“A fog that impacts everything”: a qualitative study of health-related quality of life in people living with HIV who have cognitive impairment
Background Cognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting 14–28% of PLWH, CI is associated with lower health-related quality of life (HRQoL), however, evaluation of the illness-specific factors comprisin...
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Published in | Quality of life research Vol. 31; no. 10; pp. 3019 - 3030 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Cham
Springer International Publishing
01.10.2022
Springer Nature B.V |
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Abstract | Background
Cognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting 14–28% of PLWH, CI is associated with lower health-related quality of life (HRQoL), however, evaluation of the illness-specific factors comprising HRQoL in PLWH with CI have not been assessed.
Objective
We sought to contribute evidence toward an understanding of HRQoL and identify domains of HRQoL in PLWH with CI.
Methods
Qualitative interviews with 25 PLWH with objective CI related to HIV disease were conducted with participants attending HIV clinics in the UK. Clinically significant CI was defined based on The European AIDS Clinical Society guidelines, requiring: (i) subjective reporting of cognitive symptoms; (ii) symptoms to be related to HIV (e.g. potentially confounding non-HIV related conditions have been excluded or are being optimally managed) and; (iii) formal neuropsychological assessment confirming CI. Median age was 56 years (range 35–80); 18 participants were men (72%); 11 (44%) were white British and 8 (32%) were Black African; 14 (56%) were men that have sex with men and 10 (40%) were heterosexual; median number of years living with HIV was 17 (range 1–34); and all participants were on combination antiretroviral therapy. Analyses employed techniques from grounded theory, underpinned by an inductive, collaborative team-based approach.
Results
Findings revealed seven interrelated domains comprising HRQoL experiences were identified: Physical function, Cognition, Social connectedness, Physical and mental health, Stigma, Self-concept, and Control and acceptance, and each was defined by specific descriptive components.
Conclusion
This study provides valuable insights on the factors that drive HRQoL in PLWH with CI and contribute to a body of evidence which provides targets for the development of targeted interventions to maintain or improve quality of life. |
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AbstractList | BACKGROUNDCognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting 14-28% of PLWH, CI is associated with lower health-related quality of life (HRQoL), however, evaluation of the illness-specific factors comprising HRQoL in PLWH with CI have not been assessed. OBJECTIVEWe sought to contribute evidence toward an understanding of HRQoL and identify domains of HRQoL in PLWH with CI. METHODSQualitative interviews with 25 PLWH with objective CI related to HIV disease were conducted with participants attending HIV clinics in the UK. Clinically significant CI was defined based on The European AIDS Clinical Society guidelines, requiring: (i) subjective reporting of cognitive symptoms; (ii) symptoms to be related to HIV (e.g. potentially confounding non-HIV related conditions have been excluded or are being optimally managed) and; (iii) formal neuropsychological assessment confirming CI. Median age was 56 years (range 35-80); 18 participants were men (72%); 11 (44%) were white British and 8 (32%) were Black African; 14 (56%) were men that have sex with men and 10 (40%) were heterosexual; median number of years living with HIV was 17 (range 1-34); and all participants were on combination antiretroviral therapy. Analyses employed techniques from grounded theory, underpinned by an inductive, collaborative team-based approach. RESULTSFindings revealed seven interrelated domains comprising HRQoL experiences were identified: Physical function, Cognition, Social connectedness, Physical and mental health, Stigma, Self-concept, and Control and acceptance, and each was defined by specific descriptive components. CONCLUSIONThis study provides valuable insights on the factors that drive HRQoL in PLWH with CI and contribute to a body of evidence which provides targets for the development of targeted interventions to maintain or improve quality of life. Background Cognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting 14–28% of PLWH, CI is associated with lower health-related quality of life (HRQoL), however, evaluation of the illness-specific factors comprising HRQoL in PLWH with CI have not been assessed. Objective We sought to contribute evidence toward an understanding of HRQoL and identify domains of HRQoL in PLWH with CI. Methods Qualitative interviews with 25 PLWH with objective CI related to HIV disease were conducted with participants attending HIV clinics in the UK. Clinically significant CI was defined based on The European AIDS Clinical Society guidelines, requiring: (i) subjective reporting of cognitive symptoms; (ii) symptoms to be related to HIV (e.g. potentially confounding non-HIV related conditions have been excluded or are being optimally managed) and; (iii) formal neuropsychological assessment confirming CI. Median age was 56 years (range 35–80); 18 participants were men (72%); 11 (44%) were white British and 8 (32%) were Black African; 14 (56%) were men that have sex with men and 10 (40%) were heterosexual; median number of years living with HIV was 17 (range 1–34); and all participants were on combination antiretroviral therapy. Analyses employed techniques from grounded theory, underpinned by an inductive, collaborative team-based approach. Results Findings revealed seven interrelated domains comprising HRQoL experiences were identified: Physical function, Cognition, Social connectedness, Physical and mental health, Stigma, Self-concept, and Control and acceptance, and each was defined by specific descriptive components. Conclusion This study provides valuable insights on the factors that drive HRQoL in PLWH with CI and contribute to a body of evidence which provides targets for the development of targeted interventions to maintain or improve quality of life. Cognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting 14-28% of PLWH, CI is associated with lower health-related quality of life (HRQoL), however, evaluation of the illness-specific factors comprising HRQoL in PLWH with CI have not been assessed. We sought to contribute evidence toward an understanding of HRQoL and identify domains of HRQoL in PLWH with CI. Qualitative interviews with 25 PLWH with objective CI related to HIV disease were conducted with participants attending HIV clinics in the UK. Clinically significant CI was defined based on The European AIDS Clinical Society guidelines, requiring: (i) subjective reporting of cognitive symptoms; (ii) symptoms to be related to HIV (e.g. potentially confounding non-HIV related conditions have been excluded or are being optimally managed) and; (iii) formal neuropsychological assessment confirming CI. Median age was 56 years (range 35-80); 18 participants were men (72%); 11 (44%) were white British and 8 (32%) were Black African; 14 (56%) were men that have sex with men and 10 (40%) were heterosexual; median number of years living with HIV was 17 (range 1-34); and all participants were on combination antiretroviral therapy. Analyses employed techniques from grounded theory, underpinned by an inductive, collaborative team-based approach. Findings revealed seven interrelated domains comprising HRQoL experiences were identified: Physical function, Cognition, Social connectedness, Physical and mental health, Stigma, Self-concept, and Control and acceptance, and each was defined by specific descriptive components. This study provides valuable insights on the factors that drive HRQoL in PLWH with CI and contribute to a body of evidence which provides targets for the development of targeted interventions to maintain or improve quality of life. |
Author | Daley, Stephanie Hamlyn, Elizabeth Vera, Jaime H. Trotman, Daniel Banerjee, Sube Alford, Kate |
Author_xml | – sequence: 1 givenname: Kate orcidid: 0000-0001-5356-5644 surname: Alford fullname: Alford, Kate email: K.Alford2@bsms.ac.uk organization: Department of Global Health and Infection, Brighton and Sussex Medical School – sequence: 2 givenname: Stephanie surname: Daley fullname: Daley, Stephanie organization: Centre for Dementia Studies, Brighton and Sussex Medical School – sequence: 3 givenname: Sube surname: Banerjee fullname: Banerjee, Sube organization: Faculty of Health, University of Plymouth – sequence: 4 givenname: Elizabeth surname: Hamlyn fullname: Hamlyn, Elizabeth organization: King’s College Hospital NHS Foundation Trust – sequence: 5 givenname: Daniel surname: Trotman fullname: Trotman, Daniel organization: King’s College Hospital NHS Foundation Trust – sequence: 6 givenname: Jaime H. surname: Vera fullname: Vera, Jaime H. organization: Department of Global Health and Infection, Brighton and Sussex Medical School, University Hospitals Sussex |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35579729$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1097_YCO_0000000000000919 crossref_primary_10_1038_s41582_023_00813_2 crossref_primary_10_1111_hiv_13494 crossref_primary_10_1111_hiv_13582 crossref_primary_10_1016_j_molmed_2024_06_005 crossref_primary_10_33225_ppc_23_17_47 crossref_primary_10_1177_20101058231160605 crossref_primary_10_1177_23259582231164241 |
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Keywords | HIV Qualitative HIV-associated neurocognitive disorder Cognitive impairment Quality of life |
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10.1089/088922203322280856 contributor: fullname: V Tozzi |
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Snippet | Background
Cognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting... Cognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting 14-28% of PLWH,... BackgroundCognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting... BACKGROUNDCognitive impairment (CI) in people living with HIV (PLWH) is an important health concern in the context of an ageing HIV population. Impacting... |
SourceID | pubmedcentral proquest crossref pubmed springer |
SourceType | Open Access Repository Aggregation Database Index Database Publisher |
StartPage | 3019 |
SubjectTerms | Clinical significance Cognitive ability HIV Human immunodeficiency virus Medicine Medicine & Public Health Public Health Qualitative research Quality of life Quality of Life Research Sociology |
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Title | “A fog that impacts everything”: a qualitative study of health-related quality of life in people living with HIV who have cognitive impairment |
URI | https://link.springer.com/article/10.1007/s11136-022-03150-x https://www.ncbi.nlm.nih.gov/pubmed/35579729 https://www.proquest.com/docview/2713860292 https://search.proquest.com/docview/2665562268 https://pubmed.ncbi.nlm.nih.gov/PMC9470604 |
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