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. 2019 Mar;26(1):13-24.
doi: 10.1007/s10880-018-9560-0.

Poor Self-efficacy for Healthcare Provider Interactions Among Individuals with HIV-Associated Neurocognitive Disorders

Erin E Morgan  1   2 , Steven Paul Woods  3   4 , Jennifer E Iudicello  3 , Igor Grant  3 , Javier Villalobos  3 ; HIV Neurobehavioral Research Program (HNRP) Group
Collaborators, Affiliations

Poor Self-efficacy for Healthcare Provider Interactions Among Individuals with HIV-Associated Neurocognitive Disorders

Erin E Morgan et al. J Clin Psychol Med Settings. 2019 Mar.

Abstract

Two factors that influence HIV health behaviors and therefore may contribute to gaps in the HIV treatment continuum are poor health-related self-efficacy and HIV-associated neurocognitive disorders (HAND). However, the relationship between HAND and self-efficacy has not been assessed. In an HIV sample, 91 individuals with intact cognition (HAND-) and 40 individuals with HAND (HAND+) were administered a measure of self-efficacy for healthcare interactions with providers. Participants with HAND had significantly lower scores on this measure, which were correlated with poorer episodic and semantic memory performance, as well as self-reported memory symptoms in daily life. Findings suggest that neurocognitive impairment, and particularly memory dysfunction, may play an important role in self-efficacy for healthcare interactions in HIV. Further examination of the interplay between HAND and self-efficacy is warranted as these two factors may be important for the public health goal of identifying targets for improving access, delivery, and maintenance of HIV care.

Keywords: Cognition; Episodic memory; HIV; Medication adherence; Self-efficacy.

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Conflict of interest statement

Conflict of Interest. Erin E. Morgan, Steven Paul Woods, Jennifer E. Iudicello, Igor Grant, Javier Villalobos, and members of the HIV Neurobehavioral Research Program (HNRP) Group declare they have no conflict of interest.

Figures

Figure 1
Figure 1
Self-efficacy for healthcare interactions (BERMA DWHP) is significantly associated with Memory, Semantic Memory, and Memory Complaints (ps < .05). Note: Speed Info Process = Speed of Information Processing; Semantic Mem = Semantic Memory; Exec Functions = Executive Functions; Memory Complaints = Prospective and Retrospective Memory Questionnaire (PRMQ); Memory Strategies = The Prospective Memory for Medications Questionnaire (PMMQ).
See this image and copyright information in PMC

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