Improving health, removing barriers, & impacting health literacy in HIV
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C. Ann Gakumo, PhD, RN - Principal Investigator, Pilot Grant

Funded under, UAB K12 in Patient Centered Outcomes Research
Kenneth Saag, MD - Principal Investigator

National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ)

5K12HS021694-02
8/1/2012-7/31/14


Gakumo-head-ShotAssistant Professor C. Ann Gakumo, PhD, RN is currently analyzing the data obtained during her two year UAB K12-Scholar Award funded by the UAB School of Medicine, the Center for Clinical and Translational Science, and an Agency for Healthcare Research and Quality (AHRQ) Patient Centered Outcomes Research (PCOR) Institutional Award . The award provided salary for protected time for both formal research training and mentored hands-on research experience in the areas of translational research and research that enhances patient care. The overall goal of the training is to impart knowledge, experience, and perspective to junior scientists to enhance their movement toward independence as investigators.

Health literacy is poorer among older adults as compared to the general population and regardless of educational background, more than two-thirds of U.S. adults age 60 years or older have low or marginal literacy skills. In addition, It is well documented that African Americans with HIV are less adherent to their HIV medication regimens than other races/ethnicities, less likely to keep their HIV clinic appointments, and more likely to die during hospitalization. However research on potential interventions to improve these outcomes by addressing health literacy deficits in this growing population is sparse. Dr. Gakumo recruited African Americans with HIV ages 45 and over at a tertiary care HIV clinic to participate in interviews following their appointments. The participants’ knowledge regarding their lab values and most recent evaluation was assessed to evaluate gaps in understanding.. Participants were also interviewed about how they would prefer an HIV health literacy intervention to be delivered to them (e.g., web portal, pamphlets, mobile devices, videos, etc.).

Data gathered from the first phase of the project will be used to develop a culturally relevant Health literacy intervention to improve treatment adherence in older African Americans with HIV.  


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Related publications

Gakumo, C. A.,Vance, D. E., Moneyham, L., Deupree, J., & Estrada, C. A.(2013). Health numeracy and health literacy within the context of management of patients with human immunodeficiency virus. Nursing: Research and Reviews, 3, 23-31.

Fazeli, P. L., Marceaux, J. C., Vance, D. E., Slater, L., & Long (Gakumo), C. A. (2011). Predictors of cognition in adults with HIV: implications for nursing practice and research. J Neurosci Nurs, 43(1), 36-50.

Vance, D. E., Dodson, J. E., Gakumo, C. A., Morris, D., Kitchens, E., & Schroder, K. E. E. (2012). Successful cognitive aging in HIV:  Potential strategies for treatment and research. Physical and Occupational Therapy in Geriatrics, 30(3), 229-244.