Adapting Cognitive Remediation Group Therapy Online: Focus Groups with People Aging with HIV.
Andrew David EatonJenny HuiMarvelous MuchenjeTaylor KonKate MurzinSoo Chan CarusoneNuelle NovikAdria QuigleyKristina KokoreliasFrancisco Ibáñez-CarrascoPublished in: Journal of the International Association of Providers of AIDS Care (2024)
Cognitive health is a significant concern for people aging with HIV/AIDS. Psychosocial group therapies may help people aging with HIV who experience cognitive challenges cope with their symptoms. The COVID-19 pandemic revealed in-person group therapies need adaptation for technology-mediated delivery. Peer-led focus groups discussed adapting cognitive remediation group therapy (CRGT) as an online intervention. CRGT combines mindfulness-based stress reduction and brain training activities. Purposive sampling recruited people aging with HIV (40+) who self-identified cognitive concerns and resided in one of two Canadian provinces. Thematic content analysis was employed on transcripts by seven independent coders. Ten, 2-hour focus groups were conducted between August and November 2022. Participants (n=45) responded favorably to CRGT's modalities. Alongside support for its continued implementation in-person, participants requested online synchronous and online asynchronous formats. Preferred intervention facilitators were peers and mental health professionals. We also discuss how to adapt psychosocial HIV therapies for technology-mediated delivery.
Keyphrases
- hiv aids
- antiretroviral therapy
- hiv positive
- hiv infected
- human immunodeficiency virus
- hiv testing
- hepatitis c virus
- health information
- mental health
- men who have sex with men
- randomized controlled trial
- healthcare
- social media
- public health
- primary care
- stem cells
- single cell
- quality improvement
- mesenchymal stem cells
- white matter
- chronic pain
- cell therapy
- physical activity