Positions

Overview

  • Professor of Medicine and Nursing in the Division of Infectious & Senior Scientist (UAB Center for AIDS Research), Senior Scholar (UAB Center for Palliative and Supportive Care) and Scholar (UAB Lister Hill Center for Health Policy)

    I am the Director of the UAB 1917 HIV Outpatient, Dental and Research Clinic in Birmingham, Alabama. As a national Nurse Practitioner leader, I have devoted my career to improving access to care for HIV populations. An attorney and NP, I have impacted HIV care, evidenced through sustained scholarly program of research, practice, policy advocacy and collaborative leadership. My first-hand knowledge and experience in legislation and regulation contribute to my ability to advance health policy reform with inter-professional colleagues and policy makers. I have widely published and am recognized for my work in outcomes HIV outcomes research. I am a Fellow in the American Academy of Nursing, the American Academy of Nurse Practitioner and the Infectious Disease Society of America.

    Holding doctorates in nursing and law, I’ve spent my career at the University of Alabama at Birmingham deeply involved in the care and treatment of patients with HIV/AIDS.
  • Selected Publications

    Academic Article

    Year Title Altmetric
    2018 Individualized-Targeted Computerized Cognitive Training to Treat HIV-Associated Neurocognitive Disorder: An Interim Descriptive Analysis 2018
    2018 Racial disparities in the prevalence and control of hypertension among a cohort of HIV-infected patients in the southeastern United States 2018
    2018 Can computerized cognitive training reverse the diagnosis of HIV-associated neurocognitive disorder? A research protocol 2018
    2017 Moment-to-moment within-person associations between acts of discrimination and internalized stigma in people living with HIV: An experience sampling study. 2017
    2017 Testing a Computerized Cognitive Training Protocol in Adults Aging With HIV-Associated Neurocognitive Disorders: Randomized Controlled Trial Rationale and Protocol. 2017
    2017 Association between internalized HIV-related stigma and HIV care visit adherence 2017
    2017 Brief Report: Interpersonal and Intrapersonal Factors as Parallel Independent Mediators in the Association between Internalized HIV Stigma and ART Adherence 2017
    2017 How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes 2017
    2017 Interpersonal Mechanisms Contributing to the Association Between HIV-Related Internalized Stigma and Medication Adherence 2017
    2017 The Fragile Balance of Community-Based Health Care: One Community's United Response When the HIV/AIDS Primary Care Safety Net Failed 2017
    2016 A Qualitative Study on Health Numeracy and Patient–Provider Communication of Laboratory Numbers in Older African Americans with HIV 2016
    2016 Social support and moment-to-moment changes in treatment self-efficacy in men living with HIV: Psychosocial moderators and clinical outcomes 2016
    2016 Identifying Symptom Patterns in People Living With HIV Disease 2016
    2016 Cigarette Smokers are Less Likely to Have Undetectable Viral Loads: Results from Four HIV Clinics 2016
    2015 Immunization costs and programmatic barriers at an urban HIV clinic 2015
    2015 Venous thromboembolism among HIV-positive patients and anticoagulation clinic outcomes integrated within the HIV primary care setting 2015
    2015 The effect of antidepressant treatment on HIV and depression outcomes: Results from a randomized trial 2015
    2015 Achieving Core Indicators for HIV Clinical Care among New Patients at an Urban HIV Clinic 2015
    2015 Obesity is Associated with Race/Sex Disparities in Diabetes and Hypertension Prevalence, but Not Cardiovascular Disease, among HIV-Infected Adults 2015
    2015 Factors Associated with Missed Psychiatry Visits in an Urban HIV Clinic 2015
    2015 An Algorithm Approach to Determining Smoking Cessation Treatment for Persons Living With HIV/AIDS: Results of a Pilot Trial 2015
    2015 Preliminary outcomes of a pilot physical therapy program for HIV-infected patients with chronic pain 2015
    2015 “keep it simple”: Older African Americans’ preferences for a health literacy intervention in HIV management 2015
    2015 Adherence to Appointments for Comprehensive Primary Care of HIV Patients With Substance Use Disorders 2015
    2015 Clinic-wide intervention lowers financial risk and improves revenue to HIV clinics through fewer missed primary care visits 2015
    2015 Short communication: Viral suppression is associated with increased likelihood of colorectal cancer screening among persons living with HIV/AIDS 2015
    2015 Testosterone replacement therapy among HIV-infected men in the CFAR network of integrated clinical systems 2015
    2015 The Multiple Stigma Experience and Quality of Life in Older Gay Men With HIV 2015
    2014 Factors Associated with Missed Psychiatry Visits in an Urban HIV Clinic 2014
    2014 Reply to rapose 2014
    2014 Going the Extra Mile for Retention and Re-engagement in Care: Nurses Make a Difference 2014
    2014 Church attendance in men who have sex with men diagnosed with HIV is associated with later presentation for HIV care 2014
    2014 A qualitative study of underutilization of the aids drug assistance program 2014
    2014 Beyond core indicators of retention in HIV care: Missed clinic visits are independently associated with all-cause mortality 2014
    2014 Connecting the Dots: Could Microbial Translocation Explain Commonly Reported Symptoms in HIV Disease? 2014
    2013 Point-of-care HIV testing and linkage in an urban cohort in the southern US 2013
    2013 A pilot study of Screening, Brief Intervention, and Referral for Treatment (SBIRT) in non-treatment seeking smokers with HIV 2013
    2013 The role of neuroplasticity and cognitive reserve in aging with HIV: Recommendations for cognitive protection and rehabilitation 2013
    2013 Impact of a computer-assisted, provider-delivered intervention on sexual risk behaviors in HIV-positive men who have sex with men (MSM) in a primary care setting 2013
    2013 Erratum: Pain, mood, and substance abuse in HIV: Implications for clinic visit utilization, antiretroviral therapy adherence, and virologic failure (Journal of Acquired Immune Deficiency Syndromes (2012) 61 (164-170) 2013
    2013 Providers' attitudes towards treating depression and self-reported depression treatment practices in HIV outpatient care 2013
    2013 Assessing and Treating Forgetfulness and Cognitive Problems in Adults With HIV 2013
    2013 Maraviroc observational study: The impact of expanded resistance testing and clinical considerations for antiretroviral regimen selection in treatment-experienced patients 2013
    2013 Reasons Why Persons Living With HIV Include Individuals in Their Chosen Families 2013
    2013 Routine depression screening in an HIV clinic cohort identifies patients with complex psychiatric Co-morbidities Who show significant response to treatment 2013
    2013 Support, Stigma, Health, Coping, and Quality of Life in Older Gay Men With HIV 2013
    2012 Multimorbidity patterns in HIV-infected patients: The role of obesity in chronic disease clustering 2012
    2012 HIV infection and obesity: Where did all the wasting go? 2012
    2012 Underutilization of aspirin for primary prevention of cardiovascular disease among HIV-infected patients 2012
    2012 A low-effort, clinic-wide intervention improves attendance for HIV primary care 2012
    2012 Pain, mood, and substance abuse in HIV: Implications for clinic visit utilization, antiretroviral therapy adherence, and virologic failure 2012
    2012 Childhood trauma and health outcomes in HIV-infected patients: An exploration of causal pathways 2012
    2012 Do social support, stigma, and social problem-solving skills predict depressive symptoms in people living with HIV? A mediation analysis 2012
    2012 Early retention in HIV care and viral load suppression: Implications for a test and treat approach to HIV prevention 2012
    2012 Patient reported outcomes in routine care: Advancing data capture for HIV cohort research 2012
    2011 Essential components of effective HIV care: A policy paper of the HIV medicine association of the infectious diseases society of america and the ryan white medical providers coalition 2011
    2011 Cognitive and everyday functioning in older and younger adults with and without HIV 2011
    2011 The role of toxicity-related regimen changes in the development of antiretroviral resistance 2011
    2011 Temporal Trends in presentation for outpatient HIV Medical Care 2000-2010: Implications for short-term mortality 2011
    2011 Underutilization of the AIDS drug assistance program: Associated factors and policy implications 2011
    2011 Highly stressed: Stressful and traumatic experiences among individuals with HIV/AIDS in the deep south 2011
    2011 Aging With HIV: A Cross-Sectional Study of Comorbidity Prevalence and Clinical Characteristics Across Decades of Life 2011
    2010 Darunavir outcomes study: Comparative effectiveness of virologic suppression, regimen durability, and discontinuation reasons for three-class experienced patients at 48 weeks 2010
    2010 Uncompensated medical provider costs associated with prior authorization for prescription medications in an HIV clinic 2010
    2010 Incident stressful and traumatic life events and human immunodeficiency virus sexual transmission risk behaviors in a longitudinal, multisite cohort study 2010
    2010 Cost ramifications of increased reporting of detectable plasma HIV-1 RNA levels by the roche COBAS ampliprep/COBAS TaqMan HIV-1 Version 1.0 viral load test 2010
    2010 Routine, self-administered, touch-screen, computer-based suicidal ideation assessment linked to automated response team notification in an HIV primary care setting 2010
    2010 Anal-rectal cytology: Correlation with human papillomavirus status and biopsy diagnoses in a population of HIV-positive patients 2010
    2010 Substance abuse treatment in an urban HIV clinic: Who enrolls and what are the benefits? 2010
    2010 Antiretroviral prescribing patterns in treatment-naïve patients in the United States 2010
    2009 Overload: Impact of incident stressful events on antiretroviral medication adherence and virologic failure in a longitudinal, multisite human immunodeficiency virus cohort study 2009
    2009 Early virologic suppression with three-class experienced patients: 24-week effectiveness in the darunavir outcomes study 2009
    2009 Variable Impact on Mortality of AIDS-Defining Events Diagnosed during Combination Antiretroviral Therapy: Not All AIDS-Defining Conditions Are Created Equal 2009
    2009 Family relationships in people living with HIV in a city in the USA 2009
    2009 Missed visits and mortality among patients establishing initial outpatient HIV treatment 2009
    2009 Racial disparities in HIV virologic failure: Do missed visits matter? 2009
    2009 The therapeutic implications of timely linkage and early retention in HIV care 2009
    2008 Professional civic involvement through membership on the Alabama Board of Nursing. 2008
    2008 Short-term discontinuation of HAART regimens more common in vulnerable patient populations 2008
    2008 Increased regimen durability in the era of once-daily fixed-dose combination antiretroviral therapy 2008
    2008 Why board of nursing disciplinary actions do not always yield the expected results 2008
    2008 Clinical inertia in the management of low-density lipoprotein abnormalities in an HIV Clinic 2008
    2008 Biopsychosocial Benefits of Spirituality in Adults Aging With HIV:Implications for Nursing Practice and Research 2008
    2008 Promoting successful aging with HIV through hardiness: Implications for nursing practice and research 2008
    2007 Nucleoside reverse-transcriptase inhibitor dosing errors in an outpatient HIV clinic in the electronic medical record era 2007
    2007 Failure to establish HIV care: Characterizing the "no show" phenomenon 2007
    2007 Complete blood cell count as a surrogate CD4 cell marker for HIV monitoring in resource-limited settings 2007
    2006 Characteristics of HIV-infected adults in the Deep South and their utilization of mental health services: A rural vs. urban comparison 2006
    2006 Health Care Myopia: Getting Patient Access to Care Back in Focus 2006
    2006 Anal pap screening in men with HIV. 2006
    2006 Distribution of health care expenditures for HIV-infected patients 2006
    2006 Social support, social problem-solving abilities, and adjustment of family caregivers of stroke survivors 2006
    2006 Ethnic variations in the prevalence of metabolic bone disease among HIV-positive patients with lipodystrophy 2006
    2006 Sustained HIV viral suppression following treatment interruption: An observational study 2006
    2004 Trends in AIDS-defining and non-AIDS-defining malignancies among HIV-infected patients: 1989-2002 2004
    2003 Duration of highly active antiretroviral therapy regimens 2003
    2002 Immunologic and virologic consequences of temporary antiretroviral treatment interruption in clinical practice 2002
    2002 Comparative analysis of commercial assays for the detection and quantification of human immunodeficiency virus type 1 (HIV-1) RNA in plasma from patients infected with HIV-1 subtype C 2002
    2001 Alkaline pH changes in the cerebellum of asymptomatic HIV-infected individuals. 2001
    2001 Phenotypic drug susceptibility testing predicts long-term virologic suppression better than treatment history in patients with human immunodeficiency virus infection 2001
    1999 Patient satisfaction with emergency department triage nursing care: A multicenter study 1999
    1999 Patient's adherence to antiretroviral medications to control HIV disease. 1999
    1996 Employee misconduct: discipline or prevention. 1996
    1996 A Cognitive Approach to Patient Satisfaction with Emergency Department Nursing Care 1996
    1995 Priapism: cause and treatment. 1995
    1993 Employee discipline: a changing paradigm. 1993

    Chapter

    Year Title Altmetric
    2018 The fragile balance of community-based healthcare: One community’s united response when the HIV primary care safety net failed.  169-184. 2018

    Research Overview

  • Clinical outcomes in people living with HIV
  • Principal Investigator On

  • Ryan White HIV/AIDS Program Part C HIV Early Intervention Services Program: Existing Geographic Service Areas  awarded by Health Resources and Services Administration/DHHS 2018 - 2021
  • National Training and Technical Assistance  awarded by Boston University 2017 - 2019
  • Ryan White Title lll Early Intervention Services  awarded by Health Resources and Services Administration/DHHS 2014 - 2018
  • 1917 Clinic Grant  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2016 - 2017
  • 1917 Clinic Grant  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2015 - 2016
  • Birmingham Access to Care  awarded by AIDS United 2013 - 2016
  • Central Alabama Drug Reimbursement Program-Emerging Communities  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2014 - 2015
  • 1917 Clinic Grant  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2014 - 2015
  • Private Grant  awarded by ABT ASSOCIATES, INC. 2014
  • Ryan White Part C Outpatient EIS Program  awarded by Health Resources and Services Administration/DHHS 2013 - 2014
  • Ryan White Title III Early Intervention Services  awarded by Health Resources and Services Administration/DHHS 2011 - 2014
  • 1917 Clinic Grant  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2013 - 2014
  • Central Alabama Drug Reimbursement Program-Emerging Communities  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2013 - 2014
  • Dental Reimbursement Program  awarded by Health Resources and Services Administration/DHHS 2013 - 2014
  • 1917 Clinic Grant  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2012 - 2013
  • Central Alabama Drug Reimbursement Program-Emerging Communites  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2012 - 2013
  • Dental Reimbursement Program  awarded by Health Resources and Services Administration/DHHS 2012 - 2013
  • 1917 Clinic Grant  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2011 - 2012
  • Central Alabama Drug Reimbursement Program - Emerging Communities  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2011 - 2012
  • Dental Reimbursement Program  awarded by Health Resources and Services Administration/DHHS 2011 - 2012
  • Early Intervention Services  awarded by Health Resources and Services Administration/DHHS 2006 - 2011
  • 1917 Clinic Grant  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2010 - 2011
  • Central Alabama Drug Reimbursement Program - Emerging Communities  awarded by UNITED WAY OF CENTRAL ALABAMA, INC. 2010 - 2011
  • Secondary Analysis of Effect of Incident/Repeat Traumatic Events on HIV Outcomes  awarded by Duke University 2007 - 2010
  • Investigator On

  • Private Grant  awarded by Gilead Sciences 2018 - 2022
  • Private Grant  awarded by PROTEUS DIGITAL HEALTH, INC. 2017 - 2022
  • Private Grant  awarded by GlaxoSmithKline 2014 - 2022
  • Private Grant  awarded by GlaxoSmithKline 2018 - 2022
  • Private Grant  awarded by VIIV HEALTHCARE COMPANY 2016 - 2021
  • Private Grant  awarded by VIIV HEALTHCARE COMPANY 2016 - 2021
  • Private Grant  awarded by VIIV HEALTHCARE COMPANY 2016 - 2021
  • An RCT of Speed of Processing Training in Middle-Aged and Older Adults with HIV  awarded by National Institute of Mental Health/NIH/DHHS 2016 - 2021
  • Alabama Clinical Trials Unit (CTU)  awarded by National Institute of Allergy and Infectious Diseases/NIH/DHHS 2017 - 2020
  • Private Grant  awarded by GlaxoSmithKline 2019 - 2020
  • Private Grant  awarded by Gilead Sciences 2019 - 2020
  • AIDS Education and Training Centers Program  awarded by VANDERBILT UNIVERSITY 2015 - 2020
  • Private Grant  awarded by Gilead Sciences 2016 - 2020
  • ACTG Protocol Funds  awarded by University of California, Los Angeles 2018 - 2019
  • CITY Health II - The Center for the Study of Community Health  awarded by National Center for Chronic Disease Prevention & Health Promo./CDC/DHHS 2014 - 2019
  • Private Grant  awarded by GlaxoSmithKline 2012 - 2019
  • Private Grant  awarded by Gilead Sciences 2016 - 2019
  • Private Grant  awarded by JANSSEN R&D IRELAND 2016 - 2019
  • Individualized-Targeted Cognitive Training in Older Adults with HAND  awarded by National Institute of Nursing Research/NIH/DHHS 2016 - 2018
  • AIDS Clinical Trials Group: Protocol Funds FTE Funding  awarded by Brigham and Women's Hospital 2014 - 2018
  • Private Grant  awarded by MERCK & COMPANY, INC. 2015 - 2018
  • Private Grant  awarded by Gilead Sciences 2014 - 2018
  • Private Grant  awarded by Gilead Sciences 2015 - 2018
  • Private Grant  awarded by ABBVIE INC 2013 - 2017
  • Private Grant  awarded by MERCK & COMPANY, INC. 2014 - 2017
  • Private Grant  awarded by Gilead Sciences 2013 - 2017
  • Private Grant  awarded by Gilead Sciences 2013 - 2017
  • Screening, Evaluation, and Treatment of Anal Intraepithelial Neoplasia  awarded by UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION 2014 - 2016
  • Integration of Evidence-Based Alcohol Interventions into HIV Care  awarded by National Institute on Alcohol Abuse and Alcoholism/NIH/DHHS 2011 - 2016
  • Private Grant  awarded by Gilead Sciences 2013 - 2016
  • Private Grant  awarded by Gilead Sciences 2013 - 2016
  • Private Grant  awarded by GlaxoSmithKline 2015
  • Private Grant  awarded by MERCK & COMPANY, INC. 2014 - 2015
  • Regional AIDS Education and Training Centers-Base  awarded by Emory University 2014 - 2015
  • Private Grant  awarded by Gilead Sciences 2013 - 2015
  • Private Grant  awarded by MERCK SHARP & DOHME CORP 2014 - 2015
  • Private Grant  awarded by Gilead Sciences 2014 - 2015
  • Private Grant  awarded by BRISTOL MYERS SQUIBB PHARMACEUTICAL COMPANY 2014 - 2015
  • Private Grant  awarded by Gilead Sciences 2010 - 2015
  • Private Grant  awarded by ABBVIE INC 2013 - 2014
  • Regional AIDS Education and Training Centers Program  awarded by Emory University 2010 - 2014
  • Private Grant  awarded by GlaxoSmithKline 2011 - 2014
  • Private Grant  awarded by Gilead Sciences 2012 - 2014
  • Private Grant  awarded by Gilead Sciences 2012 - 2014
  • Private Grant  awarded by Gilead Sciences 2012 - 2014
  • Private Grant  awarded by GlaxoSmithKline 2010 - 2014
  • Private Grant  awarded by Gilead Sciences 2010 - 2014
  • Private Grant  awarded by Gilead Sciences 2012 - 2013
  • Private Grant  awarded by Gilead Sciences 2013
  • Private Grant  awarded by Gilead Sciences 2012 - 2013
  • Private Grant  awarded by Gilead Sciences 2012 - 2013
  • Bcl-X Dependent Neuropathology  awarded by National Institute of Neurological Disorders and Stroke/NIH/DHHS 2007 - 2013
  • Teaching Overview

  • Patient, Doctor & Society - small group preceptor (UAB SOM)
  • Full Name

  • James Raper
  • Fax

  • 205-934-8490