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Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study

BACKGROUND: HIV-associated neurocognitive disorders and other causes of neurocognitive challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience neurocognitive challenges increasingly require social support and...

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Autores principales: Liboro, Renato M., Rourke, Sean B., Ibañez-Carrasco, Francisco, Eaton, Andrew, Pugh, Daniel, Medina, Claudia, Rae, Allan, Shuper, Paul A., Ross, Lori E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748474/
https://www.ncbi.nlm.nih.gov/pubmed/30672357
http://dx.doi.org/10.1177/2325958218822336
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author Liboro, Renato M.
Rourke, Sean B.
Ibañez-Carrasco, Francisco
Eaton, Andrew
Pugh, Daniel
Medina, Claudia
Rae, Allan
Shuper, Paul A.
Ross, Lori E.
author_facet Liboro, Renato M.
Rourke, Sean B.
Ibañez-Carrasco, Francisco
Eaton, Andrew
Pugh, Daniel
Medina, Claudia
Rae, Allan
Shuper, Paul A.
Ross, Lori E.
author_sort Liboro, Renato M.
collection PubMed
description BACKGROUND: HIV-associated neurocognitive disorders and other causes of neurocognitive challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience neurocognitive challenges increasingly require social support and mental health services from community-based providers in the HIV sector. METHODS: Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed to determine the strategies they used to support PLWH experiencing neurocognitive difficulties. Thematic analysis was conducted to determine key themes from the interview data. RESULTS: Three types of strategies were identified: (a) intrapersonal, (b) interpersonal, and (c) organizational. Intrapersonal strategies involved learning and staying informed about causes of neurocognitive challenges. Interpersonal strategies included providing practical assistance, information, counseling, and/or referrals to PLWH. Organizational strategies included creating dedicated support groups for PLWH experiencing neurocognitive challenges, partnering with other organizations with services not available within their own organization, and advocating for greater access to services with expertise and experience working with PLWH. CONCLUSION: Through concerted efforts in the future, it is likely that empirically investigating, developing, and customizing these strategies specifically to address HIV-associated neurocognitive challenges will yield improved social support and mental health outcomes for PLWH.
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spelling pubmed-67484742019-11-04 Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study Liboro, Renato M. Rourke, Sean B. Ibañez-Carrasco, Francisco Eaton, Andrew Pugh, Daniel Medina, Claudia Rae, Allan Shuper, Paul A. Ross, Lori E. J Int Assoc Provid AIDS Care Original Article BACKGROUND: HIV-associated neurocognitive disorders and other causes of neurocognitive challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience neurocognitive challenges increasingly require social support and mental health services from community-based providers in the HIV sector. METHODS: Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed to determine the strategies they used to support PLWH experiencing neurocognitive difficulties. Thematic analysis was conducted to determine key themes from the interview data. RESULTS: Three types of strategies were identified: (a) intrapersonal, (b) interpersonal, and (c) organizational. Intrapersonal strategies involved learning and staying informed about causes of neurocognitive challenges. Interpersonal strategies included providing practical assistance, information, counseling, and/or referrals to PLWH. Organizational strategies included creating dedicated support groups for PLWH experiencing neurocognitive challenges, partnering with other organizations with services not available within their own organization, and advocating for greater access to services with expertise and experience working with PLWH. CONCLUSION: Through concerted efforts in the future, it is likely that empirically investigating, developing, and customizing these strategies specifically to address HIV-associated neurocognitive challenges will yield improved social support and mental health outcomes for PLWH. SAGE Publications 2019-01-23 /pmc/articles/PMC6748474/ /pubmed/30672357 http://dx.doi.org/10.1177/2325958218822336 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Liboro, Renato M.
Rourke, Sean B.
Ibañez-Carrasco, Francisco
Eaton, Andrew
Pugh, Daniel
Medina, Claudia
Rae, Allan
Shuper, Paul A.
Ross, Lori E.
Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study
title Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study
title_full Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study
title_fullStr Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study
title_full_unstemmed Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study
title_short Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study
title_sort strategies employed by community-based service providers to address hiv-associated neurocognitive challenges: a qualitative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748474/
https://www.ncbi.nlm.nih.gov/pubmed/30672357
http://dx.doi.org/10.1177/2325958218822336
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