A Smartphone App to Screen for HIV-Related Neurocognitive Impairment.

Journal: Journal of mobile technology in medicine

Volume: 3

Issue: 1

Year of Publication: 

Affiliated Institutions:  HIV Center for Clinical and Behavioral Studies, Columbia University and the New York State Psychiatric Center, New York, New York. Envisage IT, Cape Town, South Africa. The Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. ASCENT Laboratory, Department of Psychology, University of Cape Town, Cape Town, South Africa. The Icahn School of Medicine at Mount Sinai, New York, New York.

Abstract summary 

Neurocognitive Impairment (NCI) is one of the most common complications of HIV-infection, and has serious medical and functional consequences. However, screening for it is not routine and NCI often goes undiagnosed. Screening for NCI in HIV disease faces numerous challenges, such as limited screening tests, the need for specialized equipment and apparatuses, and highly trained personnel to administer, score and interpret screening tests. To address these challenges, we developed a novel smartphone-based screening tool, , to detect HIV-related NCI that includes an easy-to-use graphical user interface with ten highly automated neuropsychological tests.To examine : 1) acceptability among patients and different potential users; 2) test construct and criterion validity; and 3) sensitivity and specificity to detect NCI.Fifty HIV+ individuals were administered a gold-standard neuropsychological test battery, designed to detect HIV-related NCI, and . HIV+ test participants and eight potential provider-users of were asked about its acceptability.There was a high level of acceptability of by patients and potential provider-users. Moderate to high correlations between individual tests and paper-and-pencil tests assessing the same cognitive domains were observed. also demonstrated high sensitivity to detect NCI. highly automated, easy-to-use smartphone-based screening test to detect NCI among HIV patients and usable by a range of healthcare personnel could help make routine screening for HIV-related NCI feasible. While demonstrated robust psychometric properties and acceptability, further testing with larger and less neurocognitively impaired samples is warranted.

Authors & Co-authors:  Robbins Reuben N RN Brown Henry H Ehlers Andries A Joska John A JA Thomas Kevin G F KG Burgess Rhonda R Byrd Desiree D Morgello Susan S

Study Outcome 

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Statistics
Citations :  Grant I, Sacktor NC. HIV-Associated Neurocognitive Disorders. In: Gendelman HE, Grant I, Everall IP, et al., editors. The Neurology of AIDS. 3rd ed. New York: Oxford University Press; 2012. pp. 488–503.
Authors :  8
Identifiers
Doi : 
SSN : 1839-7808
Study Population
Male,Female
Mesh Terms
Other Terms
HIV;application;neurocognitive;smartphone;test
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Australia