Feedback on a Multimodal Cognitive Intervention for Adults Aging With HIV: A Focus Group Study

Area of Science:

• Neuroscience
• Public Health
• Gerontology

Background:

• HIV-associated neurocognitive disorder (HAND) affects nearly 50% of adults living with HIV (PLWH).
• Aging PLWH are particularly vulnerable to HAND, necessitating interventions to support brain health.
• Multimodal interventions integrating lifestyle factors show promise for managing cognitive decline.

Purpose of the Study:

• To gather feedback from older PLWH on a proposed multimodal intervention called Cognitive Prescriptions.
• To assess the perceived value and feasibility of integrating lifestyle and health behavior changes into a cognitive intervention program.

Main Methods:

• Four focus groups were conducted with 30 PLWH aged 50 years and older.
• Participants provided feedback on a template for the Cognitive Prescriptions intervention.
• Lifestyle and health behaviors including physical activity, mental activity, nutrition, social engagement, emotional health, sleep hygiene, and substance use were assessed.

Main Results:

• Participants expressed positive opinions about the Cognitive Prescriptions intervention template.
• Older PLWH indicated a willingness to engage with clinicians, paraprofessionals, or peers to implement the program.
• Feedback highlighted the potential acceptability and desirability of such a structured intervention.

Conclusions:

• Cognitive Prescriptions, a multimodal intervention, shows potential for improving cognitive health in aging PLWH.
• Engaging support personnel is crucial for successful implementation of lifestyle-based cognitive interventions.
• Further research and practice implications exist for supporting cognitive function in PLWH through integrated lifestyle approaches.