Adapting Cognitive Remediation Group Therapy Online: Focus Groups with People Aging with HIV.

Andrew D Eaton, Jenny Hui, Marvelous Muchenje, Taylor Kon, Kate Murzin, Soo Chan Carusone, Nuelle Novik, Adria Quigley, Kristina Kokorelias, Francisco Ibáñez-Carrasco
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Abstract

Cognitive health is a significant concern for people aging with HIV/AIDS. Psychosocial group therapies may help people aging with HIV who experience cognitive challenges cope with their symptoms. The COVID-19 pandemic revealed in-person group therapies need adaptation for technology-mediated delivery. Peer-led focus groups discussed adapting cognitive remediation group therapy (CRGT) as an online intervention. CRGT combines mindfulness-based stress reduction and brain training activities. Purposive sampling recruited people aging with HIV (40+) who self-identified cognitive concerns and resided in one of two Canadian provinces. Thematic content analysis was employed on transcripts by seven independent coders. Ten, 2-hour focus groups were conducted between August and November 2022. Participants (n=45) responded favorably to CRGT's modalities. Alongside support for its continued implementation in-person, participants requested online synchronous and online asynchronous formats. Preferred intervention facilitators were peers and mental health professionals. We also discuss how to adapt psychosocial HIV therapies for technology-mediated delivery.

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在线调整认知矫正小组疗法:与艾滋病毒携带者的焦点小组。
认知健康是老年艾滋病毒/艾滋病感染者的一个重要问题。社会心理团体疗法可以帮助在认知方面遇到困难的艾滋病患者应对症状。COVID-19 大流行显示,面对面的团体疗法需要进行调整,以适应以技术为媒介的治疗方式。由同龄人主导的焦点小组讨论了将认知矫正团体疗法(CRGT)调整为在线干预的问题。认知矫正团体疗法结合了正念减压和大脑训练活动。有目的的抽样招募了感染艾滋病毒的老年人(40 岁以上),他们自我认同有认知问题,并居住在加拿大两个省份之一。七名独立编码员对记录誊本进行了主题内容分析。在 2022 年 8 月至 11 月期间,进行了 10 次 2 小时的焦点小组讨论。参与者(n=45)对 CRGT 的模式反应良好。除了支持继续实施面对面干预外,参与者还要求采用在线同步和在线异步的形式。同伴和心理健康专业人员是首选的干预促进者。我们还讨论了如何调整社会心理艾滋病疗法,使其适用于以技术为媒介的提供方式。
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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
43
审稿时长
13 weeks
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