to determine whether high-intensity interval training can overcome physical function and
mitochondrial impairments in people aging with HIV infection
to a greater extent than continuous moderate-intensity exercise and
whether biobehavioral coaching promotes long-term adherence to
physical activity.



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