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James Lester Harmon

Associate Clinical Professor Emeritus in the School of Nursing
School of Nursing
Box 3322 Med Ctr, Durham, NC 27710
307TRENT Drive Room 3015, Duke School of Nursing, Durham, NC 27710

Selected Publications


Improving HCV Risk Assessment and Testing in a Federally Qualified Health Center Setting in Baltimore, Maryland.

Journal Article Journal of community health · August 2020 Approximately 4.1 million adults in the United States have past or current hepatitis C virus (HCV) infection. Despite efforts to test at least once for the 1945-1965 birth cohort population and others identified at risk, the completion of the annual risk a ... Full text Cite

Integrating Preexposure Prophylaxis (PrEP) Into a Network of Community Health Centers

Journal Article Journal for Nurse Practitioners · March 1, 2020 Although preexposure prophylaxis (PrEP) is more than 92% effective in preventing human immunodeficiency virus, primary care providers underprescribe it. This quality improvement project was designed to increase the provision of PrEP to people at high risk ... Full text Cite

Video-Based Preconception Counseling for Women Living With HIV.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2020 Full text Cite

Addressing Polypharmacy in Older Adults Living With HIV.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2019 Full text Cite

Integration of Anal Dysplasia Screening into the Primary Care of Persons Living with HIV.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2018 Anal dysplasia can lead to anal cancer, which affects persons living with HIV (PLWH) more than people in the general population. Screening for anal dysplasia is recommended to detect anal cancer at an early stage. The aim of our process improvement project ... Full text Cite

The Development of an HIV Training Program for Nurse Practitioners.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2016 Responding to a national need for a new workforce of HIV care providers as the first generation of providers decrease their practices or retire, the Duke University School of Nursing, with funding from the Health Resources and Services Administration, deve ... Full text Cite

Entry-Level Competencies Required of Primary Care Nurse Practitioners Providing HIV Specialty Care: A National Practice Validation Study.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2016 In the United States, only 30% of HIV-infected persons are diagnosed, engaged in care, provided antiretroviral therapy, and virologically suppressed. Competent HIV care providers are needed to achieve optimal clinical outcomes for all people living with HI ... Full text Cite

Working Toward 21(st) Century Interprofessional Workforce Training and Leadership in HIV Care.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2016 Full text Cite

Fatigue in HIV-Infected People: A Three-Year Observational Study.

Journal Article J Pain Symptom Manage · July 2015 CONTEXT: HIV-related fatigue remains the most frequent complaint of seropositive patients. OBJECTIVES: To describe the natural course of fatigue in HIV infection, in a sample (n=128) followed for a three-year period. METHODS: A longitudinal prospective des ... Full text Link to item Cite

Reflections: A Case for Intersectional Approaches in HIV Research.

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

Intensity, chronicity, circumstances, and consequences of HIV-related fatigue: a longitudinal study.

Journal Article Clinical nursing research · October 2014 HIV-related fatigue remains the most troubling complaint of seropositive people. Researchers often use tools to measure fatigue that were developed for other patient populations; thus, the measurement of fatigue specific to HIV is needed. This article desc ... Full text Cite

Integrating routine HIV screening into a primary care setting in rural North Carolina.

Journal Article J Assoc Nurses AIDS Care · 2014 Blacks living in the southern United States are disproportionately affected by HIV infection. Identifying and treating those who are infected is an important strategy for reducing HIV transmission. A model for integrating rapid HIV screening into community ... Full text Link to item Cite

Physiological and psychosocial factors that predict HIV-related fatigue.

Journal Article AIDS Behav · December 2010 Fatigue is one of the most common and debilitating symptoms experienced by HIV-infected people. We report the results of our longitudinal analysis of physiological and psychosocial factors that were thought to predict changes in HIV-related fatigue in 128 ... Full text Link to item Cite

Chronicity and remission of fatigue in patients with established HIV infection.

Journal Article AIDS Patient Care STDS · April 2009 Fatigue is one of the most common and debilitating complaints of HIV-positive individuals, potentially leading to important functional limitations. We recruited 128 HIV-positive individuals (fatigued and nonfatigued) between March 2005 and May 2006; 66% we ... Full text Link to item Cite

Daytime sleepiness, nighttime sleep quality, stressful life events, and HIV-related fatigue.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2009 In this report, the authors describe the relationships between daytime sleepiness, nighttime sleep quality, stressful life events, and HIV-related fatigue in a sample of 128 individuals; they report the baseline results of a longitudinal observational stud ... Full text Cite

Trauma, stressful life events and depression predict HIV-related fatigue.

Journal Article AIDS Care · November 2008 Despite the fact that fatigue is a common and debilitating symptom among HIV-infected persons, we know little about the predictors of fatigue in this population. The goal of this cross-sectional study was to examine the effects of early childhood trauma, r ... Full text Link to item Cite

Measuring fatigue in people living with HIV/AIDS: psychometric characteristics of the HIV-related fatigue scale.

Journal Article AIDS care · August 2008 In the era of life-prolonging antiretroviral therapy, chronic fatigue is one of the most prevalent and disabling symptoms of people living with HIV/AIDS, yet its measurement remains challenging. No instruments have been developed specifically to describe H ... Full text Cite

Demographic and illness-related variables associated with HIV-related fatigue.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2008 Fatigue is one of the most debilitating symptoms suffered by those with HIV infection, yet little is known about its correlates. The primary aims of this study were to describe the degree to which fatigue affects daily functioning and the demographic and i ... Full text Cite

Physiological correlates of HIV-related fatigue.

Journal Article Clinical nursing research · February 2008 Our primary aim is to describe the relationship of multiple physiological variables and HIV-related fatigue. We report baseline data collected from 128 human immunodeficiency virus (HIV)-positive individuals. The HIV-Related Fatigue Scale was used to measu ... Full text Cite

Effect of highly active antiretroviral therapy and thymic transplantation on immunoreconstitution in HIV infection.

Journal Article AIDS Res Hum Retroviruses · March 20, 2000 The purpose of this study was to determine whether thymic transplantation in addition to highly active antiretroviral therapy (HAART) will restore T cell function in HIV infection. Eight treatment-naive HIV-infected patients with CD4+ T cell counts of 200- ... Full text Link to item Cite