Becky L. White, MD, MPH is an Assistant Professor of Medicine at the University of North Carolina at Chapel Hill (UNC CH) who has recently completed an MPH. Career Goals: Dr. White's career goal is to become an independently-funded patient-oriented researcher focusing on provider-level behavioral interventions to improve HIV health outcomes and prevent secondary transmission. Career Developmental Plans: Dr. White will obtain advanced research training in advanced quantitative/qualitative methods, health care provider/organizational behavior change theory and scientific writing skills. Her immediate objective is to develop an empirically informed theory- based intervention to enhance HIV screening among primary care physicians in the Southeast. Her long term objective is to develop a comprehensive research program to increase early identification of HIV and prevent secondary spread.
Specific Aims :
The aims of the proposed research are to 1) examine the relationship between a) provider's individual and environmental factors and b) the adoption and adherence to routine screening among NC physicians 2) develop and refine an intervention to enhance HIV screening among NC primary care physicians. Research Methods: She will use quantitative methodology to test her hypothesis and identify barriers and facilitators to HIV screening. She will also use qualitative research methods to inform the development of the intervention to enhance physician screening. Environment: She has access to many resources at the University of North Carolina at Chapel Hill, which is known for its multi-disciplinary environment. She will work with the UNC Chapel Hill's Communication for Health Applications and Interventions (CHAI ) core, and partner with the physicians in the Sheps Center's Practice Based Research Networks. Mentorships: She will work with mentors and advisors with expertise and experience in behavior change/intervention development (Carol E. Golin MD), primary care physician research methods ( Donald E. Pathman MD MPH), advanced quantitative techniques (Catherine Zimmer) and minority career development (Adaora A. Adimora MD MPH) to integrate her career and research goals. Relevance: The knowledge gained from this training and research program has the potential to identify more HIV-infected patients earlier in health care settings. Furthermore, this proposal fulfills goals of Healthy Peope 2010 and the National HIV/AIDS strategy.

Public Health Relevance

The proposed study will identify salient barriers to and facilitators of HIV screening and examine the relationship between these factors and physician HIV screening practices. This will lead to the creation of a novel intervention to enhancing primary care physician's routine HIV screening practices. Development of this intervention may result in earlier identification of HIV-infected individuals in primary care settings and reduce secondary HIV spread.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Mentored Patient-Oriented Research Career Development Award (K23)
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Behavioral and Social Science Approaches to Preventing HIV/AIDS Study Section (BSPH)
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Grossman, Cynthia I
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University of North Carolina Chapel Hill
Internal Medicine/Medicine
Schools of Medicine
Chapel Hill
United States
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Wohl, David A; Golin, Carol E; Knight, Kevin et al. (2017) Randomized Controlled Trial of an Intervention to Maintain Suppression of HIV Viremia After Prison Release: The imPACT Trial. J Acquir Immune Defic Syndr 75:81-90
Golin, Carol E; Knight, Kevin; Carda-Auten, Jessica et al. (2016) Individuals motivated to participate in adherence, care and treatment (imPACT): development of a multi-component intervention to help HIV-infected recently incarcerated individuals link and adhere to HIV care. BMC Public Health 16:935
Rosen, David L; Wohl, David A; Golin, Carol E et al. (2016) Comparing HIV Case Detection in Prison During Opt-In vs. Opt-Out Testing Policies. J Acquir Immune Defic Syndr 71:e85-8
Muessig, Kathryn E; Rosen, David L; Farel, Claire E et al. (2016) ""Inside These Fences Is Our Own Little World"": Prison-Based HIV Testing and HIV-Related Stigma Among Incarcerated Men and Women. AIDS Educ Prev 28:103-16
White, Becky L; Walsh, Joan; Rayasam, Swati et al. (2015) What Makes Me Screen for HIV? Perceived Barriers and Facilitators to Conducting Recommended Routine HIV Testing among Primary Care Physicians in the Southeastern United States. J Int Assoc Provid AIDS Care 14:127-35
White, Becky L; Golin, Carol E; Grodensky, Catherine A et al. (2015) Effect of directly observed antiretroviral therapy compared to self-administered antiretroviral therapy on adherence and virological outcomes among HIV-infected prisoners: a randomized controlled pilot study. AIDS Behav 19:128-36
Ludema, Christina; Doherty, Irene A; White, Becky L et al. (2015) Characteristics of African American Women and Their Partners With Perceived Concurrent Partnerships in 4 Rural Counties in the Southeastern U.S. Sex Transm Dis 42:498-504
Ludema, Christina; Doherty, Irene A; White, Becky L et al. (2015) Religiosity, spirituality, and HIV risk behaviors among African American women from four rural counties in the southeastern U.S. J Health Care Poor Underserved 26:168-81
Fogel, Catherine I; Crandell, Jamie L; Neevel, A M et al. (2015) Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: a randomized controlled trial. Am J Public Health 105:802-9
Beer, Linda; Valverde, Eduardo E; Raiford, Jerris L et al. (2015) Clinician Perspectives on Delaying Initiation of Antiretroviral Therapy for Clinically Eligible HIV-Infected Patients. J Int Assoc Provid AIDS Care 14:245-54

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