Validity of Digital Assessments in Screening for HIV-Related Cognitive Impairment: a Review

Wilson, Samuel H.; Milanini, Benedetta; Javandel, Shireen; Nyamayaro, Primrose; Valcour, Victor

doi:10.1007/s11904-021-00585-8

Cited by 7 publications

(5 citation statements)

References 81 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two reviews 10 , 68 reported that, by 2013, there had been a total of 36 studies examining 40 different screening tests, subtests, or short batteries of individual neuropsychological tests as screening tools for HAND. Also, a new review 48 found 23 additional studies presenting data on 18 different screening tests for HAND; several screeners were novel, based on a computerized assessment or mobile-based screeners (for a review, see Robbins et al 2021; 48 Wilson 2021 69 ). The strengths and the weaknesses of these screening tests are presented elsewhere.…”

Section: Screening For Cognitive Impairmentmentioning

confidence: 99%

HIV-Associated Neurocognitive Disorder (HAND): Obstacles to Early Neuropsychological Diagnosis

Vastag¹,

Fira-Mlădinescu²,

Roşca³

2022

IJGM

View full text Add to dashboard Cite

Despite the recent advances in HIV treatment, HIV-associated neurocognitive disorder (HAND) prevalence remains high, especially in the mild forms. Current recommendations endorse routine screening for HAND and early identification, but there are several obstacles in diagnosing and managing cognitive impairment in people living with HIV. The purpose of this review is to provide an overview of the concepts and diagnostic tools in the field of HAND and report on the strengths and limitations of currently available approaches.

show abstract

Section: Screening For Cognitive Impairmentmentioning

confidence: 99%

HIV-Associated Neurocognitive Disorder (HAND): Obstacles to Early Neuropsychological Diagnosis

Vastag¹,

Fira-Mlădinescu²,

Roşca³

2022

IJGM

View full text Add to dashboard Cite

show abstract

“…These tools will need rigorous validation in the population in which they are deployed. The “trans diagnostic approach” in which it is recognized that mental health disorders often co‐occur and may have a shared underlying pathology has been helpful for the diagnosis and treatment of mental illness in resource‐limited settings and would need to be adapted to include identification and treatment of age‐related cognitive disorders [ 37 , 38 ]. Follow country‐based innovations where HIV services are evolving and adapting to changing needs …”

Section: Discussionmentioning

confidence: 99%

Providing differentiated service delivery to the ageing population of people living with HIV

et al. 2022

View full text Add to dashboard Cite

Introduction Differentiated service delivery (DSD) models for HIV are a person‐centred approach to providing services across the HIV care cascade; DSD has an increasing policy and implementation support in high‐burden HIV countries. The life‐course approach to DSD for HIV treatment has focused on earlier life phases, childhood and adolescence, families, and supporting sexual and reproductive health during childbearing years. Older adults, defined as those over the age of 50, represent a growing proportion of HIV treatment cohorts with approximately 20% of those supported by PEPFAR in this age band and have specific health needs that differ from younger populations. Despite this, DSD models have not been designed or implemented to address the health needs of older adults. Discussion Older adults living with HIV are more likely to have significant co‐morbid medical conditions. In addition to the commonly discussed co‐morbidities of hypertension and diabetes, they are at increased risk of cognitive impairment, frailty and mental health conditions. Age and HIV‐related cognitive impairment may necessitate the development of adapted educational materials. Identifying the optimal package of differentiated services to this population, including the frequency of clinical visits, types and location of services is important as is capacitating the healthcare cadres to adapt to these challenges. Technological advances, which have made remote monitoring of adherence and other aspects of disease management easier for younger populations, may not be as readily available or as familiar to older adults. To date, adaptations to service delivery have not been scaled and are limited to nascent programmes working to integrate treatment of common co‐morbidities. Conclusions Older individuals living with HIV may benefit from a DSD approach that adapts care to the specific challenges of ageing with HIV. Models could be developed and validated using outcome measures, such as viral suppression and treatment continuity. DSD models for older adults should consider their specific health needs, such as high rates of co‐morbidities. This may require educational materials, health worker capacity building and outreach designed specifically to treat this age group.

show abstract

“…Digital cognitive assessment tools have been developed to replace and improve upon traditional cognitive measures, but their development remains in the early stages ( 30 ). A range of issues need to be solved.…”

Section: Mini Literature Reviewmentioning

confidence: 99%

Research on digital tool in cognitive assessment: a bibliometric analysis

Chen,

Zhen,

Peng

2023

Front. Psychiatry

View full text Add to dashboard Cite

ObjectiveThe number of research into new cognitive assessment tools has increased rapidly in recent years, sparking great interest among professionals. However, there is still little literature revealing the current status and future trends of digital technology use in cognitive assessment. The aim of this study was to summarize the development of digital cognitive assessment tools through the bibliometric method.MethodsWe carried out a comprehensive search in the Web of Science Core Collection to identify relevant papers published in English between January 1, 2003, and April 3, 2023. We used the subjects such as “digital,” “computer,” and “cognitive,” and finally 13,244 related publications were collected. Then we conducted the bibliometric analysis by Bibliometrix” R-package, VOSviewer and CiteSpace software, revealing the prominent countries, authors, institutions, and journals.Results11,045 articles and 2,199 reviews were included in our analyzes. The number of annual publications in this field was rising rapidly. The results showed that the most productive countries, authors and institutions were primarily located in economically developed regions, especially the North American, European, and Australian countries. Research cooperation tended to occur in these areas as well. The application of digital technology in cognitive assessment appealed to growing attention during the outbreak of the COVID-19 epidemic.ConclusionDigital technology uses have had a great impact on cognitive assessment and health care. There have been substantial papers published in these areas in recent years. The findings of the study indicate the great potential of digital technology in cognitive assessment.

show abstract

Validity of Digital Assessments in Screening for HIV-Related Cognitive Impairment: a Review

Cited by 7 publications

References 81 publications

HIV-Associated Neurocognitive Disorder (HAND): Obstacles to Early Neuropsychological Diagnosis

HIV-Associated Neurocognitive Disorder (HAND): Obstacles to Early Neuropsychological Diagnosis

Providing differentiated service delivery to the ageing population of people living with HIV

Research on digital tool in cognitive assessment: a bibliometric analysis

Contact Info

Product

Resources

About