Kiene, Susan

Susan M Kiene

Adjunct Professor of Behavioral and Social Sciences

Overview

Dr. Susan M. Kiene has conducted social and behavioral science research on HIV/AIDS prevention in the U.S., Uganda, South Africa, and Puerto Rico. She has two general programs of research. The first concerns investigating the dynamics of HIV risk behavior and maintenance of safer behavior to understand the situational, interpersonal, and individual difference factors that influence HIV risk behavior. The second program of research focuses on developing and evaluating theory-based, tailored interventions to reduce HIV risk behavior. She is also researching methods to increase use of family planning in sub-Saharan Africa.

Her primary affiliation is now with the University of Connecticut School of Medicine. She continues to work with Brown Public Health and Medical students and is an adjunct faculty member.

Dr. Kiene's research interests include: international HIV prevention, alcohol-involved HIV-sexual risk behavior, family planning/ contraception, intimate partner violence as it relates to health behaviors, health behavior change and maintenance, daily diary/daily process methodology, measurement of sexual risk behavior and concordance of self-reports with biological measures.

Brown Affiliations

Behavioral and Social Sciences

Research Areas

Research

Research Overview

Dr. Susan M. Kiene studies behaviors that put individuals at risk for HIV/AIDS and methods for preventing HIV transmission. Dr. Kiene's research program in rural Uganda (the Salawo Collaboration) aims to develop effective and sustainable methods in the public health care sector to empower individuals to change their behavior to protect themselves from HIV or to prevent transmitting HIV to un-infected others.

Research Statement

The majority Dr. Kiene's current research is taking place in Uganda where she and her team (the Salawo Collaboration) are conducting several studies on routine/opt-out HIV-testing and counseling in rural outpatient settings. Specifically, the team is (1) investigating ways to increase the uptake of referrals for partner HIV-testing following individual routine HIV-testing, (2) developing a brief-client centered sexual risk reduction intervention to be implemented during routine HIV-testing, (3) investigating behavior change processes following routine HIV-testing to identify psychosocial, social-cognitive and behavioral factors that explain short and long term sexual risk behavior change, and (4) examining the concordance between self-report and biological markers of unprotected sexual behavior.

Dr. Kiene is also part of a research team that is conducting a 16-site RCT of an HIV-prevention intervention for HIV-positive patients delivered in the context of ongoing clinical care in public health clinics in KwaZulu-Natal, South Africa.

Funded Research

Active Research Support

National Institute on Alcohol Abuse and Alcoholism, NIH, "Alcohol and HIV-Risk among Fishermen and Commercial Sex Workers in Uganda." Sub-component of "Alcohol and HIV: Biobehavioral Interactions and Intervention" P01 (PI: Monti). P01AA019072, 9/1/11-8/31/13. (Sub-component Principal Investigator).

National Institute of Mental Health, NIH, "Client-Centered Counseling During Routine/Opt-out HIV-testing in Uganda," K01MH083536, 5/1/2008-4/30/2013, (Principal Investigator). Abstract

National Institute of Mental Health, NIH, "Integrating HIV Prevention into Clinical Care for PLWHA in South Africa," R01MH077524, 2007-2011, (Role: Consultant, PI: Jeffrey D. Fisher). Abstract

Completed Research Support

Brown University / Women & Infants Hospital National Center of Excellence in Women's Health (CoE), "Involving male partners in antenatal services to increase HIV-testing and family planning usage in rural Uganda." Innovations in Women's Health Research Seed Grant 11/08-10/09 (Principal Investigator) Link

Rhode Island Foundation, "Dynamics of Safer and Risky Sexual Behavior among Couples in Rural Uganda." Medical Research Grant 02/08-01/09 (Principal Investigator).

National Institute on Alcohol Abuse and Alcoholism, NIH, "Alcohol Involved Sexual Risk Behavior among HIV+ Individuals," R21AA015665-01A1, 2006-08, (Role: Statistician/Consultant, PI: William D. Barta). Abstract

National Institute of Mental Health, NIH, "Dynamics of HIV Risk Behavior: A Daily Process Approach," F31MH072547-01, 2004-07, (Principal Investigator). Abstract

American Psychological Foundation (APA)/ Council of Graduate Departments of Psychology, "Stress and negative affect: A daily process study of HIV-risk behavior among HIV-positive individuals in South Africa," Clarence J. Rosecrans Research Award, 2004, (Principal Investigator). Link

Society for the Psychological Study of Social Issues (SPSSI), "Stress and Negative Affect: A Daily Process Study of HIV-Risk Behavior among HIV-Positive Individuals in South Africa", Grants-in-Aid Award, 2004-05, (Principal Investigator). Link

Center for Health/ HIV Intervention & Prevention (CHIP), UConn, "Physician-Delivered Prevention Intervention for HIV-positive Individuals in Urban South Africa," CHIP Development Grant, 2004-05, (Role: Investigator; PI: Jeffrey D. Fisher).

Center for Health/ HIV Intervention & Prevention (CHIP), UConn, "A Pilot Daily Process Study of HIV Risk Behavior Among HIV-positive Individuals Living in Poverty," CHIP Seed Grant for New Investigators, 2004-2005, (Role: Investigator; PI: William D. Barta).

Health Psychology Division (38), American Psychological Association, "Development of a Culturally-tailored Model of Condom Use Behavior," Graduate Student Research Grant, Research in Ethnic Minority Health Psychology, 2003-04, (Principal Investigator).

Scholarly Work

Bateganya, M. H., Abdulwadud, O. A., Kiene, S. M. (2010). Home-based HIV voluntary counseling and testing in developing countries. Cochrane Database of Systematic Reviews 2010, Issue 7. Art. No.: CD006493. DOI: 10.1002/14651858.CD006493.pub4 Abstract

Kiene, S. M., Bateganya, M., Wanyenze, R., Lule, H., Nantaba, H., & Stein, M. D. (2010). Initial outcomes of provider-initiated routine HIV-testing and counseling during outpatient care at a rural Ugandan hospital: Risky sexual behavior, partner HIV-testing, disclosure and HIV-care seeking. AIDS Patient Care and STDs, 24, 117-126.

Barta, W. A., Tennen, H., & Kiene, S. M. (2010). Alcohol-involved sexual risk behavior among heavy drinkers living with HIV/AIDS: Negative affect, self-efficacy, and sexual craving. Psychology of Addictive Behaviors, 24, 563-570.

Kiene, S. M., Barta, W. D., Tennen, H., & Armeli, S. (2009). Alcohol, helping young adults have sex with casual partners: Findings from a daily diary study of alcohol use and sexual behavior. Journal of Adolescent Health, 44, 73-80. Abstract

Stein, M. D., Anderson, B. J., Caviness, C. M., Rosengard, C., Kiene, S. M., Friedmann, P., Clarke, J. G., (2009). Relationship of alcohol use and sexual risk taking among hazardously drinking incarcerated women: an event-level analysis. Journal of Studies on Alcohol and Drugs, 70, 508-515. Abstract

Barta, W. D., Kurth, M. E., Stein, M. D., Tennen, H., & Kiene, S. M. (2009). Craving and self-efficacy in the first five weeks of methadone maintenance therapy: A daily process study. Journal of Studies on Alcohol and Drugs, 70, 735-740. Abstract

Kiene, S. M., Bateganya, M., Wanyenze, R., Lule, H., Mayer, K. H. & Stein, M. D. (2009). Provider-initiated HIV testing in health care settings: Should it include client-centered counseling? SAHARA: Journal of the Social Aspects of HIV/AIDS Research Alliance, 6, 46-50.

Caviness, C. M., Hatgis, C., Anderson, B. J., Rosengard, C., Kiene, S. M., Friedman, P. D., & Stein, M. D. (2009). Three brief alcohol screens for detecting hazardous drinking in incarcerated women. Journal of Studies on Alcohol and Drugs, 70, 50-54. Abstract

Ferrer, R., Amico, K. R., Bryan, A., Kiene, S. M., Cornman, D. H., Fisher, J. D., & Fisher, W. A. (2009). Accuracy of the stages of change algorithm: Sexual risk reported in the maintenance stage of change. Prevention Science, 10, 13-21. Abstract

Kiene, S. M., Tennen, H., & Armeli, S. (2008). Today I'll use a condom, but who knows about tomorrow: A daily process study of variability in predictors of condom use behavior. Health Psychology, 27, 463-472. Abstract

Cornman, D. H., Kiene, S. M., Christie, S., Fisher, W. A., Shuper, P. A., Pillay, S., Friedland, G. H., Thomas, C. M., Lodge, L., & Fisher, J. D. (2008). Clinic-based intervention reduces unprotected sexual behavior among HIV-infected patients in KwaZulu-Natal, South Africa. Journal of Acquired Immune Deficiency Syndromes, 48, 553-560. Abstract

Barta, W. D., Portnoy, D., Kiene, S. M., Tennen, H., Abu-Hasaballah, K. S., & Ferrer, R. (2008). A daily process investigation of alcohol-involved unsafe sexual activity among economically disadvantaged problem drinkers living with HIV/AIDS. AIDS and Behavior, 12, 729-740. Abstract

Kiene, S. M., Simbayi, L. C., Abrams, A., Cloete, A., Tennen, H., & Fisher, J. D. (2008). High rates of unprotected sex occurring among HIV-positive individuals in a daily diary study in South Africa: The role of alcohol use. Journal of Acquired Immune Deficiency Syndromes, 49, 219-226. Abstract

Barta, W. D., Kiene, S. M., Tennen, H., Abu-Hasaballah, K., Ferrer, R. (2007). An idiographic study of inconsistent condom use behavior of persons living with HIV. AIDS Care, 19, 1058-1064. Abstract

Kiene, S. M., Christie, S., Cornman, D. H., Fisher, W. A., Shuper, P. A., Pillay, S., Friedland, G. H., & Fisher, J. D. (2006). Sexual risk behavior among HIV-positive individuals in clinical care in KwaZulu-Natal, South Africa. AIDS, 20, 1781-1784. Abstract

Kiene, S. M., & Barta, W. D. (2006). A brief individualized computer-delivered sexual risk reduction intervention increases HIV/AIDS preventive behavior. Journal of Adolescent Health, 39, 404-410. Abstract

Kiene, S. M., Fisher, J. D., & Fisher, W. A. (2005). Interventions in clinical settings. In S. C. Kalichman (Ed.), Positive Prevention: Reducing HIV Transmission among People Living with HIV-AIDS (pp. 219-244). New York: Kluwer. Abstract

Barta, W., & Kiene, S. M. (2005). Motivations for infidelity in heterosexual dating couples: The roles of gender, personality differences, and sociosexual orientation. Journal of Social and Personal Relationships, 22, 339-360. Abstract

Kiene, S. M., Barta, W. D., Zelenski, J. M., & Cothran, D. L. (2005). Why are you bringing up condoms now? The effect of message content on framing effects of condom use messages. Health Psychology, 24, 321-326. Abstract

Kiene, S. M. & Barta, W. (2003). Personal narrative as a medium for STD/HIV intervention: A preliminary study. Journal of Applied Social Psychology, 33, 2327-2340. Abstract

Background

Education and Training

Year	Degree	Institution
2007	PhD	University of Connecticut

Honors and Awards

Clarence J. Rosecrans Research Scholarship, American Psychological Foundation/APA, 2004

Ruth L. Kirschstein National Research Service Award (NRSA), Individual Pre-doctoral Fellowship, NIMH/NIH, 07/04-05/07

Affiliations Visualize it

Collaborators

Name	Title
Fox, Sarah	Clinical Assistant Professor of Surgery
Mayer, Kenneth	Adjunct Professor of Medicine, Adjunct Professor of Epidemiology
Ramsey, Susan	Professor of Psychiatry and Human Behavior (Research), Professor of Medicine (Research)
Stein, Michael	Adjunct Professor of Medicine

Affiliations

Society of Behavioral Medicine
Ugandan Society for Health Scientists
International AIDS Society
American Public Health Association
Rhode Island Community Planning Group for HIV prevention, RI Department of Health

Researchers@Brown