Assessing HIV provider knowledge, screening practices, and training needs for HIV-associated neurocognitive disorders. A short report.

Journal: AIDS care

Volume: 33

Issue: 4

Year of Publication: 2021

Affiliated Institutions:  Department of Psychiatry and Mental Health, HIV Mental Health Research Unit, University of Cape Town, Cape Town, South Africa. Centre for Higher Education Development, University of Cape Town, Cape Town, South Africa. HIV Neurobehavioral Research Center, University of California, San Diego, San Diego, CA, USA. School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa. MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital Department of Psychiatry, University of Toronto, Toronto, Canada. HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University Medical Center, New York, NY, USA.

Abstract summary 

Management of HIV-associated neurocognitive disorders (HAND) is becoming increasingly important with HIV-positive people living normal life spans. We aimed to establish the level of HAND awareness among doctor and nurse occupational health practitioners, screening used to detect impairment, factors limiting screening for HAND, and training needs. One-hundred-and-five members of the nursing and physician professional societies for occupational health practitioners in South Africa and Occupational Health Departments at five South African universities responded to an email invitation to complete an online survey addressing demographics, HAND knowledge, screeners being used to screen for HAND and related training needs. While 80% had heard of HAND, few (13.3%) were aware of the Frascati criteria. Only 2% had received training addressing HAND; 11.4% screened for HAND; 45.7% did not know what screening tool to us; 80% preferred spending <15 min on screening. The largest obstacle to screening was lack of expertise (77.1%) but 77.3% thought it important to screen for HAND. 94.3% wanted screening training. Health providers are poorly informed about HAND and lack expertise and tools to screen for HAND in their treatment programs. While few had relevant training, they recognize the importance of screening for HAND in the workplace and desire training.

Authors & Co-authors:  Gouse Hetta H Masson Catherine J CJ Henry Michelle M Marcotte Thomas D TD London Leslie L Kew Greg G Rourke Sean S Robbins Reuben N RN

Study Outcome 

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Statistics
Citations :  Antinori A, Arendt G, Becker JT, Brew BJ, Byrd DA, Cherner M, … Wojna VE (2007). Updated research nosology for HIV-associated neurocognitive disorders. Neurology, 69(18), 1789–1799. doi:10.1212/01.WNL.0000287431.88658.8b
Authors :  8
Identifiers
Doi : 10.1080/09540121.2020.1736256
SSN : 1360-0451
Study Population
Male,Female
Mesh Terms
AIDS Dementia Complex
Other Terms
HIV;HIV-associated neurocognitive disorders (HAND);mental health;neurocognitive impairment;screening;workplace management
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
England