Smoking among persons living with HIV infection (PLWH) is estimated to be two to three times greater than the general population. Data suggest that cigarette smoking is more common among PLWH because of factors such as lower socioeconomic status, previous or concurrent illicit drug and alcohol use, age, education level, and concurrent depressive symptoms. Cigarette smoking in HIV-infected individuals has been associated with higher risk of certain cancers, infections, and a decrease in response to antiretroviral therapy. Recent guidelines from the U.S. Public Health Service have recommended the use of counseling and pharmacologic therapies for all patients interested in quitting smoking. It is critical for clinicians caring for PLWH to be familiar with these modalities. This article provides an overview of currently available interventions for smoking cessation, reviews considerations for patients with HIV, and discusses clinical implications for nurses and advanced practice clinicians.
"Another Cochrane review showed that mobile phone based smoking cessation interventions have a positive effective in the short-term (the trial we included  was excluded in the Cochrane review because of short follow-up ), which is consistent with our findings. Smoking has additional health risks for PLHIV and increasing the effectiveness of cessation interventions is very important for improving the health of this group , , . "
[Show abstract][Hide abstract] ABSTRACT: Low cost, effective interventions are needed to deal with the major global burden of HIV/AIDS. Telephone consultation offers the potential to improve health of people living with HIV/AIDS cost-effectively and to reduce the burden on affected people and health systems. The aim of this systematic review was to assess the effectiveness of telephone consultation for HIV/AIDS care.
We undertook a comprehensive search of peer-reviewed and grey literature. Two authors independently screened citations, extracted data and assessed the quality of randomized controlled trials which compared telephone interventions with control groups for HIV/AIDS care. Telephone interventions were voice calls with landlines or mobile phones. We present a narrative overview of the results as the obtained trials were highly heterogeneous in design and therefore the data could not be pooled for statistical analysis.
The search yielded 3321 citations. Of these, nine studies involving 1162 participants met the inclusion criteria. The telephone was used for giving HIV test results (one trial) and for delivering behavioural interventions aimed at improving mental health (four trials), reducing sexual transmission risk (one trial), improving medication adherence (two trials) and smoking cessation (one trial). Limited effectiveness of the intervention was found in the trial giving HIV test results, in one trial supporting medication adherence and in one trial for smoking cessation by telephone.
We found some evidence of the benefits of interventions delivered by telephone for the health of people living with HIV or at risk of HIV. However, only limited conclusions can be drawn as we only found nine studies for five different interventions and they mainly took place in the United States. Nevertheless, given the high penetration of low-cost mobile phones in countries with high HIV endemicity, more evidence is needed on how telephone consultation can aid in the delivery of HIV prevention, treatment and care.
PLoS ONE 05/2012; 7(5):e36105. DOI:10.1371/journal.pone.0036105 · 3.23 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: One new way to cost-effectively distribute educational materials is through the use of CD-ROM supplements. The authors proposed that the creation of a CD-ROM in biomaterials would be useful to two target audiences. One audience includes clinicians who can benefit from a second, more scientific approach to clinical uses of biomaterials. The second group includes scientists and engineers who are involved in device development yet may not have a strong understanding of the clinical environment. This manuscript outlines the authors' approach in creating the CD-ROM. The metrics to analyse the effectiveness of the CD-ROM are not complete
Biomedical Engineering Conference, 1997., Proceedings of the 1997 Sixteenth Southern; 05/1997
[Show abstract][Hide abstract] ABSTRACT: Systematic assessment of cardiovascular risk among persons living with HIV (PLWH) has become more important as HIV survival has increased. Since the advent of effective antiretroviral therapy (ART), PLWH often enjoy life expectancies equal to those of the general population. PLWH then share the same comorbidities as the general population, with some increased risks due to HIV and ART. One comorbidity, cardiovascular disease, is the leading cause of death in the United States. As the current population of PLWH ages, reducing cardiovascular risk will become even more important. Before cardiovascular risk reduction can take place, providers must first know the patient's risks. This paper describes the importance of cardiovascular risk assessment for PLWH based on current literature and presents findings from a quality-improvement (QI) initiative designed to implement systematic cardiovascular assessment using the Framingham Risk (FR) for PLWH in an infectious-disease practice.
The Journal of the Association of Nurses in AIDS Care: JANAC 07/2011; 23(2):134-45. DOI:10.1016/j.jana.2011.05.007 · 1.27 Impact Factor
Michael J Silverberg, Bryan Lau, Chad J Achenbach, Yuezhou Jing, Keri N Althoff, Gypsyamber D'Souza, Eric A Engels, Nancy A Hessol, John T Brooks, Ann N Burchell, [...], Sharada P Modur, Sonia Napravnik, Richard M Novak, Pragna Patel, Anita R Rachlis, Timothy R Sterling, James H Willig, Amy C Justice, Richard D Moore, Robert Dubrow
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