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Full-Text Articles in Social and Behavioral Sciences

Evaluation Of A Mobile Health Intervention To Improve Wellness Outcomes For Breast Cancer Survivors, Jamie Cairo, Laurie Williams, Lisa Bray, Katrina Goetzke, Ana Cristina Perez Oct 2020

Evaluation Of A Mobile Health Intervention To Improve Wellness Outcomes For Breast Cancer Survivors, Jamie Cairo, Laurie Williams, Lisa Bray, Katrina Goetzke, Ana Cristina Perez

Journal of Patient-Centered Research and Reviews

Purpose: Breast cancer survivors are at increased risk of cancer recurrence, second malignancies, and other comorbid conditions. This study examined if use of a convenient, commercially available, $65 per month app that gives breast cancer survivors access to a health and wellness coach is more effective than a self-guided toolkit and one-time health education session at achieving the following goals: 1) improving adherence to a plant-based diet, 2) increasing physical activity, 3) assisting with weight loss and reduction in body mass index, 4) reducing elevated depression and fatigue scores, and 5) leading to sustained adherence to lifestyle and wellness plan …


Discordance In Perceptions Of Barriers To Breast Cancer Treatment Between Hispanic Women And Their Providers, Swapna Reddy, Mary Saxon, Nina Patel, Matthew Speer, Tiffany Ziegler, Nirali Patel, Madison Ziegler, Stephany Esquivel, Andrea Daniella Mata, Asha Devineni, Pooja Paode, Nitika Thawani, Subhakar Mutyala Oct 2020

Discordance In Perceptions Of Barriers To Breast Cancer Treatment Between Hispanic Women And Their Providers, Swapna Reddy, Mary Saxon, Nina Patel, Matthew Speer, Tiffany Ziegler, Nirali Patel, Madison Ziegler, Stephany Esquivel, Andrea Daniella Mata, Asha Devineni, Pooja Paode, Nitika Thawani, Subhakar Mutyala

Journal of Patient-Centered Research and Reviews

Despite comparable screening and incidence rates that are 26% below that of non-Hispanic Whites, Hispanic women present with breast cancer at more advanced stages of disease, representing a continuing and troubling health disparity for this population. Reducing these disparities warrant more innovative research approaches to better understand perspectives of Hispanic patients regarding barriers to treatment and how these perspectives compare to those of their providers. A pilot qualitative study was conducted at a major urban cancer center in Arizona that measured both patient and provider perspectives regarding barriers to treatment. Through a multimethod qualitative analysis, researchers surveyed patients and providers …


The Effect Of High School Disability-Based Peer Mentoring On Perspectives Toward People With Disabilities, Caroline Jacobs Oct 2020

The Effect Of High School Disability-Based Peer Mentoring On Perspectives Toward People With Disabilities, Caroline Jacobs

Honors Theses

Negative perspectives towards people with disabilities have been shown to lead to discrimination, prejudice, and an overall decreased quality of life. One way to possibly improve attitudes and interactions with students with disabilities could be implementing peer mentoring programs for special education students in high school. Research presented in this thesis examines the difference in perspectives toward people with disabilities between people who have or have not participated as a mentor in a disability-based peer mentoring program in high school. Data were collected through an online survey that assessed peer mentoring experiences as well as a scale to measure comfort …


Optimizing Wellness In Academic Emergency Medicine, Kristen E. Nordenholz, Al'ai Alvarez, Michelle D. Lall, Christine Stehman, Cindy C. Bitter, Emily L. Hirsh, Rita Manfredi, Rosanna D. Sikora, Dave W. Lu, Leon D. Sanchez, Matthew L. Wong, Steven Bird, Andra L. Blomkalns Oct 2020

Optimizing Wellness In Academic Emergency Medicine, Kristen E. Nordenholz, Al'ai Alvarez, Michelle D. Lall, Christine Stehman, Cindy C. Bitter, Emily L. Hirsh, Rita Manfredi, Rosanna D. Sikora, Dave W. Lu, Leon D. Sanchez, Matthew L. Wong, Steven Bird, Andra L. Blomkalns

Journal of Wellness

Introduction

Academic Emergency Physicians (EPs) face additional unique challenges in optimizing wellness compared to community EPs.

Objective

Our objective was to explore specific individual and systems challenges that academic EPs encounter that affect their wellbeing and professional fulfillment in emergency medicine (EM).

Methods

An expert group of academic EPs convened in 2019 at the annual meeting of the Society of Academic Emergency Medicine to investigate the overall causes of burnout in healthcare providers, the effects of burnout on the healthcare system, specific causes of burnout in EM, and the distinct challenges facing academic emergency physicians.

Results

We outline specific causes …


On The Importance Of Context: Examining The Applicability Of Infertility Insurance Mandates In The United States Using A Mixed-Methods Study Design, Nathanael B. Stanley Oct 2020

On The Importance Of Context: Examining The Applicability Of Infertility Insurance Mandates In The United States Using A Mixed-Methods Study Design, Nathanael B. Stanley

USF Tampa Graduate Theses and Dissertations

Accessibility of infertility services is disproportionately experienced in the United States. Although there exist state-based health insurance mandates for infertility services, these mandates contain language that disqualify people from using them. In order to better understand why these mandates are not able to reduce the financial burden and bridge the income disparity for using infertility services, the purpose of this study is to add context to the applicability of these insurance mandates through qualitative and quantitative inquiry. Using the Glass and McAtee model of risk regulators as an operational paradigm, this research explores the role of environmental context, or “place”, …


Structural And Behavior Change Interventions To Improve Experience Of Care For Sick Very Young Children (0 To 24 Months Of Age) And Their Parents In Hospital Settings In Kenya—Preliminary Results: Baseline Provider Survey, Breakthrough Research Oct 2020

Structural And Behavior Change Interventions To Improve Experience Of Care For Sick Very Young Children (0 To 24 Months Of Age) And Their Parents In Hospital Settings In Kenya—Preliminary Results: Baseline Provider Survey, Breakthrough Research

Sexual and Reproductive Health, Rights, and Choices

No abstract provided.


Head And Neck Surgery Residency During Covid-19 Pandemic. Lessons From Southern Italy, Pietro De Luca Oct 2020

Head And Neck Surgery Residency During Covid-19 Pandemic. Lessons From Southern Italy, Pietro De Luca

Translational Medicine @ UniSa

A letter to the Editor from an otolaryngology-head and neck surgery resident.


Building The Bridge Between Front-Line Clinicians And Covid-19 Information, Elaine Sullo, Anne Linton, Laura Abate Oct 2020

Building The Bridge Between Front-Line Clinicians And Covid-19 Information, Elaine Sullo, Anne Linton, Laura Abate

Himmelfarb Library Faculty Posters and Presentations

No abstract provided.


Ua12/2/1 College Heights Herald, Vol. 96, No. 9, Wku Student Affairs Oct 2020

Ua12/2/1 College Heights Herald, Vol. 96, No. 9, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

  • Aboah, Henri. Blooming – Flower Shops
  • Reynolds, Easton. Record Setting Voter Turnout Expected This Election Season
  • Collins, Michael. Grocery Shopping In a Pandemic
  • Mallon, Sam. Fighting for Peace – Bowling Green for Peace
  • Tomlin, Laura. WKU Environmental Health & Safety Provides Do’s & Don’t’s for This Halloween During COVID-19
  • It’s Time for WKU to Switch to Environmentally-friendly Take-out Products – Dining Services
  • Keiser, Nick. Covering a WKU Football Game Amid the COVID-19 Pandemic
  • Hargrove, Matthew. In Ruins – Football
  • Gaylord, Kaden. The Offense Doesn’t Have …


Adolescent Perceptions Of Injury And Pressures Of Returning To Sport: A Retrospective Qualitative Analysis, Jordan J. West, Zachary K. Winkelmann, Jessica Edler, Bradley C. Jackson, Lindsey E. Eberman Oct 2020

Adolescent Perceptions Of Injury And Pressures Of Returning To Sport: A Retrospective Qualitative Analysis, Jordan J. West, Zachary K. Winkelmann, Jessica Edler, Bradley C. Jackson, Lindsey E. Eberman

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

The increase in sport participation among adolescents has led to the rise in sport-related injuries, many of which have unique characteristics based on the patient, their perceptions, and the pressures faced when returning to sport. The purpose of this study was to identify the underlying factors that contributed to adolescents’ perceptions of injury and the various pressures they experienced when returning to sport. Two themes emerged from the study: support and fear. Support was provided to participants through development, care, and the environment. Fear was the factor that affected the participant in their return to sport, which came in the …


Comparison Of High-Tech Augmentative And Alternative Communication Interfaces: Do Age And Technology Experience Matter?, Surani Gopika Nakkawita Oct 2020

Comparison Of High-Tech Augmentative And Alternative Communication Interfaces: Do Age And Technology Experience Matter?, Surani Gopika Nakkawita

LSU Doctoral Dissertations

Previous research has demonstrated that individuals with stroke-induced aphasia can use augmentative and alternative communication (AAC) when they cannot meet their communication needs using spoken language (Dietz, Weissling, Griffith, McKelvey, & Macke, 2014; Purdy & Van Dyke, 2011). Of the various interfaces found in the different AAC systems, the grid display and the visual scene display (VSD) have been used by individuals with aphasia (Hough & Johnson, 2009; Dietz et al., 2018). However, there is a scarcity of research examining the comparative usefulness of these interfaces.

This prospective study attempted to understand how neurologically healthy individuals of different ages and …


Understanding The Determinants Of The Cost Of Coronary Artery Bypass Graft Surgery, Hun Lee Oct 2020

Understanding The Determinants Of The Cost Of Coronary Artery Bypass Graft Surgery, Hun Lee

Electronic Thesis and Dissertation Repository

Introduction: The relationship between patient demographics, clinical factors, and cost of coronary artery bypass graft (CABG) is complex. Investigation of these relationships is important to aid clinical practice and inform reimbursement models. This thesis analyzes multiple different domains in order to understand the significant factors that impact the cost of CABG at the London Health Sciences Centre (LHSC).

Methods: Model selection, construction of nested descriptive models, exploration of mediation analysis of the impact of peri-operative factors and cost through length of stay, and construction of estimative models were performed.

Results: Several baseline characteristics, socio-demographics, peri-operative variables, and post-operative variables were …


Food Insecurity And Frequency Intakes Of Fruits And Vegetables Of Households In A Southeastern U.S. Region, Claudia Sealey-Potts, Corinne A. Labyak Oct 2020

Food Insecurity And Frequency Intakes Of Fruits And Vegetables Of Households In A Southeastern U.S. Region, Claudia Sealey-Potts, Corinne A. Labyak

Florida Public Health Review

Abstract

Objectives. We sought to determine the prevalence of food insecurity using food insecurity experience-based scales (FIES) and frequency consumption of fruit and vegetable in households with preschool-aged children.

Methods. As part of a larger study which included teacher training, a pre-assessment survey of 191 parents and caregivers of preschool children was conducted in a Florida District. Based on the food insecurity experience-based scale (FIES) that was developed for monitoring global hunger, families’ responses to nine food security questions were categorized into 4 levels: Anxiety and uncertainty about the household food supply, insufficient quality and preferences of the type of …


Global Burden Of 369 Diseases And Injuries In 204 Countries And Territories, 1990–2019: A Systematic Analysis For The Global Burden Of Disease Study 2019, Theo Vos, Christopher J L Murray, Arianna Maever L. Amit, Veincent Christian F. Pepito, Gbd 2019 Diseases And Injuries Collaborators, 1026 Co-Authors Oct 2020

Global Burden Of 369 Diseases And Injuries In 204 Countries And Territories, 1990–2019: A Systematic Analysis For The Global Burden Of Disease Study 2019, Theo Vos, Christopher J L Murray, Arianna Maever L. Amit, Veincent Christian F. Pepito, Gbd 2019 Diseases And Injuries Collaborators, 1026 Co-Authors

Ateneo School of Medicine and Public Health Publications

Background

In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries.

Methods

GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two …


Global Burden Of 87 Risk Factors In 204 Countries And Territories, 1990–2019: A Systematic Analysis For The Global Burden Of Disease Study 2019, Christopher J L Murray, Veincent Christian F. Pepito, Gbd 2019 Risk Factors Collaborators, 938 Co-Authors Oct 2020

Global Burden Of 87 Risk Factors In 204 Countries And Territories, 1990–2019: A Systematic Analysis For The Global Burden Of Disease Study 2019, Christopher J L Murray, Veincent Christian F. Pepito, Gbd 2019 Risk Factors Collaborators, 938 Co-Authors

Ateneo School of Medicine and Public Health Publications

Background

Rigorous analysis of levels and trends in exposure to leading risk factors and quantification of their effect on human health are important to identify where public health is making progress and in which cases current efforts are inadequate. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a standardised and comprehensive assessment of the magnitude of risk factor exposure, relative risk, and attributable burden of disease.

Methods

GBD 2019 estimated attributable mortality, years of life lost (YLLs), years of life lived with disability (YLDs), and disability-adjusted life-years (DALYs) for 87 risk factors and combinations of …


Global Age-Sex-Specific Fertility, Mortality, Healthy Life Expectancy (Hale), And Population Estimates In 204 Countries And Territories, 1950–2019: A Comprehensive Demographic Analysis For The Global Burden Of Disease Study 2019, Kaja M. Abbas, Haidong Wang, Veincent Christian F. Pepito, Gbd 2019 Demographics Collaborators, 725 Co-Authors Oct 2020

Global Age-Sex-Specific Fertility, Mortality, Healthy Life Expectancy (Hale), And Population Estimates In 204 Countries And Territories, 1950–2019: A Comprehensive Demographic Analysis For The Global Burden Of Disease Study 2019, Kaja M. Abbas, Haidong Wang, Veincent Christian F. Pepito, Gbd 2019 Demographics Collaborators, 725 Co-Authors

Ateneo School of Medicine and Public Health Publications

Background

Accurate and up-to-date assessment of demographic metrics is crucial for understanding a wide range of social, economic, and public health issues that affect populations worldwide. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 produced updated and comprehensive demographic assessments of the key indicators of fertility, mortality, migration, and population for 204 countries and territories and selected subnational locations from 1950 to 2019.

Methods

8078 country-years of vital registration and sample registration data, 938 surveys, 349 censuses, and 238 other sources were identified and used to estimate age-specific fertility. Spatiotemporal Gaussian process regression (ST-GPR) was used …


Decluttering, Carolina Ciacci, Ornella Piazza Oct 2020

Decluttering, Carolina Ciacci, Ornella Piazza

Translational Medicine @ UniSa

our point of view on the COVID-19 pandemic in a confessional style.


Saving Limited Resources During Covid-19 Pandemic, Ornella Piazza Oct 2020

Saving Limited Resources During Covid-19 Pandemic, Ornella Piazza

Translational Medicine @ UniSa

An epidemic is not only a disease but a social crisis.


Toward A Defined Role For Occupational Therapy In Foster Care Transition Programming, Amy Armstrong-Heimsoth, Molly Hahn-Floyd, Heather J. Williamson, Catherine Lockmiller Oct 2020

Toward A Defined Role For Occupational Therapy In Foster Care Transition Programming, Amy Armstrong-Heimsoth, Molly Hahn-Floyd, Heather J. Williamson, Catherine Lockmiller

The Open Journal of Occupational Therapy

Youth who age out of the foster care system and transition to adulthood face challenges that are exacerbated by a history of trauma, severed relationships, and instability of living and educational placements. A review of the literature demonstrates poor outcomes overall for this population. Occupational therapists are positioned to meet the needs that arise during this time; however, a review of emerging roles for occupational therapists is necessary to describe how occupational therapists can best fulfill gaps in current programming. Through a review of the literature and a preliminary mixed-methods study, this paper establishes a direction for the inclusion of …


Contents Ije-Volume 1 (1), October 2020, Cynthia Brunold-Conesa Oct 2020

Contents Ije-Volume 1 (1), October 2020, Cynthia Brunold-Conesa

The International Journal of Ecopsychology (IJE)

No abstract provided.


Native American Perspectives: From The Red Road In Recovery, James Pete Oct 2020

Native American Perspectives: From The Red Road In Recovery, James Pete

The International Journal of Ecopsychology (IJE)

CULTURE AND TRADITIONS are a major part of my Red Road in Recovery. I've been involved in Native Art (used to call it Arts and Crafts) from the time I was 8 years old and going on 55 years! I am still learning, in many aspects. But, when I am creating Native Art....there is this place of peacefulness, serenity, a connection to the Higher Power (Gichi Manidoo), those who traveled to the Spirit World, and many others. This is from an Anishinaabe (Chippewa or Ojibwa) aspect.


Morita Therapy According To Morita: Dwelling In The Tension Between Hardy And Fragile Life, Peg Levine Oct 2020

Morita Therapy According To Morita: Dwelling In The Tension Between Hardy And Fragile Life, Peg Levine

The International Journal of Ecopsychology (IJE)

At the turn of the last century, Shōma Morita, MD (1874-1938), observed the ways thriving habitats revitalize and sustain humans, other mammals, birds, insects, fish, trees, fungi, and other life. Compatibly, Morita progressed his theory of peripheral consciousness (mushojūshin), which informed his therapeutic ecological habitat and methods. In Morita’s era, scholars and clinicians mulled over diverse hypotheses on consciousness and how consciousness theories (or lack of a theory) influence therapy and places of delivery. Largely by the 1980s, phenomenological inquiry was displaced (if not discredited) by advocates and funders of cognitive science. Therein, consciousness was reframed as …


The Impact Of Levodopa Administration On Learning From Short-Term And Long-Term Action Consequences: A Paradigm Validation., Masood Rezaei Oct 2020

The Impact Of Levodopa Administration On Learning From Short-Term And Long-Term Action Consequences: A Paradigm Validation., Masood Rezaei

Electronic Thesis and Dissertation Repository

Behavioral and neuroimaging studies have identified two valuation systems in the human brain for controlling behavior known as model-free (MF) and model-based (MB). MF is based on immediate evaluation and MB is based on long-term evaluation of the outcome of our decisions. Previous studies suggest that dopamine baseline activity may play an important role in the balance between the two systems and determine how they compete or interact in controlling our actions. The overarching aims of this study is to investigate the impact of levodopa administration on learning from immediate and long-term action consequences, and to dissociate the role of …


Types And Risk Factors Of Violence Experienced By People Living With Hiv, Pakistan: A Cross-Sectional Study, Safia Awan, Nukhba Zia, Fatima Sharif, Sharaf Ali Shah, Bushra Jamil Oct 2020

Types And Risk Factors Of Violence Experienced By People Living With Hiv, Pakistan: A Cross-Sectional Study, Safia Awan, Nukhba Zia, Fatima Sharif, Sharaf Ali Shah, Bushra Jamil

Department of Medicine

Background: In Pakistan, data are lacking on the violence experienced by people living with HIV.
Aims: This study determined the prevalence and risk factors of violence (physical, psychological and sexual) in people living with HIV in Karachi, Pakistan.
Methods: This was a cross-sectional study in 2016 of people living with HIV attending clinics of Bridge Consultants Foundation, a community-based care provider. Date were collected using an interview-based questionnaire. Multivariate logistic regression analysis was done to assess the risk factors for violence with adjusted odds ratios (aOR) and 95% confidence intervals (CI) presented.
Results: The sample included 250 people living with …


Ua12/2/1 College Heights Herald, Vol. 96, No. 8, Wku Student Affairs Oct 2020

Ua12/2/1 College Heights Herald, Vol. 96, No. 8, Wku Student Affairs

WKU Administration Documents

WKU campus newspaper reporting campus, athletic and Bowling Green, Kentucky news. This issue contains articles:

  • Lowe, Julianna. A Look Inside – Jamison Moorehead, Quarantine
  • Burris, Lily. Day in the Life – Sharon Hunter
  • Collins, Michael & Lauren Deppen. Need to Know – COVID-19
  • Frazier, Keilen. Homecoming in Barnes-Campbell Hall – Quarantine
  • Lowe, Julianna. Survey to Student – Dining Services, Quarantine
  • Collins, Michael. Kentucky Universities’ Records on COVID-19
  • Burris, Lily. Voices on the Inside – Sam Padgett, Chris Willis, Parker Randall, River Carter, Iyanla Shackelford
  • Hargrove, Matthew. Herd Tramples WKU – Football
  • Gaylord, Kaden. Travis Hudson is the Greatest of All …


Depression And Anxiety During The Covid-19 Pandemic In An Urban, Low-Income Public University Sample, Sasha Rudenstine, Kat Mcneal, Talia Schulder, Catherine K. Ettman, Michelle Hernandez, Kseniia Gvozdieva, Sandro Galea Oct 2020

Depression And Anxiety During The Covid-19 Pandemic In An Urban, Low-Income Public University Sample, Sasha Rudenstine, Kat Mcneal, Talia Schulder, Catherine K. Ettman, Michelle Hernandez, Kseniia Gvozdieva, Sandro Galea

Publications and Research

Mental health disparities in the aftermath of national disasters and the protective role of socioeconomic status are both well documented. We assessed the prevalence of depression and anxiety symptoms among underresourced public university students during the COVID-19 pandemic in New York City. Between April 8, 2020, and May 2, 2020, adult students (N = 1,821) across the CUNY system completed an online survey examining COVID-19–related stressors and mental health and sociodemographic factors. Using multivariable logistical regression to assess the association between COVID-19–related stressors and depression and anxiety symptoms, we found a high prevalence and severity of depression and anxiety …


Public Policy Origins Of U.S. Data, Bert Chapman Oct 2020

Public Policy Origins Of U.S. Data, Bert Chapman

Libraries Faculty and Staff Presentations

Provides detailed introduction and overview of public policy origins of U.S. data. Shows how congressional legislation and Office of Management and Budget documents influence compilation and dissemination of U.S. Government data. Stresses how Indiana General Assembly requirements influence compilation of Indiana state agency data and Indiana local government agency data. Places emphasis on roles played in data compilation and dissemination by public policy research institutions/think tanks. Concludes by stressing limitations of data collection by governmental and non-governmental entities.


Three Decades Of Research: The Case For Comprehensive Sex Education, Eva Goldfarb, Lisa D. Lieberman Oct 2020

Three Decades Of Research: The Case For Comprehensive Sex Education, Eva Goldfarb, Lisa D. Lieberman

Department of Public Health Scholarship and Creative Works

Purpose

School-based sex education plays a vital role in the sexual health and well-being of young people. Little is known, however, about the effectiveness of efforts beyond pregnancy and sexually transmitted disease prevention. The authors conducted a systematic literature review of three decades of research on school-based programs to find evidence for the effectiveness of comprehensive sex education.

Methods

Researchers searched the ERIC, PsycINFO, and MEDLINE. The research team identified papers meeting the systematic literature review criteria. Of 8,058 relevant articles, 218 met specific review criteria. More than 80% focused solely on pregnancy and disease prevention and were excluded, leaving …


A Model To Explain Statewide Differences In Covid-19 Death Rates, James L. Doti Oct 2020

A Model To Explain Statewide Differences In Covid-19 Death Rates, James L. Doti

Economics Faculty Articles and Research

COVID-19 death rates per 100,000 vary widely across the nation. As of September 1, 2020, they range from a low of 4 in Hawaii to a high of 179 in New Jersey. Although academic research has been conducted at the county and metropolitan levels, no research has rigorously examined or identified the demographic and socioeconomic forces that explain state-level differences. This study presents an empirical model and the results of regression tests that help identify these forces and shed light on the role they play in explaining COVID-19 deaths.

A stepwise regression model we tested exhibits a high degree of …


Mindfulness Therapy Is An Effective Adjunctive Treatment For Adolescents Living With Hiv, Samantha Rea Oct 2020

Mindfulness Therapy Is An Effective Adjunctive Treatment For Adolescents Living With Hiv, Samantha Rea

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report appraising Webb L, Perry-Parrish C, Ellen J, Sibinga E. Mindfulness instruction for HIV-infected youth: a randomized controlled trial. AIDS Care. 2018;30(6):688–695. https://doi.org/10.1080/09540121.2017.1394434