| Publication Abstract Display | | Type: Published Manuscript | | Title: Poor self-efficacy for healthcare provider interactions among individuals with HIV-associated neurocognitive disorders. | | Authors: Morgan EE, Woods SP, Iudicello JE, Grant I, Villalobos J | | Year: 2019 | | Publication: Journal of Clinical Psychology in Medical Settings | | Volume: 26 Issue: 1 Pages: 13-24 | | 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. |
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