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Integrating Cognitive Dysfunction Accommodation Strategies into an HIV Prevention Session

A 2-Arm Pilot Feasibility Study

Bibliographic Data

ID15469039
AuthorsColleen B Mistler (0000-0002-8681-0252, University of Connecticut, corresponding author), Michael D Miller (0000-0002-4929-2257, University of Connecticut), Michael Copenhaver (University of Connecticut)
Year2022
Volume19
Issue15
Pages9430-9430
Publication date2022-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19159430
PMID35954802
OpenAlexW4289313646
LanguageEN
References cited24

Cognitive dysfunction is prevalent among persons on medication for opioid use disorder (MOUD). This cognitive dysfunction has been shown to reduce HIV treatment engagement and medication adherence. We investigated the impact of integrating specific behavioral strategies into an HIV prevention session to accommodate cognitive dysfunction among people on MOUD. Patients on MOUD (n = 20) were randomized to one of two different HIV prevention conditions. The same HIV risk reduction content was presented to both conditions; however, the experimental condition had accommodation strategies integrated into the session. Participants completed a skills checklist at pre-, post-, and 2-week follow-up to examine the level of HIV risk reduction content learned and utilized over time. Participants in the experimental condition indicated high acceptability (95%) for the accommodation strategies. These participants also demonstrated greater improvement in the ability to properly clean a syringe, from pre- to post- (p < 0.02) and from pre- to follow-up (p < 0.02) when compared to participants in the standard condition. Results from this pilot study indicate that accommodation strategies improved participants’ ability to learn, retain, and utilize risk reduction skills over time. This foundation of research indicates a promising, innovative strategy to increase the ability for persons on MOUD to engage in HIV prevention behaviors

Accommodation · Checklist · Cognition · Effects of sleep deprivation on cognitive performance · Family medicine · Human immunodeficiency virus (HIV · Physical therapy · Psychiatry · Randomized controlled trial · Session (web analytics · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Prenatal Substance Exposure Effects · Psychology · Internal Medicine

  • Treatment of medical, psychiatric, and substance-use comorbidities in people infected with HIV who use drugs

    Open Access•Frederick L Altice, Adeeba Kamarulzaman et al.•The Lancet•2010

  • Integrating Cognitive Dysfunction Accommodation Strategies Into Behavioral Interventions for Persons on Medication for Opioid Use Disorder

    Open Access•Colleen B Mistler, Christie I Idiong et al.•Frontiers in Public Health•2022

  • Optimizing Pre-Exposure Antiretroviral Prophylaxis Adherence in Men Who Have Sex with Men

    Open Access•Kenneth H Mayer, Steven A Safren et al.•AIDS and Behavior•2016

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    Open Access•Tania B Huedo-Medina, Roman Shrestha et al.•AIDS and Behavior•2016

  • Integrated Bio-behavioral Approach to Improve Adherence to Pre-exposure Prophylaxis and Reduce HIV Risk in People Who Use Drugs

    Open Access•Roman Shrestha, Frederick L Altice et al.•AIDS and Behavior•2018

  • A Randomized Controlled Trial of the Community-Friendly Health Recovery Program (CHRP) Among High-Risk Drug Users in Treatment

    Open Access•Michael M Copenhaver, Michael D Miller et al.•AIDS and Behavior•2013

  • Intervening Effectively with Drug Abusers Infected with HIV

    Michael D Miller, Michael Copenhaver et al.•Journal of Psychoactive Drugs•2003

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Highly citedNo

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