Carolyn M Audet

Datos Biográficos

ID238383
NOMBRECarolyn M Audet
NOMBRESCarolyn M
APELLIDOAudet
FIRMAAUDET C M
AFILIACIONESVanderbilt University Medical Center
ORCID0000-0002-4715-1346
VERIFICADOSí
TOTAL DE OBRAS26
TOTAL DE CITAS3
TOTAL COMO AUTOR26
TOTAL COMO EDITOR0
PRIMER AÑO DE PUBLICACIÓN2010
AÑO MÁS RECIENTE DE PUBLICACIÓN2025
ÍNDICE H1

  • Evaluation of a Workplace Diabetes Prevention Program Delivered via Distance Learning

    Open AccessCarolyn M Audet, Lance J Roller et al.ARTICLEHealth Education & Behavior2025

    Little is known about how distance learning impacts delivery of the National Diabetes Prevention Program (DPP) despite a rapid shift to this platform during the coronavirus disease 2019 (COVID-19) public health emergency. We explored how a workplace DPP, delivered via distance learning, impacted knowledge, motivation, and behavioral skills of participants throughout the program. We conducted repeated qualitative interviews with distance learning …

  • Demystifying Traumatic Experiences and Complex Effects in People with HIV and Post-Traumatic Stress Disorder in Tennessee

    Open AccessLeslie Brown, Almariana J Acuña et al.ARTICLEHealth Equity2025

    Background: Compared with the general public, people with HIV (PWH) experience more psychological trauma and higher rates of post-traumatic stress disorder (PTSD), yet limited research explores how PWH may uniquely experience trauma. The primary goal of this study was to investigate trauma exposure typologies and sequelae among PWH to inform trauma screening and interventions. Methods: Qualitative interviews were conducted with a convenience samp…

  • Storytelling sessions for PrEP/ART education and psychosocial support among expectant serodiscordant couples

    Caroline De Schacht, Hannah L Brooks et al.ARTICLEAIDS Care2025

    Pre-exposure prophylaxis (PrEP) is offered to pregnant HIV-uninfected women in serodiscordant relationships in Mozambique, yet uptake is still low. We conducted a randomized feasibility trial of PrEP education and psychosocial support to serodiscordant expectant couples via three storytelling sessions in two districts within Zambézia Province. Data were collected between December 2020 and December 2022. We recruited 64 couples (31 control and 33 …

  • User-centered adaption of Peernaija , A novel mhealth application integrating medication reminders with virtual peer support and social/financial incentives to improve medication adherence

    Ifeoma Idigbe, Martin C Were et al.ARTICLEAIDS Care2025

    Youth living with HIV (YLWH) have high rates of virologic failure due to medication non-adherence. PEERNaija is a novel, gamified mobile health (mHealth) application designed with user-centered principles to improve medication adherence by integrating medication reminders with social and financial incentives, virtual peer social support and early clinic outreach for non-adherent YLWH in Nigeria. Focus Group Discussions (FGDs) were conducted to id…

  • Traditional Health Practitioners-Initiated HIV Testing and Counselling

    Open AccessJennifer Hove, Praise Mnisi et al.ARTICLEAIDS and Behavior2025

    A considerable proportion of people living with HIV remain unaware of their HIV status. In South Africa, individuals in rural areas often receive health care from both allopathic providers and traditional health practitioners (THPs). Our team piloted a task-shifting pilot study to determine the feasibility of THP-led HIV counselling and testing. Our team conducted semi-structured, qualitative interviews with healthcare workers, THPs who completed…

  • A individually randomized controlled trial comparing Healer-led vs. clinician- led training to improve personal protective equipment use among traditional healers in South Africa

    Open AccessCarolyn M Audet, Tshegofatso Seabi et al.ARTICLEPLOS Global Public Health2024

    Like allopathic healthcare workers, healers are also exposed to patients’ blood and body fluids. A widespread practice is the traditional “injection,” in which the healer performs subcutaneous incisions to rub herbs directly into the bloodied skin, resulting in 1,500 blood exposures over their lifetime. We tested the impact of healer-led PPE training, staffed by trained traditional healers who reported using PPE during each risky clinical encount…

  • Pulmonary tuberculosis vs. Tindzhaka and Mafularha

    Open AccessCarolyn M Audet, Tshegofatso Seabi et al.ARTICLEPLOS Global Public Health2023

    Although awareness of tuberculosis (TB) is high in South Africa, delays in TB testing or treatment persist. Even those with symptoms of TB often delay testing, with one study in Mpumalanga revealing a median allopathic care-seeking delay of four weeks. We sought to understand how traditional healers perceived TB symptoms among their patients, if they treated the disease, and what (if any) illnesses they defined as being traditional may have overl…

  • Exploratory validation of relationship functioning and non-pregnant partner behavior scales in pregnant people living with HIV in Mpumalanga Province, South Africa

    Open AccessDaniel Sack, Tshegofatso Seabi et al.ARTICLEGlobal Health Action2023

    Partner engagement in antenatal care can improve care for pregnant people living with HIV. However, concerns about engaging unsupportive non-pregnant partners warrant further study to avoid engaging partners who pressure their pregnant partner to refuse testing or treatment and/or perpetuate intimate partner violence. We adapted established relationship functioning and partner behaviour questionnaires among pregnant people living with HIV initiat…

  • Correlated depressive symptoms within seroconcordant, expectant partners living with HIV in Zambézia Province, Mozambique

    Daniel Sack, Ariano Matino et al.ARTICLEAIDS Care2023

    Approximately 15% of people with HIV in sub-Saharan Africa have comorbid depression, which impacts treatment outcomes. We describe predictors of baseline depressive symptoms in 1079 female and 1079 male participants in a cluster-randomized trial in Zambézia Province, Mozambique from November 2017 to December 2020. We modeled each partners’ depressive symptoms (Patient Health Questionnaire-9 [PHQ-9]) using proportional odds models adjusted for enr…

  • Health care services for survivors of gender-based violence

    Caroline De Schacht, Paula Paulo et al.ARTICLEAIDS Care2023

    Mozambique introduced guidelines for integrated gender-based violence (GBV) services in 2012. In 2017, we trained providers on empathetic and supportive services to GBV survivors and introduced home-based services for survivors who are loss-to-follow up. Rate ratios of clinic visits were compared before and after intervention initiation, using exact significance tests. Data of 1,806 GBV survivors were reviewed, with a total of 2005 events. The me…

  • Healthcare Providers’ Perspectives on a Novel Couple-Based HIV Treatment Intervention

    Open AccessErin Graves, Hannah L Brooks et al.ARTICLEAIDS and Behavior2023

  • Dyadic Validation of Relational Processes in Seroconcordant Mozambican Couples

    Open AccessMichael B Frisby, Matthew A Diemer et al.ARTICLEAIDS and Behavior2022

  • Perceptions About Local ART Adherence Norms and Personal Adherence Behavior Among Adults Living with HIV in Rural Uganda

    Open AccessJessica M Perkins, Bernard Kakuhikire et al.ARTICLEAIDS and Behavior2022

  • Pregnancy-related healthcare utilisation in Agincourt, South Africa, 1993–2018

    Open AccessDaniel Sack, Ryan G Wagner et al.ARTICLEBMJ Global Health2021

    INTRODUCTION: Pregnancy-related health services, an important mediator of global health priorities, require robust health infrastructure. We described pregnancy-related healthcare utilisation among rural South African women from 1993 to 2018, a period of social, political and economic transition. METHODS: We included participants enrolled in the Agincourt Health and Socio-Demographic Surveillance System in Mpumalanga Province, South Africa, a pop…

  • Healer-led vs. clinician-led training to improve personal protective equipment use among traditional healers in South Africa

    Open AccessCarolyn M Audet, Bryan E Shepherd et al.ARTICLEGlobal Health Action2021

    There are estimated two million traditional healers in sub-Saharan Africa (SSA), with more than 10% (200,000) working in South Africa. Traditional healers in SSA are frequently exposed to bloodborne pathogens through the widespread practice of traditional 'injections', in which the healers perform dozens of subcutaneous incisions to rub herbs directly into the bloodied tissue with their hands. Healers who report exposure to patient blood have a 2…

  • Pre-exposure prophylaxis use among HIV serodiscordant couples

    Open AccessDaniel Sack, Caroline De Schacht et al.ARTICLEGlobal Health Action2021

    BACKGROUND: Pre-exposure prophylaxis (PrEP) has the potential to reduce HIV transmission and stem the HIV epidemic. Unfortunately, PrEP uptake in rural sub-Saharan Africa has been slow and medication adherence has been suboptimal. OBJECTIVE: To explore the perspectives, attitudes, and experiences of HIV serodiscordant partners taking PrEP and develop a messaging campaign to improve PrEP uptake in rural Mozambique to reduce HIV transmission among …

  • Throwing the bones to diagnose HIV

    Carolyn M Audet, Elise M Clemens et al.ARTICLEAIDS Care2021

    In 2018, nearly 800,000 HIV positive individuals in South Africa were unaware of their status. Traditional healers see patients who avoid health clinics, including those who refuse HIV testing. This manuscript details the results of a qualitative study to understand traditional healer perspectives on performing healer-initiated HIV counseling and testing HIV in rural South Africa. We conducted 30 structured in-depth interviews between April and J…

  • Interpersonal reactivity index adaptation among expectant seroconcordant couples with HIV in Zambézia Province, Mozambique

    Open AccessDaniel Sack, Michael B Frisby et al.ARTICLEBMC Psychology2020

    This study is within the context of the HoPS+ trial, registered at ClinicalTrials.gov as number NCT03149237 . Registered May 11, 2017

  • Understanding intra-vaginal and labia minora elongation practices among women heads-of-households in Zambézia Province, Mozambique

    Carolyn M Audet, Meridith Blevins et al.ARTICLECulture Health & Sexuality2017

    Intra-vaginal drying and tightening and labia minora elongation are commonly practised in some parts of southern Africa. We sought to capture data on these practices among women living in Zambézia province, Mozambique. Information was gathered from 3543 female heads of household on > 500 variables, including vaginal practices, in 2014. Women who planned to use intra-vaginal tightening substances had 1.84 times higher odds of ever receiving an HIV…

  • Engagement of Men in Antenatal Care Services

    Open AccessCarolyn M Audet, Meridith Blevins et al.ARTICLEAIDS and Behavior2016

  • Barriers to Male Involvement in Antenatal Care in Rural Mozambique

    Open AccessCarolyn M Audet, Yazalde Manual Chire et al.ARTICLEQualitative Health Research2016Citada por: 2Referencias: 37

    Low rates of antenatal care (ANC) service uptake limit the potential impact of mother-to-child HIV-prevention strategies. Zambézia province, Mozambique, has one of the lowest proportions of ANC uptake among pregnant women in the country, despite the availability of free services. We sought to identify factors influencing ANC service uptake (including HIV counseling and testing) through qualitative methods. In addition, we encouraged discussion ab…

  • Finding meaning in life while living with HIV

    Open AccessCarolyn M Audet, Lois J Wagner et al.ARTICLEBMC Psychology2015

    Future research is necessary to determine the effect of HIV meaning on long-term health outcomes and to develop interventions that can significantly improve a person's perception of their meaning in life

  • Poor-quality health services and lack of programme support leads to low uptake of HIV testing in rural Mozambique

    Carolyn M Audet, Kate Groh et al.ARTICLEAfrican Journal of AIDS Research2012

    Mozambique has one of the world's highest burdens of HIV infection. Despite the increase in HIV-testing services throughout the country, the uptake has been low. To identify barriers to HIV testing we conducted a study in six rural districts in Zambézia Province. We recruited a total of 124 men and women from the community through purposeful sampling to participate in gender-specific focus group discussions about barriers to HIV testing. The part…

  • HIV knowledge and health-seeking behavior in Zambézia Province, Mozambique

    Open AccessCarolyn M Audet, Mohsin Sidat et al.ARTICLESAHARA-J Journal of Social…2012Citada por: 1Referencias: 11

    HIV prevalence rates in Zambézia Province were estimated to be 12.6% in 2009. A number of educational campaigns have been aimed at improving HIV transmission and prevention knowledge among community members in an effort to reduce infection rates. These campaigns have also encouraged people to seek health care at clinical sites, instead of employing traditional healers to cure serious illness. The impact of these programs on the rural population h…

  • Barriers to antiretroviral therapy adherence in rural Mozambique

    Open AccessKate Groh, Carolyn M Audet et al.ARTICLEBMC Public Health2011

    Perspectives of CP and HCW likely reflect differing sociocultural and educational backgrounds. Health care workers must understand community perspectives on causes of suboptimal adherence as a first step toward effective intervention