Medicine and Health Sciences Commons^™

The Influence Of Neurocognitive Impairment, Alcohol And Other Drug (Aod) Use, And Psychosocial Factors On Antiretroviral Treatment Adherence, Service Utilization And Viral Load Among Hiv-Seropositive Adults, Jennifer Attonito

FIU Electronic Theses and Dissertations

Among people living with HIV (PLWH), adherence to antiretroviral therapy (ART) can be affected by problems of neurocognitive (NC) impairment, stress, alcohol and other drug (AOD) abuse, and other barriers. The aims of this research were to: (1) examine factors associated with NC impairment, (2) explore relationships between psychosocial variables with ART adherence and viral load (VL), and (3) evaluate the efficacy of an evidence-based intervention in improving ART adherence, increasing service utilization, and decreasing VL.

The first study (n=370) was cross sectional and used structural equation modeling to test whether AOD use, years living with HIV, and time from …

Research Brief: "Mental Health Diagnosis And Occupational Functioning In National Guard/Reserve Veterans Returning From Iraq", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the employment or enrollment in school of recently returned National Guard and Reserve OIF/OEF veterans who have a mental health diagnosis compared to those veterans without a mental health diagnosis. In policy and practice, the US military should implement pre- to post-deployment programs to help adjustment into work/school role functioning, and policymakers should partner with universities to help veterans cope with academic stress. Suggestions for future research include using a larger and more comprehensive sample of National Guard/Reserve OIF veterans and studying the effectiveness of programs and support for veterans.

Promoting Abstinence From Alcohol During Pregnancy: Implications From Formative Research, Kathryn France, Robert Donovan, Nadine Henley, Carol Bower, Elizabeth Elliott, Janet Payne, Heather D'Antoine, Anne Bartu

Research outputs 2013

This research developed messages to promote abstinence from alcohol during pregnancy and identified elements that enhance message persuasiveness. An exploratory phase was conducted in 2009 that comprised four focus groups with 23 women inWestern Australia and elicited beliefs and attitudes on alcohol use during pregnancy and motivations for behavior change. Four television concepts were subsequently developed and appraised in five focus groups with 31 participants using standard advertising pretesting questions. The implications for campaigns addressing prenatal alcohol exposure and further research are noted and limitations discussed. Funding was received from Healthway and the National Health and Medical Research Council.

A Randomized Trial Evaluating A Parent Based Intervention To Reduce College Drinking, Diana M. Doumas, Rob Turrisi, Anne E. Ray, Susan M. Esp, Amy K. Curtis-Schaeffer

Counselor Education Faculty Publications and Presentations

This study evaluated the effectiveness of a parent based intervention (PBI) in reducing drinking among first year college students (N = 443). Students were assigned to one of three conditions: PBI, PBI plus booster brochures (PBI-B), and an assessment only control group (CNT). At a 4-month post-intervention follow-up, results indicated students in the PBI-B group reported significantly less drinking to intoxication and peak drinking relative to the PBI group and CNT group. No significant differences were found between the PBI group and CNT group. Results provide further support for PBIs to reduce college student drinking and suggest that a booster …

Adults' Alcohol Consumption Behaviour And Support For Restrictions On Youth-Oriented Alcohol Advertisements, Sandina Begic, Elsa K. M. Howard, Theodore W. Mcdonald

Public Health and Population Science Faculty Publications and Presentations

Research suggests that underage drinking is a serious problem in the United States, and that many of the factors that influence minors to consume alcohol are environmental in their nature. One such factor is youth-oriented alcohol advertisements. Although many adults support restrictions on such advertisements, others do not or do so to a lesser degree. In this study, we explored one factor that may influence how strongly adults support restrictions on youth-oriented alcohol advertisements: The frequency with which adults themselves report consuming alcoholic beverages. A total of 767 adult Idahoans completed a survey asking about a variety of perceptions related …

Alcohol And Prescription Drug Safety In Older Adults, Faika Zanjani, Aasha I. Hoogland, Brian G. Downer

Graduate Center for Gerontology Faculty Publications

BACKGROUND: The objectives of this study were to investigate older adults' knowledge of prescription drug safety and interactions with alcohol, and to identify pharmacists' willingness to disseminate prescription drug safety information to older adults.

METHODS: The convenience sample consisted of 48 older adults aged 54-89 years who were recruited from a local pharmacy and who completed surveys addressing their alcohol consumption, understanding of alcohol and prescription drug interactions, and willingness to change habits regarding alcohol consumption and prescription drugs. To address pharmacist willingness, 90 pharmacists from local pharmacies volunteered and answered questions regarding their willingness to convey prescription drug safety …

Co-Occurring Physical Fighting And Suicide Attempts Among U.S. High School Students: Examining Patterns Of Early Alcohol Use Initiation And Current Binge Drinking, Monica H. Swahn, Robert Bossarte, Jane B. Palmier, Huang Yao

Public Health Faculty Publications

Introduction: A growing body of empirical research documents a significant co-occurrence of suicide attempts and interpersonal violence among youth. However, the potential role of early alcohol use initiation and current heavy alcohol use as correlates of this comorbidity has not been examined in a nationally representative sample of high school students. Methods: We based our analyses on cross-sectional data from the 2009 Youth Risk Behavior Survey, which includes a nationally representative sample (n=16,410) of high school students in grades 9 through 12 in the United States. Multinomial logistic regression analyses were conducted to test the associations between measures of alcohol …

The Health And Well-Being Of Indigenous Drug And Alcohol Workers: Results From A National Australian Survey, Ann M. Roche, Vinita Duraisingam, Allan Trifonoff, Amanda Tovell

Aboriginal Policy Research Consortium International (APRCi)

The increasing demand for alcohol and other drug (AOD) treatment services among the Australian Indigenous population, complex organisational challenges and limitations, and high unemployment rates are likely to negatively impact Indigenous AOD workers' health and well-being. Building the capacity of Indigenous AOD workers is vital, as they play a crucial role in the delivery of treatment services and offer essential support to their communities. A national online survey was conducted to examine organisational, workplace and individual factors that might contribute to levels of stress and well-being among workers who provide services to Indigenous clients. A total of 294 eligible surveys …

Variation In Mu-Opioid Receptor Gene (Oprm1) As A Moderator Of Naltrexone Treatment To Reduce Heavy Drinking In A High Functioning Cohort, Jonathan M. Covault

UCHC Articles - Research

Background

It is well known that naltrexone, an FDA-approved medication for treatment of alcohol dependence, is effective for only a subset of individuals. Recent studies have examined the utility of a functional A118G single nucleotide polymorphism (SNP) of the mu-opioid receptor gene (OPRM1) as a predictor of naltrexone treatment response. Although the findings to date have generally been consistent with a moderating effect of the SNP, further evaluation of this hypothesis is warranted.

Objective

To evaluate whether problem drinkers with one or two copies of the 118G allele respond better to naltrexone treatment. The treatment goal in this cohort of …

Associations Of Occupational Attributes And Excessive Drinking, Andrew J. Barnes, Frederick J. Zimmerman

Health Behavior and Policy Publications

Numerous work-related drinking mechanisms have been posited and, oftentimes, examined in isolation. We combined data from over 100 occupational attributes into several factors and tested the association of these factors with measures of alcohol use. We used the NLSY79 2006 wave, a U.S. representative sample of 6,426 workers ages 41 to 49 and the 2006 Occupational Information Network database (O*NET), a nationally representative sample of nearly 1,000 occupations. We conducted exploratory factor analysis on 119 occupational attributes and found three independent workplace characteristics – physical demands, job autonomy, and social engagement - explained the majority of the variation. We then …

Relation Between Corticosterone And Fear-Related Behavior In Mice Selectively Bred For High Or Low Alcohol Preference, Julia Chester, Aaron M. Kirchhoff, Gustavo D. Barrenha

Department of Psychological Sciences Faculty Publications

Blunted cortisol responses to stress or trauma have been linked with genetic (familial) risk for both alcoholism and post-traumatic stress-disorder (PTSD). Mouse lines selectively bred for high (HAP) or low (LAP) alcohol preference may be a relevant model of genetic risk for co-morbid alcoholism and PTSD in humans. HAP mice show greater fear-potentiated startle (FPS), a model used to study PTSD, than LAP mice. The relation between corticosterone (CORT) and FPS behavior was explored in four experiments. Naïve male and female HAP2 and LAP2 mice received fear-conditioning or control treatments and CORT levels were measured before and immediately after fear-conditioning …

The Impact Of A Brief Lifestyle Intervention Delivered By Generalist Community Nurses (Cn Snap Trial), M Harris, B Chan, R Laws, A Williams, G Davies, U Jayasinghe, M Fanaian, N Orr, A Milat

Nursing Papers and Journal Articles

Background: The risk factors for chronic disease, smoking, poor nutrition, hazardous alcohol consumption, physical inactivity and weight (SNAPW) are common in primary health care (PHC) affording opportunity for preventive interventions. Community nurses are an important component of PHC in Australia. However there has been little research evaluating the effectiveness of lifestyle interventions in routine community nursing practice. This study aimed to address this gap in our knowledge.

Methods: The study was a quasi-experimental trial involving four generalist community nursing (CN) services in New South Wales, Australia. Two services were randomly allocated to an ‘early intervention’ and two to a ‘late …

The Needs Of People With Alcohol-Related Brain Injury (Arbi): A Review Of The International Literature, Renee Brighton, Victoria Traynor, Lorna Moxham, Janette Curtis

Faculty of Science, Medicine and Health - Papers: part A

Purpose - Alcohol-related brain injury (ARBI) is part of a group of conditions that do not fit easily into existing systems of care. People living with ARBI require flexible health and social services to ensure they receive person-centred, therapeutic care and treatment. Effective service provision promotes recovery for people who continue to experience significant levels of morbidity and mortality due to symptoms that are potentially reversible or at least amendable to appropriate care and treatment options. There exist significant gaps in the provision of this care for these vulnerable populations. Design/methodology/approach - A literature review was undertaken of various scholarly …

Falling Between The 'Service Cracks': Women Living With Alcohol-Related Brain Injury (Arbi), Renee Brighton, Lorna Moxham, Victoria Traynor

Faculty of Science, Medicine and Health - Papers: part A

Abstract of paper that presented at the 1st Australasian Mental Health and Addiction Nursing Conference.