No abstract

Identified themes, including cultural differences by site, led to the development of a patient-centered intervention to improve gout self-management in African American men with gout.

ObjectiveChronic pain is common in HIV-infected individuals. Understanding HIV-infected patients’ chronic pain experience not just from a biological, but also from a psychological perspective, is a critical first step toward improving care for this population. Our objective was to explore HIV-infected patients’ perspectives on psychological aspects of chronic pain using in-depth qualitative interviews.MethodsInvestigators engaged in an iterative process of independent and group coding until theme saturation was reached.ResultsOf the 25 patients with chronic pain interviewed, 20 were male, 15 were younger than age 50, and 15 were African-American. Key themes that emerged included the close relationship between mood and pain; mood and pain in the context of living with HIV; use of alcohol/drugs to self-medicate for pain; and the challenge of receiving prescription pain medications while dealing with substance use disorders.ConclusionsThe results suggest that psychological approaches to chronic pain treatment may be well received by HIV-infected patients.

Objective: Late night eating during pregnancy is associated with greater risk for gestational diabetes. The purpose of this study was to describe reasons that women engage in late night eating and understand perceptions about changing this behavior.Design: Focus groups using a semi-structured interview script.Setting: Urban university-affiliated obstetric clinic.Participants: Low-income black women (n=18) with overweight/obesity at entry to prenatal care. Phenomenon of interest: Late night eating.Analysis: Exhaustive approach coding responses to specific questions.Results: Individual and interpersonal contributors to late night eating included hunger, altered sleep patterns, fetal movement, and the influence of others. Food choices were largely driven by taste and convenience. Some women reported that they could alter nightly eating patterns, while

No abstract