Promoting resilience through neurocognitive functioning in youth living with HIV

Autor: Amy L. Pennar, Deborah A. Ellis, Steven Paul Woods, Sharon Nichols, Angulique Y. Outlaw, Sylvie Naar
Rok vydání: 2018
Předmět:
Counseling
Male
050103 clinical psychology
Health (social science)
Adolescent
Social Psychology
Memory
Episodic
media_common.quotation_subject
HIV Infections
Pilot Projects
Neuropsychological Tests
Medication Adherence
Task (project management)
Young Adult
03 medical and health sciences
0302 clinical medicine
Intervention (counseling)
Prospective memory
Humans
Medicine
0501 psychology and cognitive sciences
media_common
Psychiatric Status Rating Scales
Memory Disorders
Text Messaging
Self-management
business.industry
05 social sciences
Neurological Rehabilitation
Public Health
Environmental and Occupational Health
Neuropsychology
Resilience
Psychological
Viral Load
Treatment Outcome
Female
Psychological resilience
business
Viral load
Neurocognitive
030217 neurology & neurosurgery
Clinical psychology
Zdroj: AIDS Care. 30:59-64
ISSN: 1360-0451
0954-0121
DOI: 10.1080/09540121.2019.1576851
Popis: Using a phased model of intervention development, we developed an intervention to promote resilience in youth living with HIV via improved neurocognitive resources. First, youth completed a naturalistic prospective memory (PM) task and were randomized into a visualization condition or control condition. Next, 47 of these participants completed another naturalistic PM task and were randomized into Calendaring condition, an Alarm condition, a Combined condition, or a Control condition. Youth with low PM demonstrated observable gains from the visualization technique. Youth in the Combined Calendaring and Alarm condition demonstrated significantly better performance than participants in the Control and Calendaring conditions. In a Proof-of-Concept study with 16 youth, the previous findings were translated into a single session in-person intervention followed by tailored text messaging to improve adherence and viral load via improved neurocognitive resources. The resulting intervention showed a signal of effect with viral load reductions in youth with available data. Targeting compensatory strategies to enhance neurocognitive functioning may promote resilience and health outcomes. A randomized pilot study with a control condition is the next step.
Databáze: OpenAIRE
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