Browsing by Author "Hui, Jenny"

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Open Access
Adapting Cognitive Remediation Group Therapy as an Online or Hybrid Intervention for People Aging With HIV and Cognitive Concerns: Focus Group Protocol
(SAGE Publications, 2022) Eaton, Andrew D.; Hui, Jenny; Muchenje, Marvelous; Murzin, Kate; Carusone, Soo Chan; Ibañez-Carrasco, Francisco; Novik, Nuelle; McCullagh, John W; Nicolay, Susanne; Walmsley, Sharon L
Cognitive impairment is a significant health issue for people aging with HIV/AIDS. Cognitive challenges can include forgetfulness, trouble concentrating, and increasing struggles to learn new skills, all of which contribute to poorer mental health and decreased quality of life. Although there is no specific drug therapy that can reverse the brain impairment, group therapies may help people aging with HIV and cognitive challenges to better cope with their symptoms when combined with their usual medical treatment and follow-up. This community-based study will involve peer-led focus groups to discuss cognitive remediation group therapy – a combination of mindfulness-based stress reduction and brain training activities tested in a pilot randomized, controlled trial – as an in-person intervention for people aging with HIV in 2019. Via a brief demographic survey and technology-mediated focus groups (n = 40) in Ontario and Saskatchewan, we will determine how the intervention could be adapted in an online or hybrid format considering the ongoing COVID-19 pandemic. Content analysis will be employed whereby a team of independent coders will code the focus group transcripts in line with the co-design framework and “Double Diamond” model of developing interventions, including intervention structure, content, and mode of delivery. Given the aging of the HIV population in Canada, increasing support will be required in addition to medical care to improve quality of life, and proactively address concerns about cognition. This protocol provides a roadmap for adapting in-person psychosocial interventions using community-based and technology-mediated methods
Open Access
Adapting Cognitive Remediation Group Therapy Online: Focus Groups with People Aging with HIV
(SAGE Publications, 2024-01) Eaton, Andrew D.; Hui, Jenny; Muchenje, Marvelous; Kon, Taylor; Murzin, Kate; Carusone, Soo Chan; Novik, Nuelle; Quigley, Adria; Kokorelias, Kristina M.; Ibáñez-Carrasco, Francisco
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.
Open Access
Cognitive screening considerations for psychosocial clinical trials in HIV, aging, and cognition
(SAGE Publications, 2022-12-01) Eaton, Andrew D.; Murzin, Kate; Hui, Jenny; McCullagh, John W; Walmsley, Sharon L; Carusone, Soo Chan
Open Access
Processes and Manifestations of Digital Resilience: Video and Textual Insights From Sexual and Gender Minority Youth
(SAGE Publications, 2023) Craig, Shelley L.; Brooks, Ashley, S.; Doll, Katrin; Eaton, Andrew D.; McInroy, Lauren B.; Hui, Jenny
Minority stressors harm sexual and gender minority youth (SGMY). This may be mitigated by promotive and protective factors and processes that manifest resilient coping. SGMY increasingly interact with information communication technologies (ICTs) to meet psychological needs, yet research often problematizes youths’ ICT use, inhibiting understanding about ICTs’ potential resilience-enhancing utilities. This study analyzes text and video responses of 609 SGMY aged 14 to 29 residing in Canada or the United States to an open-ended survey question about the benefits of using ICTs. Constructivist grounded theory integrating multimodal coding was used to analyze the data, producing a framework of digital resilience—digital processes and actions that generate positive growth—with four themes: Regulating Emotions and Curating Microsystems; Learning and Integrating; Advocating and Leading; and Cultivating Relationships and Communities of Care. Implications for clinical practice, survey innovation, and application of findings in fostering affirming digital microsystems for SGMY are discussed.