I am a Clinical Psychologist with post-qualification experience in clinical health psychology and adult mental health. My main research interests relate to psychological and behavioural aspects of HIV. There are five main inter-related themes to this work:
- HIV testing. I have supervised doctoral projects on late and delayed HIV testing and testing in primary care in people with HIV from sub-Saharan African origins, child HIV testing decision-making in mothers with HIV, and HIV self-testing. I have carried out a series of published systematic reviews of psychological correlates of HIV testing with a view to developing a stage model of self-initiated HIV testing.
- HIV-related behaviour change. I was a Co-Investigator on a multi-centre UK MRC-funded randomized feasibility trial of a computerized behavioural STI secondary prevention intervention. My motivational interviewing (MI) work in the UK and South Africa addressed sexual risk behaviour and other health behaviour decision-making and I have supervised a doctoral study on intimate relationships in young people with perinatally acquired HIV that explored sexual decision-making. I have supervised a doctoral project on medication adherence and its relationship to MI and self-determination theory within-session processes in HIV-positive individuals (along with colleagues at the University of Kansas).
- Psychological elements to individuals’ engagement with HIV care. I carried out a project on psychosocial predictors of loss-to-follow up in HIV care in KwaZulu Natal, South Africa resulting in two publications. I have supervised doctoral projects on situational correlates of antiretroviral adherence in young people with perinatally acquired HIV and PrEP adherence in men who have sex with men (MSM).
- Well-being and adjustment in HIV. I have supervised doctoral theses on well-being in perinatally infected HIV positive adolescents, relationship issues in perinatally infected HIV positive young adults, sibling relationships in perinatally infected HIV+ young people, friendships in both behaviourally and perinatally infected HIV+ young people, religion and adjustment in recently diagnosed HIV positive individuals from Sub-Saharan Africa, post natal bonding with infants in the context of an HIV diagnosis during pregnancy, and parenting issues in parents who are perinatally infected with HIV. I am funded (as PI) to evaluate a residential intervention for young people living with HIV (ViiV Healthcare UK) and as a PI on a project to evaluate a psychosocial programme for young people with HIV in Botswana. I have supervised doctoral projects on living with HIV in people with TB-HIV co-infection, and in people living with HIV and personality-related difficulties. I have also supervised a doctroal project on sexual satisfaction in people with hIV in serodifferent relationships. I am currently supervising doctoral projects on transwomen's experience of HIV care, wellbeing in older women with HIV, and on dating in younger women with HIV.
- HIV disclosure and HIV communication. I am funded (as PI) to carry out a feasibility trial of an onward HIV disclosure intervention in young people with perinatally acquried HIV along with colleagues in the UK, and at Makerere University, Kampala, Uganda. I have developed a theoretical model of paediatric HIV disclosure with Professor Ashraf Kagee from Stellenbosch University, South Africa and a model of HIV disclosure anxiety with Dr. Abi Wroe. I have supervised a doctoral project on post-naming HIV familial communication in adolescents with perinatally acquired HIV and projects on values and HIV disclosure in the same population, on disclosure on dating apps in MSM with HIV, and on open HIV sharing.