Integrating HIV-Associated Neurocognitive Impairment Screening within Primary Healthcare Facilities: A Pilot Training Intervention.
Adele MunsamiGoodman SibekoHetta GouseSam NightingaleJohn A JoskaPublished in: Nursing research and practice (2022)
HIV-associated neurocognitive impairment (H-NCI) remains a common comorbidity, which may affect several key health outcomes among people with HIV. However, there are shortages of appropriately skilled healthcare workers able to identify and manage H-NCI in low- and middle-income countries. We conducted an exploratory, quasi-experimental, pre- and post-cohort training intervention in KwaZulu-Natal, South Africa. Thirty-four healthcare workers (two general medical doctors, twenty-two nurses, and ten adherence counsellors) from six facilities and a mobile clinic unit attended two, two-hour face-to-face, training sessions. The training included knowledge and skill transfer components. Pre- and post-knowledge questionaries demonstrated an improvement among 82% ( n = 28) of the attendees from all three cadres. Knowledge was retained by 88% ( n = 30) of the attendees after eight weeks. The H-NCI screening tools were administered with 78% accuracy. After eight weeks, two general medical doctors and eight senior nurses were able to accurately administer the tool. The Primary Healthcare H-NCI training was successful in improving knowledge among primary healthcare workers; however, several healthcare workers experienced challenges with administering such tools.
Keyphrases
- healthcare
- south africa
- hiv positive
- antiretroviral therapy
- hiv infected
- human immunodeficiency virus
- hiv testing
- virtual reality
- hepatitis c virus
- hiv aids
- randomized controlled trial
- men who have sex with men
- mental health
- bipolar disorder
- risk assessment
- metabolic syndrome
- gestational age
- type diabetes
- adipose tissue
- study protocol
- medical students
- social media
- climate change
- glycemic control
- human health
- acute care