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The Effect of an HIV Self-Management Intervention on Neurocognitive Behavioral Processing
Allison R Webel1, Nathaniel Schreiner1, Robert A Salata1,2
11 Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Western Journal of Nursing Research
|January 19, 2019
Summary
A self-management intervention improved neurocognitive processing in people living with HIV (PLHIV), but did not significantly enhance self-management behaviors like physical activity or diet.
Area of Science:
- Neuroscience
- Public Health
- Behavioral Science
Background:
- People living with HIV (PLHIV) face increasing comorbidities requiring enhanced self-management.
- Neurocognitive processing is crucial for managing complex health conditions.
Purpose of the Study:
- To investigate the impact of a 3-month self-management intervention on neurocognitive behavioral processing in PLHIV.
- To assess changes in physical activity, dietary intake, and neurocognitive function.
Main Methods:
- A randomized clinical trial with 29 PLHIV in two groups.
- Validated assessments of physical, diet, and neurocognitive processing (fMRI-derived network analyses).
- Linear mixed effects modeling analyzed intervention effects.
Main Results:
- The intervention showed a trend toward improving healthy eating (p = .08).
- Significant improvements were observed in task-positive network (TPN) differentiation (p = .047).
- An increase in default mode network (DMN) differentiation was noted (p = .10).
Conclusions:
- Self-management interventions may positively influence neurocognitive processing in PLHIV.
- Observed neurocognitive changes were not directly associated with improved self-management behaviors.
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