In this revised K02 career grant application, the candidate is requesting 5 years of funding to support a range of activities that will collectively improve the development of HIV prevention and adherence intervention approaches targeting drug users nationally and internationally. Through the CDC's Diffusion of Effective Behavioral Interventions (DEBI) program, a number of evidence-based HIV prevention approaches are now widely available for use with people living with HIV/AIDS (PLWA). The substantial resources required for training, implementation, monitoring, and evaluation of current EBIs targeting HIV+ DUs, however, reduces the likelihood that these EBIs can be properly adopted and sustained in common clinical settings (e.g., drug treatment programs, HIV clinical care settings, correctional settings, etc.). Moreover, the uptake of EBIs applicable to HIV+ DUs has been quite limited and the number of new annual HIV infections - a significant portion of which are directly and indirectly attributable to HIV+ DUs - has remained ~56,300 in the U.S. Thus, HIV+ DUs remain an important priority population since only HIV+ persons can transmit new infections and because DUs continue to contribute greatly to the persistent HIV epidemic via drug- and sex-related HIV risk behaviors that are entirely preventable through properly tailored and strategically placed interventions that are efficacious, cost-effective, and sustainable in clinica settings. NIDA has recognized this translational gap and has provided funding for the candidate's research team to adapt and optimize EBI approaches for implementation among priority populations in drug treatment and correctional settings. The activities proposed in this revised K02 (Independent Scientist Award) provide the essential framework and release time for the candidate to contribute to the next generation of HIV prevention and adherence programs targeting this priority population with the ultimate goal of improving the HIV pandemic.
The candidate is requesting 5 years of funding to support a range of specific activities that will improve the development of HIV prevention and adherence intervention approaches targeting drug users nationally and internationally. This revised K02 (Independent Scientist Award) provides the essential framework and release time for the candidate to contribute to the next generation of HIV prevention and adherence programs targeting this priority population with the ultimate goal of improving the HIV pandemic.
|Shrestha, Roman; Altice, Frederick L; Huedo-Medina, Tania B et al. (2016) Willingness to Use Pre-Exposure Prophylaxis (PrEP): An Empirical Test of the Information-Motivation-Behavioral Skills (IMB) Model among High-Risk Drug Users in Treatment. AIDS Behav :|
|Shrestha, Roman; Karki, Pramila; Copenhaver, Michael (2016) Early Sexual Debut: A Risk Factor for STIs/HIV Acquisition Among a Nationally Representative Sample of Adults in Nepal. J Community Health 41:70-7|
|Huedo-Medina, Tania B; Shrestha, Roman; Copenhaver, Michael (2016) Modeling a Theory-Based Approach to Examine the Influence of Neurocognitive Impairment on HIV Risk Reduction Behaviors Among Drug Users in Treatment. AIDS Behav 20:1646-57|
|Shrestha, Roman; Karki, Pramila; Copenhaver, Michael (2016) The Use of Female Sex Workers Among Men in Nepal: Prevalence, STIs/HIV-Related Risk Behaviors, and Gender Ideology. Prim Prev Insights 6:11-17|
|Shrestha, Roman; Copenhaver, Michael M (2016) Association Between Intimate Partner Violence Against Women and HIV-Risk Behaviors: Findings From the Nepal Demographic Health Survey. Violence Against Women 22:1621-1641|
|Smith, Laramie R; Earnshaw, Valerie A; Copenhaver, Michael M et al. (2016) Substance use stigma: Reliability and validity of a theory-based scale for substance-using populations. Drug Alcohol Depend 162:34-43|
|Karki, Pramila; Shrestha, Roman; Huedo-Medina, Tania B et al. (2016) The Impact of Methadone Maintenance Treatment on HIV Risk Behaviors among High-Risk Injection Drug Users: A Systematic Review. Evid Based Med Public Health 2:|
|Shrestha, Roman; Copenhaver, Michael (2016) The Influence of Neurocognitive Impairment on HIV Risk Behaviors and Intervention Outcomes among High-Risk Substance Users: A Systematic Review. Front Public Health 4:16|
|Shrestha, Roman; Weikum, Damian; Copenhaver, Michael et al. (2016) The Influence of Neurocognitive Impairment, Depression, and Alcohol Use Disorders on Health-Related Quality of Life among Incarcerated, HIV-Infected, Opioid Dependent Malaysian Men: A Moderated Mediation Analysis. AIDS Behav :|
|Copenhaver, Michael; Shrestha, Roman; Wickersham, Jeffrey A et al. (2016) An Exploratory Factor Analysis of a Brief Self-Report Scale to Detect Neurocognitive Impairment Among Participants Enrolled in Methadone Maintenance Therapy. J Subst Abuse Treat 63:61-5|
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