Publications by authors named "A F Moreland"
Background: Individuals with co-occurring posttraumatic stress disorder (PTSD) and HIV are at high-risk for negative HIV-related outcomes, including low adherence to antiretroviral therapy, faster disease progression, more hospitalizations, and almost twice the rate of death. Despite high rates of PTSD in persons with HIV (PWH) and poor HIV-related health outcomes associated with PTSD, an effective evidence-based treatment for PTSD symptoms in PWH does not exist.
Objective: This study aimed to describe the adaptation and theater testing of an evidence-based intervention designed for people with co-occurring PTSD and HIV.
Background: Muscle stiffness is commonly associated with a sensation of tightness, pain and movement difficulty. It is unclear, however, whether changes in muscle stiffness can be objectively identified by myotonometry across time. This study investigated whether a myotonometer (MyotonPRO) can detect changes in muscle stiffness by delayed-onset muscle soreness (DOMS).
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- Mass violence incidents (MVIs) cause significant psychological distress for survivors and communities, highlighting the importance of support services like mental health services, support groups, and religious support for recovery.
- A study involving 5,991 adults from six communities affected by MVIs found that only about 20% were aware of available mental health services and even fewer reported using them.
- Awareness and use of support services were more common among younger individuals with higher incomes and direct exposure to the MVI, indicating a need for better communication and outreach regarding these resources after such traumatic events.
Background: The need for frequent travel to a clinic could impair access to injectable antiretroviral therapy for persons living with human immunodeficiency virus type 1 (HIV-1) infection. We hypothesized that allowing persons receiving treatment with long-acting injectable cabotegravir plus rilpivirine (LA CAB/RPV) to receive and store the medication in their own refrigerator prior to in-home administration by a healthcare provider would be as safe and effective as receiving treatment in a clinic.
Methods: Persons prescribed LA CAB/RPV in the Infectious Diseases clinic at the Medical University of South Carolina were offered enrollment in this non-randomized, observational study between August 2021 and December 2022.
Importance: Mass violence incidents (MVIs) are prevalent in the US and can have profound and long-lasting psychological consequences on direct survivors, but their outcomes among the broader communities where the MVI occurred are unknown.
Objective: To investigate the prevalence of and factors associated with past-year and current posttraumatic stress disorder (PTSD) among adults in communities that experienced an MVI.
Design, Setting, And Participants: This cross-sectional survey was completed between February and September 2020 with a household probability sample of adults from 6 communities that had experienced an MVI between 2015 and 2019: Dayton, Ohio; El Paso, Texas; Parkland, Florida; Pittsburgh, Pennsylvania; San Bernadino, California; and Virginia Beach, Virginia.