Personal HistoryDr. Vicki Tepper received her Ph.D. in Clinical Psychology from George Peabody College of Vanderbilt University in 1989. After completing her post doctoral training in the Department of Pediatrics at the University of Maryland School of Medicine she joined the faculty in 1990. Since that time she has been working with children and families infected with and affected by HIV/AIDS. Her research, teaching, and clinical care responsibilities are focused on perinatal HIV infection. Dr. Tepper currently serves as Chief of the Division of Pediatric Immunology & Rheumatology and as Director of the Pediatric AIDS Program. She has been the Principal Investigator on several federally funded research projects and has published numerous articles on adherence to medication. She is currently developing a program for successful transition of our pediatric patients to adult HIV care. Since 2004 she has been fortunate to travel to developing countries in Sub-Saharan Africa and South America to provide education and technical support to pediatric HIV care and treatment programs.
Research Interests* Psycho-social aspects of HIV/AIDS
* Adherence to medication
* Transitioning from pediatric to adult medical care
Clinical SpecialityPediatric Psychology
Tepper, V. J., Farley, J., Rothman, M. I., Houck, D. L, Forget Davis, K., Collins-Jones, T. L. & Wachtel, R. C. (1998) Neurodevelopmental/Neuroradiological Recovery of a Child Infected With HIV After Treatment With Combination Antiretroviral Therapy Using the HIV-Specific Protease Inhibitor Ritonavir. Pediatrics 101(3): e7-e12.
Farley, J,. Hines. S., Musk, A., Ferrus, S., & Tepper, V. (2003) Assessment of Adherence to Antiviral Therapy in HIV-Infected Children using the Medication Event Monitoring System, Pharmacy Refill, Provider Assessment, Caregiver Self-report, and Appointment Keeping. Journal of Acquired Immune Deficiency Syndromes, 33(2), 211-218.
Marhefka, S.L., Farley, J.J., Rodrigue, J.R., Sandrik, L.L., Sleasman, J.W., & Tepper, V. (2004) Clinical Assessment of Medication Adherence Among HIV-Infected Children: Examination of the Treatment Interview Protocol (TIP). AIDS Care Volume 16, Number 3 , Pages: 323 - 338
Marhefka SL, Tepper VJ, Farley JJ, Sleasman JW, & Mellins CA. (2006) Brief report: Assessing adherence to pediatric antiretroviral regimens using the 24 hour recall interview. Jnl of Ped Psych 31(9):989-94.
Marhefka SL, Tepper VJ, Brown JL, & Farley JJ. Caregiver psycho-social characteristics and children's adherence to antiretroviral therapy. AIDS Care 2006; 20: 429-37.
Freedman, D., Koenig, LJ., Wiener, J. Abrams, EJ., Carter, RJ., Tepper, V., Palumbo, P., Nesheim, S., & Bulterys M. (2006) Challenges to re-enrolling perinatally HIV-infected and HIV-exposed but uninfected children into a prospective cohort study: strategies for locating and recruiting hard-to-reach families. Paediatric and Perinatal Epidemiology 20 (4), 338-347.
Marhefka, SL, Koenig, LJ. Allison, S., Bachanas, P., Bulterys, M. Bettica, L., Tepper, VJ, & Abrams, EJ. (2008) Family Experiences with Pediatric Antiretroviral Therapy:Responsibilities, Barriers, and Strategies for Remembering Medications. AIDS PATIENT CARE and STDs. 22 (8), 1-11.
Marhefka, S.L., Lyon, M., Koenig, L.J., Orband, L., Stein, R., Lewis, J. & Tepper, V.J. (2009) Emotional and behavioral problems and mental health service utilization of youth living with HIV acquired perinatally or later in life. AIDS Care. 21(11), 1447-1454.
Allison, S., Koenig, LJ, Marhefka, S, Carter R, Abrams E., Bulterys M, Tepper V, Palumbo P, Bachanas, P, Farley, J. (2010). Assessing medication adherence of perinatally HIV-infected children using caregiver interviews. Journal of the Association of Nurses in AIDS Care. (e-ahead of print, 5/10/10). (DOI:10.1016/j.jana.2010.02.006)
Farley, J.J., Miller, E., Zamani, A. Tepper, V., Morris, C., Oyegunle, M., Eng,M.L., Charurat, M., and Blattner, W. (in press) Screening for hazardous alcohol use and depressive symptomatology among HIV-Infected patients in Nigeria. Journal of the International Association of Physicians in AIDS Care.
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