Andrew Eaton

Permanent URI for this collectionhttps://hdl.handle.net/10294/14540

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Browsing Andrew Eaton by Subject "aging"

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    Cognitive remediation group therapy compared to mutual aid group therapy for people aging with HIV-associated neurocognitive disorder: randomized, controlled trial
    (Taylor and Francis Group, 2021-08-21) Eaton, Andrew D.; Craig, Shelley L.; Rouke, Sean B.; Sota, Teresa; McCullagh, John W.; Fallon, Barbara A.; Walmsley, Sharon L.
    Cognitive impairment is an important comorbidity for people aging with HIV, and group therapy may ameliorate the associated anxiety and stress. Combination psychosocial interventions may have better outcomes than single technique approaches. A pilot, parallel design, two-arm trial randomized people aging with HIV-Associated Neurocognitive Disorder (HAND) to Cognitive Remediation Group Therapy (Experimental; combination of brain training activities and mindfulness-based stress reduction) or Mutual Aid Group Therapy (Control). Outcomes were feasibility, acceptability, fidelity, and exploratory measures of anxiety, stress, coping, and use of mindfulness and brain training activities. Amongst forty contacted participants, 15 replied, 12 recruited, and 10 completed. Assessors confirmed intervention delivery with satisfactory fidelity. The novel arm had statistically significant improvements in stress and mindfulness use compared to control, and brain training and mindfulness use sustained at 3-month follow-up. Requiring a HAND diagnosis made recruitment challenging. Further research should broaden eligibility to people aging with HIV and cognitive challenges.
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    Exploring the Perspectives of Older Adults Living With HIV on Virtual Care: Qualitative Study
    (JMIR Publications Inc., 2024-12-04) Kristina M Kokorelias; Dean Valentine; Erica M Dove; Paige Brown; Stuart McKinlay; Christine L Sheppard; Hardeep Singh; Andrew D Eaton; Laura Jamieson; Marina B Wasilewski; Alice Zhabokritsky; Ashley Flanagan; Reham Abdelhalim; Rahel Zewude; Rabea Parpia; Sharon Walmsley; Luxey Sirisegaram
    Background As the population of individuals with HIV ages rapidly due to advancements in antiretroviral therapy, virtual care has become an increasingly vital component in managing their complex health needs. However, little is known about perceptions of care among older adults living with HIV. Objective This study aimed to understand the perceptions of older adults living with HIV regarding care. Methods Using an interpretive, qualitative, descriptive methodology, semistructured interviews were conducted with 14 diverse older adults living with HIV. The participants lived in Ontario, Canada, self-identified as HIV-positive, and were aged 50 years or older. Efforts were made to recruit individuals with varying experience with health care. Reflexive thematic analysis was conducted with the interview transcripts to identify prevalent themes. Results The identified themes included (1) the importance of relationships in virtual care for older adults living with HIV; (2) privacy and confidentiality in virtual care; and (3) challenges and solutions related to access and technological barriers in virtual care. These themes highlight the perceptions of diverse older adults living with HIV concerning care, emphasizing the fundamental role of trust, privacy, and technology access. Conclusions By embracing the unique perspectives and experiences of this population, we can work toward building more inclusive and responsive health care systems that meet the needs of all individuals, regardless of age, HIV status, or other intersecting identities.