Scholars@Duke
Courtney Caiola

Courtney Caiola

Instructor in the School of Nursing
School of Nursing

Scholarly Works

Understanding how internalized HIV stigma affects messaging about adherence to antiretroviral treatment in women living with HIV in the southern United States: an application of segmentation, perceptual mapping and vector message modeling.

Journal article AIDS care · February 2026 Women living with HIV (WLWH) in the Southern United States face barriers to sustained adherence to antiretroviral therapy (ART). 114 Southern WLWH were surveyed to assess perceptions about medication adherence and marketing techniques used to create potent ... Full text Cite

Participatory Development and Concept Testing of mHealth Messaging to Support Care Engagement and Antiretroviral Therapy Adherence for Women Living With HIV in the Southern United States: Focus Group Study.

Journal article JMIR formative research · October 2025 BackgroundWomen living with HIV in the Southern United States, or the South, face persistent and overlapping challenges to care engagement and antiretroviral therapy adherence, including HIV-related stigma, poverty, and inequitable access to healt ... Full text Cite

"Whispered on Only the Darkest Corners of the Internet:": A Qualitative Descriptive Study Exploring Fathers' Experiences with Paternal Postpartum Depression on Reddit.

Journal article Global qualitative nursing research · January 2025 At least 10% of fathers experience depressive symptoms during the postpartum period, yet they are often overlooked and under-supported. It is critical to understand paternal postpartum depression as it has been linked to serious consequences, such as incre ... Full text Cite

Social Location and Decision-Making Among Women Living with HIV in the Southern United States: An Intersectional Approach.

Journal article International journal of environmental research and public health · November 2024 HIV care engagement and antiretroviral therapy (ART) adherence interventions aimed at decreasing viral suppression disparities for women living with HIV (WLWH) in the Southern United States (i.e., the South) are few and seldom consider diverse social locat ... Full text Cite

An Integrative Review of the Literature Examining Sexual Relationship Power, Depressive Symptoms, Silencing the Self, and HIV Vulnerability for Women in the United States.

Journal article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2024 AbstractThe purpose of our integrative review was to synthesize the literature examining relationships between depressive symptoms, silencing the self (STS), sexual relationship power (SRP), and HIV vulnerability among women in the United States. ... Full text Cite

Peer advice for women living with HIV in the Southern USA.

Journal article Culture, health & sexuality · August 2024 Peer advice can provide emotional, social and practical assistance for the sustained self-management of chronic conditions. For stigmatised diseases such as HIV, finding support can be challenging. Women living with HIV in the Southern USA are additionally ... Full text Cite

A Qualitative Study of the Social Relationship Experiences Across the Life Course Among Black/African American Women Aging With HIV in the South.

Journal article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2024 AbstractBlack/African American women continue to be disproportionately affected by HIV, facing multiple intersecting challenges that influence how they age and effectively manage their health. Supportive social relationships have been shown to hel ... Full text Cite

Care partners experience of an oral health intervention for individuals with mild cognitive impairment and mild dementia using behavior change technique: A qualitative study.

Journal article Geriatr Nurs · 2024 Oral health declines in older adults with cognitive impairment. We aimed to improve oral hygiene outcomes for individuals with mild cognitive impairment (MCI) or mild dementia (MD) by fostering behavior changes among carepartners assisting them. We used qu ... Full text Link to item Cite

Barriers and facilitators to engagement in care and medication adherence for women living with HIV in the Southern United States.

Journal article AIDS care · January 2024 Women living in the South have the second highest rate of HIV and the lowest rate of viral suppression among women in all regions in the United States (U.S.). Viral suppression is achieved by successfully linking women to HIV care and supporting adherence ... Full text Cite

Structural competency in pre-health and health professional learning: A scoping review.

Journal article Journal of interprofessional care · November 2023 Structural competency training provides guidance to healthcare providers on recognizing and addressing structural factors leading to health inequities. To inform the evidence-based progression of structural competency curriculum development, this study was ... Full text Cite

Barriers and facilitators to nurse practitioner buprenorphine prescribing for opioid use disorder in primary care settings.

Journal article Journal of the American Association of Nurse Practitioners · February 2023 BackgroundIncreasing access to opioid use disorder (OUD) treatment is critical to curbing the opioid epidemic, particularly for rural residents who experience numerous health and health care disparities, including higher overdose death rates and l ... Full text Cite

Integrative Review of Mental Health and Feeding Styles in Parents of Bottle-Fed Infants.

Journal article Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · January 2023 ObjectiveTo review the literature regarding the relationship between symptoms of anxiety and depression and feeding styles in parents of bottle-fed infants.Data sourcesWe conducted literature searches in PubMed, CINAHL, Scopus, and PsycIN ... Full text Cite

Adaptive Challenges, Adaptive Work, and Adaptive Leadership Among Women Living With HIV in the Southern United States: Findings From a Qualitative Study.

Journal article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2022 AbstractWomen living with HIV have a higher burden of non-AIDS comorbidities and prevalence of chronic conditions. The Adaptive Leadership Framework for Chronic Illness clarifies living with complex health challenges by delineating the technical w ... Full text Cite

Exploring Resilience Among Black Women Living With HIV in the Southern United States: Findings From a Qualitative Study.

Journal article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2022 AbstractBlack women living with HIV (WLWH) face individual and sociostructural challenges. Despite these challenges, many exemplify remarkable levels of resilience and coping. Yet, research on resilience and coping in this population is limited. T ... Full text Cite

A Review of the State of the Science of HIV and Stigma: Context, Conceptualization, Measurement, Interventions, Gaps, and Future Priorities.

Journal article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2021 AbstractStigma is a fundamental cause of health inequities. As such, stigma is a major barrier to HIV prevention, care, and treatment. This review will examine the concept of stigma, explicating the mechanisms of action of HIV-related stigma while ... Full text Cite

Modeling upstream socioeconomic inequities and syndemic conditions among mothers over time.

Journal article Public health nursing (Boston, Mass.) · March 2021 ObjectivesMothers in lower social locations are particularly vulnerable to the syndemic conditions of substance abuse, violence, and HIV/AIDS (SAVA), yet few studies have examined the impact of upstream socioeconomic inequities as salient determin ... Full text Cite

A Systematic Review of HIV Interventions for Young Women in Sub-Saharan Africa.

Journal article AIDS and behavior · December 2020 Adolescent girls and young women (AGYW) ages (15-24 years old) in Southern and Eastern Africa account for nearly 30% of all new HIV infections. We conducted a systematic review of studies examining the effectiveness of behavioral, structural, and combined ... Full text Cite

Black Mothers Living With HIV Picture the Social Determinants of Health.

Journal article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2018 The purpose of our study was to explore the social determinants of health for Black mothers living with HIV in the southeastern region of the United States. In this exploratory study, we used qualitative methods of in-depth interviewing and photo elicitati ... Full text Cite

Capturing the Social Location of African American Mothers Living With HIV: An Inquiry Into How Social Determinants of Health Are Framed.

Journal article Nursing research · May 2017 BackgroundThe disparate health outcomes of African American mothers living with HIV are considerable. Multidimensional approaches are needed to address the complex social and economic conditions of their lives, collectively known as the social det ... Full text Cite

Reflections: A Case for Intersectional Approaches in HIV Research.

Journal article AIDS research and human retroviruses · July 2015 Full text Cite

Deconstructing HIV-related stigma: a dialogue with a multidisciplinary group of experts.

Journal article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2015 Full text Cite

Using an intersectional approach to study the impact of social determinants of health for African American mothers living with HIV.

Journal article ANS. Advances in nursing science · October 2014 Heightened awareness of the social determinants of health by health scientists and clinicians has failed to translate into significant progress in the amelioration of those social determinants contributing to health inequities. The purpose of this article ... Full text Cite

A randomized controlled trial of the efficacy of a stigma reduction intervention for HIV-infected women in the Deep South.

Journal article AIDS patient care and STDs · September 2014 The aim of this study was to compare outcomes (self-esteem, coping self-efficacy, and internalized stigma) across time in HIV-infected women living in the Deep South who received a stigma reduction intervention (n=51) with those of a control group (n=49) w ... Full text Cite