Adapting Cognitive Remediation Group Therapy Online: Focus Groups with People Aging with HIV

Author:

Eaton Andrew D.12ORCID,Hui Jenny13,Muchenje Marvelous12,Kon Taylor1,Murzin Kate4,Chan Carusone Soo5,Novik Nuelle1,Quigley Adria67,Kokorelias Kristina28910,Ibáñez-Carrasco Francisco11

Affiliation:

1. Faculty of Social Work, University of Regina, Regina, SK, Canada

2. Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada

3. Ontario Institute for Studies in Education, University of Toronto, Toronto, ON, Canada

4. Realize, Toronto, ON, Canada

5. Collaborative for Health and Aging, McMaster University, Hamilton, ON, Canada

6. School of Physiotherapy, Dalhousie University, Halifax, NS, Canada

7. Nova Scotia Health Authority, Halifax, NS, Canada

8. Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada

9. Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada

10. Department of Medicine, Sinai Health Systems, Toronto, ON, Canada

11. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

Abstract

Cognitive health is a significant concern for people aging with HIV/AIDS. Psychosocial group therapies may help people aging with HIV who experience cognitive challenges cope with their symptoms. The COVID-19 pandemic revealed in-person group therapies need adaptation for technology-mediated delivery. Peer-led focus groups discussed adapting cognitive remediation group therapy (CRGT) as an online intervention. CRGT combines mindfulness-based stress reduction and brain training activities. Purposive sampling recruited people aging with HIV (40+) who self-identified cognitive concerns and resided in one of two Canadian provinces. Thematic content analysis was employed on transcripts by seven independent coders. Ten, 2-hour focus groups were conducted between August and November 2022. Participants (n=45) responded favorably to CRGT's modalities. Alongside support for its continued implementation in-person, participants requested online synchronous and online asynchronous formats. Preferred intervention facilitators were peers and mental health professionals. We also discuss how to adapt psychosocial HIV therapies for technology-mediated delivery.

Funder

Canadian HIV Trials Network, Canadian Institutes of Health Research

HIV/AIDS and STBBI Research Initiative

Publisher

SAGE Publications

Reference64 articles.

1. Newly diagnosed cases of HIV in those aged 50 years and older and those less than 50: 2008–2017

2. HIV in Canada—Surveillance Report, 2016

3. Public Health Agency of Canada. HIV in Canada: 2021 Surveillance highlights. Government of Canada. 2021, December 1. https://www.canada.ca/en/public-health/services/publications/diseases-conditions/hiv-2020-surveillance-highlights.html

4. Saskatchewan Ministry of Health. HIV prevention and control report, 2018. 2018. Saskatchewan Publication Centre. https://skhiv.ca/wp-content/uploads/2020/01/GovSK-HIV-Prevention-Control-Report-2018.pdf

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