Poor Self-efficacy for Healthcare Provider Interactions Among Individuals with HIV-Associated Neurocognitive Disorders

Morgan, Erin E.; Woods, Steven Paul; Iudicello, Jennifer E.; Grant, Igor; Villalobos, Javier Aguilar

doi:10.1007/s10880-018-9560-0

Cited by 12 publications

(10 citation statements)

References 37 publications

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“…A major finding from this study is that health literacy capacity appears to mediate the relationship between neurocognition and eHealth literacy in the setting of HIV disease. These data support the idea that health literacy capacity (viz., knowledge, numeracy, and understanding) is dependent in part on neurocognitive functioning (e.g., learning), as has been shown in prior studies from our group (e.g., [25][26][27]. Importantly, however, the relationship between neurocognition and perceived eHealth literacy is explained by health literacy capacity.…”

Section: Discussionsupporting

confidence: 67%

“…In 2010, Waldrop-Valverde et al (24) demonstrated that lower memory, attention, and complex visuomotor sequencing were independently associated with poorer health-related comprehension and numeracy in HIV. Subsequent research revealed that individuals with HAND are at risk for low health literacy, ranging from fundamental skills like numeracy (25) to higher-order capacities, such as medical decision-making (26) and engagement with healthcare providers (27). Moreover, standard measures of health literacy relate to performance-based health-related Internet navigation skills among persons with HIV disease (9).…”

Section: Introductionmentioning

confidence: 99%

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Lower Neurocognitive Functioning Disrupts the Effective Use of Internet-Based Health Resources in HIV Disease: The Mediating Effects of General Health Literacy Capacity

Woods

Sullivan

2018

AIDS Behav

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HIV-associated neurocognitive impairment is an independent predictor of low general health literacy, which can be associated with poor disease outcomes (e.g., viremia). Given the increasing frequency with which health behaviors occur in an online environment (e.g., health information seeking, provider interactions), there is a specific need to understand the predictors of electronic health (eHealth) literacy of persons living with HIV disease. In this study, 90 HIV+ persons completed the eHealth Literacy Scale (eHEALS), which measures one's awareness, skills and evaluation of online health resources. Participants also completed a comprehensive battery of clinical neurocognitive tests and well-validated performance-based measures of general health literacy capacity (e.g., knowledge, numeracy). Results showed that, independent of education, lower neurocognitive function was moderately related to lower eHEALS scores, particularly in the domains of learning and motor skills. Of particular note, general health literacy capacity emerged as a significant mediator of the relationship between neurocognition and eHealth literacy. Thus, the adverse effects of neurocognition on health literacy capacity carries a downstream adverse influence on HIV+ persons' awareness, skills, and evaluation of health-related resources in the online environment.

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Section: Discussionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Lower Neurocognitive Functioning Disrupts the Effective Use of Internet-Based Health Resources in HIV Disease: The Mediating Effects of General Health Literacy Capacity

Woods

Sullivan

2018

AIDS Behav

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“…Results from this study also indicate that poorer performance on measures of health literacy and global neurocognition is uniquely associated with lower selfefficacy for HCP interactions, respectively. These findings are consistent with previous research that identified neurocognitive impairment (Morgan et al, 2019) and inadequate health literacy (Matchanova et al, 2021) as risk factors for lower self-efficacy for HCP interactions. Copyright © 2023 Association of Nurses in AIDS Care.…”

Section: Discussionsupporting

confidence: 92%

Apathy Among Persons Living With HIV Is Associated With Lower Self-efficacy for Health Care Provider Interactions

Babicz

Matchanova

Woods

2023

J Assoc Nurses AIDS Care

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Apathy is common in persons with HIV (PWH) and has been associated with a variety of health outcomes. We examined the association between apathy and self-efficacy for health care provider interactions in 142 PWH. A composite score comprised of the apathy subscale of the Frontal Systems Behavioral Scale and the vigor-activation scale of the Profile of Mood States was used to measure apathy. Self-efficacy for health care provider interactions was measured using the Beliefs Related to Medication Adherence – Dealing with Health Professional subscale. Higher levels of apathy were associated with lower self-efficacy for health care provider interactions at a medium effect size, independent of mood disorders, health literacy, and neurocognition. Findings suggest that apathy plays a unique role in self-efficacy for health care provider interactions and support the importance of assessment and management of apathy to maximize health outcomes among PWH.

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“…Even in milder forms, NCI is disabling and constitutes a public health issue due to its adverse effect on everyday functioning. NCI has been found to be associated with poor medication management [6], low selfefficacy for healthcare interactions [7], unemployment [8], poor health-related quality of life [9], and higher mortality [10].…”

Section: Introductionmentioning

confidence: 99%

Development of a Nomogram-Based Tool to Predict Neurocognitive Impairment Among HIV-positive Charter Participants

Naveed¹,

Fox²,

Wichman³

et al. 2021

TOAIDJ

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Background: Despite the widespread use of combination antiretroviral therapy (cART), HIV-associated neurocognitive impairment (NCI) persists in people living with HIV (PLWH). Studies have generated inconsistent results regarding etiological factors for NCI in PLWH. Furthermore, a user-friendly and readily available predictive tool is desirable in clinical practice to screen PLWH for NCI. Objective: This study aimed to identify factors associated with NCI using a large and diverse sample of PLWH and build a nomogram based on demographic, clinical, and behavioral variables. Methods: We performed Bayesian network analysis using a supervised learning technique with the Markov Blanket (MB) algorithm. Logistic regression was also conducted to obtain the adjusted regression coefficients to construct the nomogram. Results: Among 1,307 participants, 21.6% were neurocognitively impaired. During the MB analysis, age provided the highest amount of mutual information (0.0333). Logistic regression also showed that old age (>50 vs. ≤50 years) had the strongest association (OR=2.77, 95% CI=1.99-3.85) with NCI. The highest possible points on the nomogram were 626, translated to a nomogram-predicted probability of NCI to be approximately 0.95. The receiver operating characteristic (ROC) curve's concordance index was 0.75, and the nomogram's calibration plot exhibited an excellent agreement between observed and predicted probabilities. Conclusion: The nomogram used variables that can be easily measured in clinical settings and, thus, easy to implement within a clinic or web-interface platform. The nomogram may help clinicians screen for patients with a high probability of having NCI and thus needing a comprehensive neurocognitive assessment for early diagnosis and appropriate management.

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Poor Self-efficacy for Healthcare Provider Interactions Among Individuals with HIV-Associated Neurocognitive Disorders

Cited by 12 publications

References 37 publications

Lower Neurocognitive Functioning Disrupts the Effective Use of Internet-Based Health Resources in HIV Disease: The Mediating Effects of General Health Literacy Capacity

Lower Neurocognitive Functioning Disrupts the Effective Use of Internet-Based Health Resources in HIV Disease: The Mediating Effects of General Health Literacy Capacity

Apathy Among Persons Living With HIV Is Associated With Lower Self-efficacy for Health Care Provider Interactions

Development of a Nomogram-Based Tool to Predict Neurocognitive Impairment Among HIV-positive Charter Participants

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