Scholars@Duke
Schenita Davis Randolph

Schenita Davis Randolph

Associate Professor in the School of Nursing
School of Nursing
schenita.randolph@duke.edu
307 Trent Drive, DUMC 3322, Durham, NC 27710
307 Trent Drive, DUMC 3322, Durham, NC 27710

Selected Publications

Identifying CFIR Inner Setting Factors in the Implementation of a Salon-Based Intervention to Reduce Barriers and Improve Pre-Exposure Prophylaxis (PrEP) Uptake Among Black Women in US South.

Journal Article Community health equity research & policy · October 2025 US Black women are disproportionally represented in new HIV diagnoses. PrEP is effective in HIV prevention, but Black women's uptake is low. The UPDOs salon-based intervention is effective in overcoming barriers to care but scaling implementation is needed ... Full text Cite

Integrating a Human-Centered Design Tool, dScout, to Design a Web-Based Intervention for Parent-Adolescent Sexual Health Communication.

Journal Article Research in nursing & health · October 2025 Black male adolescents and young adults (BMAYA) experience pronounced and persistent sexual health disparities compared to other groups in the US. This original research focuses on the early-stage development of The TALK, a nurse-led multi-pronged web-base ... Full text Cite

A Multipronged, Community-Partnered Intervention (The TALK) to Improve Parent-Adolescent Communication About Sexual Health and Racial Discrimination Among Black Male Adolescents and Young Adults and Their Caregivers: Protocol for a Feasibility and Acceptability Study.

Journal Article JMIR research protocols · July 2025 BackgroundUnsafe sexual behaviors among Black male adolescents and young adults increase their susceptibility to negative health outcomes that widen persistent health disparities. Parent-adolescent relationships and communication can impact Black ... Full text Cite

A Hybrid Pragmatic and Factorial Cluster Randomized Controlled Trial for an Anti-racist, Multilevel Intervention to Improve Mental Health Equity in High Schools.

Journal Article Prevention science : the official journal of the Society for Prevention Research · July 2024 Systemic racism is pervasive in US society and disproportionately limits opportunities for education, work, and health for historically marginalized and minoritized racial and ethnic groups, making it an urgent issue of social justice. Because systemic rac ... Full text Cite

Ending the HIV Epidemic: Disrupting Inequities Through HIV Research Centered on Women and Girls.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2024 Full text Cite

Using an Equity in Research Framework to Develop a Community-Engaged Intervention to Improve Preexposure Uptake Among Black Women Living in the United States South.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2024 AbstractIn the U.S. South, over half of new HIV diagnoses occur among Black Americans with research lagging for women who face increased HIV rates and low PrEP uptake, among other health inequities. Community engaged research is a promising method ... Full text Cite

Reasons Over Risks: NPs and HIV Prevention for Black Women

Journal Article Journal for Nurse Practitioners · March 1, 2024 Nurse practitioners (NPs) across specialties are positioned to lead in human immunodeficiency virus (HIV) prevention and care, particularly for Black women, a demographic that continues to be disproportionately burdened by the HIV/AIDS epidemic. This artic ... Full text Cite

A Salon-Based Intervention to Improve PrEP Uptake among Black Women.

Journal Article The New England journal of medicine · February 2024 Full text Cite

PrEP-aring stylists: Development of a stylist educational workshop to increase PrEP awareness and knowledge among Black women in the US south .

Journal Article Public health nursing (Boston, Mass.) · January 2024 BackgroundBlack cis-gender women are disparately affected by HIV and require prioritization in prevention efforts, including pre-exposure prophylaxis (PrEP). Preparing trusted community leaders such as salon stylists as health-based opinion leader ... Full text Cite

Leadership in Nursing Science: Four Scholarly Journeys Rooted in Historically Black College and University Excellence.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · January 2024 The intricacies of the unique educational and leadership development trajectories of Black PhD-prepared nurse scientists are largely invisible in nursing faculty development literature. A broadened understanding of nursing leadership development and scienc ... Full text Cite

Using Strategic Communications to Inspire a Shared Vision for Black Women’s Health

Chapter · January 1, 2024 Addressing the epidemics of intimate partner violence and HIV that disproportionately affect Black women in the U.S. requires innovative solutions and authentic partnerships between researchers and the communities they serve. Strong partnerships can inform ... Full text Cite

Feasibility of dyadic peer support to augment a church-based healthy lifestyle programme.

Journal Article Health education journal · November 2023 ObjectiveAfrican Americans in the USA experience a disproportionate burden of chronic disease. Healthy lifestyle promotion programmes can help decrease this disease risk. This study determined the feasibility of using dyadic peer support to augmen ... Full text Cite

UPDOs Protective Styles, a Multilevel Intervention to Improve Pre-exposure Prophylaxis Uptake Among Black Cisgender Women: Pretest-Posttest Evaluation.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2023 AbstractIn the United States, Black cisgender women account for one in five new HIV infections with Black Americans, accounting for 57% of new diagnoses in the South. Pre-exposure prophylaxis (PrEP) is 99% effective at preventing HIV. Still, Black ... Full text Cite

Dyadic Peer Support to Improve Diet and Physical Activity Among African American Church Members: An Exploratory Study.

Journal Article Journal of religion and health · August 2023 This study examined how African American church members communicated and cooperated as dyads to attain health goals. Participants completed nine weeks of group classes then worked as dyads for nine weeks. Communication logs and interviews were used to asse ... Full text Cite

Examining Stigma and Disclosure Among Women With HIV in the Southern United States: Qualitative Study Guided by the Adaptive Leadership Framework for Chronic Illness.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2023 AbstractStigma is a fundamental cause of health inequities. Guided by the Adaptive Leadership Framework for Chronic Illness (ALFCI), this descriptive qualitative study explored the challenges of stigma and disclosure experienced by women with HIV ... Full text Cite

Structural Barriers to HIV Prevention and Services: Perspectives of African American Women in Low-Income Communities.

Journal Article Health education & behavior : the official publication of the Society for Public Health Education · December 2022 BackgroundAfrican American women are at a disproportionate HIV risk compared with other U.S. women. Studies show that complex structural and social determinants, rather than individual behaviors, place African American women at greater risk of HIV ... Full text Cite

Population health in a global society: Preparing nurses for the future.

Journal Article Public health nursing (Boston, Mass.) · September 2022 BackgroundThe COVID-19 pandemic has reinforced awareness that the health of populations is inextricably linked around the globe. Nurses require increased knowledge and preparation in global health. Nursing educators need examples of how to improve ... Full text Cite

Religious social capital and minority health: A concept analysis.

Journal Article Public health nursing (Boston, Mass.) · September 2022 ObjectiveOptimizing resources within environments where people live, work, and pray can aid nurses in improving public health. Religion and social capital significantly influence the health of individuals and communities, particularly among racial ... Full text Cite

Using PrEP and Doing it for Ourselves (UPDOs Protective Styles), a Web-Based Salon Intervention to Improve Uptake of Pre-exposure Prophylaxis Among Black Women: Protocol for a Pilot Feasibility Study.

Journal Article JMIR research protocols · August 2022 BackgroundMultilevel interventions are necessary to address the complex social contributors to health that limit pre-exposure prophylaxis use among Black women, including medical distrust, pre-exposure prophylaxis stigma, and access to equitable h ... Full text Cite

Adaptive leadership in clinical encounters with women living with HIV.

Journal Article BMC women's health · June 2022 BackgroundWomen living with HIV (WLWH) report low engagement in health care, missed office visits, and less engagement in the clinical encounter. Strengthening the clinical encounter for WLWH may improve health outcomes and quality of life. The Ad ... 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

HIV Clinician Workforce Shortage: Nurse Practitioners Filling the Gap

Journal Article Journal for Nurse Practitioners · January 1, 2022 The development of highly effective antiretroviral treatment has significantly decreased the disease burden and increased the life expectancy of people living with HIV. As people with HIV live longer, they will require ongoing HIV specialty and primary car ... Full text Cite

Black nurse scientists and the undeniable role of historically Black colleges and universities.

Journal Article Nursing outlook · January 2022 The pandemics of COVID-19 and systemic racism highlighted health inequities that have existed for decades among Black communities. Nurses are positioned to address these health inequities through innovative ideas and research. More specifically, Black nurs ... Full text Cite

A syndemic effect: Interrelationships between systemic racism, health disparities, and COVID-19.

Journal Article Nursing · January 2022 AbstractThis article discusses the interconnection between the syndemic effect of racial inequities and disparities as well as the impact of the COVID-19 pandemic on Black Americans. It also highlights meaningful reforms and priorities to achieve ... Full text Cite

US Black cisgender women and pre-exposure prophylaxis for human immunodeficiency virus prevention: A scoping review.

Journal Article Women's health (London, England) · January 2022 BackgroundBlack cisgender women in the United States experience a disproportionate burden of human immunodeficiency virus acquisition. Pre-exposure prophylaxis is an effective oral daily medication that reduces the risk of human immunodeficiency v ... Full text Cite

Perspectives of Black women in the United States on salon-based intervention to promote the uptake of pre-exposure prophylaxis (PrEP) for HIV.

Journal Article Journal of clinical nursing · November 2021 Aims and objectivesTo understand Black women's perspectives on a pre-exposure prophylaxis (PrEP) education intervention in a salon setting.BackgroundBlack women have a significant lifetime risk of acquiring HIV. Pre-exposure prophylaxis ( ... Full text Cite

Nursing Contributions to Ending the Global Adolescent and Young Adult HIV Pandemic.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2021 AbstractThe welfare of adolescents and young adults (AYA) is pivotal for a sustainable future. However, despite worldwide efforts, alarming disparities in HIV morbidity and mortality persist: AYA are disproportionately affected. Specific world reg ... Full text Cite

Applying a Nursing Perspective to Address the Challenges Experienced by Cisgender Women in the HIV Status Neutral Care Continuum: A Review of the Literature.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2021 AbstractThe field of HIV research has grown over the past 40 years, but there remains an urgent need to address challenges that cisgender women living in the United States experience in the HIV neutral status care continuum, particularly among wom ... Full text Cite

Leveraging social networks of Black women in beauty salons to improve uptake of pre-exposure prophylaxis

Journal Article Health Education Journal · February 1, 2021 Objective: The purpose of this study was to assess social networks among Black women and beauty salons to see whether these could be leveraged to increase the awareness, knowledge and uptake of pre-exposure prophylaxis (PrEP) in this population. Design: Qu ... Full text Cite

Creating a culture that values diversity and inclusion: An action-oriented framework for schools of nursing.

Journal Article Nursing forum · November 2020 An organizational culture that values diversity and inclusion is essential for the achievement of high-quality nursing education, yet little literature exists to guide schools of nursing (SON) in accomplishing this goal. All SONs, regardless of size, need ... Full text Cite

How Perceived Structural Racism and Discrimination and Medical Mistrust in the Health System Influences Participation in HIV Health Services for Black Women Living in the United States South: A Qualitative, Descriptive Study.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2020 There are racial and geographic disparities for HIV in the United States; Black women have nearly 20 times the risk of White women in being infected with HIV, and lifetime HIV risk is greatest for people living in the southern United States. These disparit ... Full text Cite

Alarm at the Gate-Health and Social Inequalities are Comorbid Conditions of HIV and COVID-19.

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

Project PLACE: Enhancing community and academic partnerships to describe and address health disparities.

Chapter · 2020 Achieving cancer health equity is a national imperative. Cancer is the second leading cause of death in the United States and in North Carolina (NC), where the disease disproportionately impacts traditionally underrepresented race and ethnic groups, those ... Full text Link to item Cite

Black Fathers' Preferences for Sexual Health Interventions with their Adolescent Sons.

Journal Article Journal of the National Medical Association · October 2019 Full text Cite

Principal Sources of Information African American Fathers Draw Upon to Inform their Sons about Sex and Sexual Health Risks.

Journal Article Journal of the National Medical Association · October 2019 BackgroundWhile parent-child communication about sex is associated with safer sexual practices among African American youth, there is a noticeable gap in the representation of fathers' perspectives on talking with their sons about sexual and repro ... Full text Cite

Recruiting and engaging African-American men in health research.

Journal Article Nurse researcher · June 2018 BackgroundImproving the health of black and minority ethnic (BME) men in the US continues to be a public health priority. Compared with men of other races and ethnicities, African-American men have higher rates of mortality and morbidity from chro ... Full text Cite

Using the Social-Ecological Model of HIV Prevention to Explore HIV Testing Behaviors of Young Black College Women.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2018 The purpose of our study was to explore HIV testing behaviors and attitudes among young Black women ages 18-24 years in southern North Carolina (N =17) using a semi-structured interview based on the Socio-Ecological Model. The findings showed that individu ... Full text Cite

Barber-led sexual health education intervention for Black male adolescents and their fathers.

Journal Article Public health nursing (Boston, Mass.) · November 2017 ObjectiveTo explore barbers' attitudes and beliefs regarding the feasibility and acceptability of a barber- led STI/HIV risk reduction intervention for fathers and their preadolescent and adolescent sons.Design and sampleA qualitative des ... Full text Cite

Parent–youth communication to reduce at-risk sexual behavior: A systematic literature review

Journal Article Journal of Human Behavior in the Social Environment · August 18, 2017 There are nearly 110 million cases of sexually transmitted infections (STIs) in the United States. The Centers for Disease Control and Prevention estimate that annually there are more than 19.7 million new STI cases. Of those, more than half are accounted ... Full text Cite

African-American Fathers' Perspectives on Facilitators and Barriers to Father-Son Sexual Health Communication.

Journal Article Research in nursing & health · June 2017 African-American males ages 13 through 24 are disproportionately affected by sexually transmitted infections (STIs) and human immunodeficiency virus (HIV), accounting for over half of all HIV infections in this age group in the United States. Clear communi ... Full text Cite

Student-Developed Simulations: Enhancing Cultural Awareness and Understanding Social Determinants of Health.

Journal Article The Journal of nursing education · April 2017 BackgroundNational and global initiatives to address the social determinants of health (SDH) are on the rise. On a parallel trajectory, increased cultural awareness is emerging as an integral strategy to improve the understanding of these social c ... Full text Cite

Values that Fathers Communicate to Sons about Sex, Sexuality, Relationships, and Marriage.

Journal Article Social work in public health · January 2017 African American males between ages 13 and 24 are disproportionately affected by unintended pregnancy and sexually transmitted infections (STIs) such as chlamydia, gonorrhea, syphilis, and HIV/AIDS; indeed, they account for 50% of HIV infections among all ... Full text Cite

Preparing BSN Students for Population-Focused Nursing Care.

Journal Article Nursing education perspectives · March 2016 A baccalaureate nursing program in central North Carolina, in partnership with a local homeless shelter and community clinic, serves a vulnerable, underserved population while helping students gain hands-on experience in population-focused nursing. Student ... Cite

Understanding Key Barriers to Fathers’ Involvement in Their Children's Lives

Journal Article Child and Youth Services · December 2, 2014 Fathers who are uninvolved or play minimal roles in their children's lives may unwittingly have adverse effects on their psychosocial development. In 2003, only 54% of nearly a half million children in foster care in the United States had contact with thei ... Full text Cite

Exploring sexual identity development among African American male college students

Journal Article Electronic Journal of Human Sexuality · February 13, 2013 African Americans face the most severe burden of HIV among other racial and ethnic groups in the United States. One group warranting attention in North Carolina has been African American male college students. Between 2000 and 2003, 11% of new HIV infecti ... Cite

Relationships among self-care agency, self-efficacy, self-care, and glycemic control.

Journal Article Research and theory for nursing practice · January 2005 Costly complications of diabetes often arise from poor glycemic control. Appropriate diabetes self-care management may improve control. This study examined whether self-care management affects glycemic control and mediates relationships between self-effica ... Full text Cite

Understanding key barriers to fathers' case planning involvement

Journal Article Child & Youth Services Fathers who are uninvolved or play minimal roles in their children's lives may unwittingly have adverse effects on their psychosocial development. In 2003, only 54% of nearly a half million children in foster care in the United States had contact with thei ... Cite