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Medical stakeholder perspectives on implementing a computerized battery to identify neurocognitive impairments among youth in Botswana.

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Title: Medical stakeholder perspectives on implementing a computerized battery to identify neurocognitive impairments among youth in Botswana.
Authors: Van Pelt, Amelia E., Lowenthal, Elizabeth D., Phoi, Onkemetse, Tshume, Ontibile, Matshaba, Mogomotsi, Beidas, Rinad S.
Source: AIDS Care. Dec2022, Vol. 34 Issue 12, p1513-1521. 9p. 3 Charts.
Subjects: Cognition disorders diagnosis, Psychiatric diagnosis, Attitudes of medical personnel, Research methodology, Grounded theory, Time, Interviewing, Neuropsychological tests, Human services programs, Computer-aided diagnosis, Health care rationing
Geographic Terms: Botswana
Abstract: HIV infection and in utero exposure, common in Sub-Saharan Africa, are associated with pediatric neurocognitive impairment. Cognitive screening can identify impairments, but it is rarely used in this setting. The Penn Computerized Neurocognitive Battery (PennCNB), an evidence-based cognitive screening tool, was adapted for use in Botswana. To facilitate future implementation, 20 semi-structured interviews were conducted to elicit key stakeholders' perspectives on factors likely to be related to successful uptake of the PennCNB in clinical settings. An integrated analytic approach combining constructs from the Consolidated Framework for Implementation Research and modified grounded theory was used. Results underscore the need for cognitive screening in Botswana and the acceptability of the PennCNB. Implementation barriers include limited time and resources, whereas facilitators include standard procedures for introducing new tools into medical settings and for training implementers. Recommended implementation strategies include integrating screening into the existing workflow, implementing the tool in the medical and educational sectors, and targeting selection of children for assessment. This research addresses the research-to-practice gap by engaging in pre-implementation inquiry and designing for implementation. Results will inform the development of strategies to maximize the likelihood of successful implementation of the PennCNB to identify neurocognitive impairment in children in this high-need setting. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Medical stakeholder perspectives on implementing a computerized battery to identify neurocognitive impairments among youth in Botswana.
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  Data: <searchLink fieldCode="AR" term="%22Van+Pelt%2C+Amelia+E%2E%22">Van Pelt, Amelia E.</searchLink><br /><searchLink fieldCode="AR" term="%22Lowenthal%2C+Elizabeth+D%2E%22">Lowenthal, Elizabeth D.</searchLink><br /><searchLink fieldCode="AR" term="%22Phoi%2C+Onkemetse%22">Phoi, Onkemetse</searchLink><br /><searchLink fieldCode="AR" term="%22Tshume%2C+Ontibile%22">Tshume, Ontibile</searchLink><br /><searchLink fieldCode="AR" term="%22Matshaba%2C+Mogomotsi%22">Matshaba, Mogomotsi</searchLink><br /><searchLink fieldCode="AR" term="%22Beidas%2C+Rinad+S%2E%22">Beidas, Rinad S.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Dec2022, Vol. 34 Issue 12, p1513-1521. 9p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Botswana%22">Botswana</searchLink>
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  Data: HIV infection and in utero exposure, common in Sub-Saharan Africa, are associated with pediatric neurocognitive impairment. Cognitive screening can identify impairments, but it is rarely used in this setting. The Penn Computerized Neurocognitive Battery (PennCNB), an evidence-based cognitive screening tool, was adapted for use in Botswana. To facilitate future implementation, 20 semi-structured interviews were conducted to elicit key stakeholders' perspectives on factors likely to be related to successful uptake of the PennCNB in clinical settings. An integrated analytic approach combining constructs from the Consolidated Framework for Implementation Research and modified grounded theory was used. Results underscore the need for cognitive screening in Botswana and the acceptability of the PennCNB. Implementation barriers include limited time and resources, whereas facilitators include standard procedures for introducing new tools into medical settings and for training implementers. Recommended implementation strategies include integrating screening into the existing workflow, implementing the tool in the medical and educational sectors, and targeting selection of children for assessment. This research addresses the research-to-practice gap by engaging in pre-implementation inquiry and designing for implementation. Results will inform the development of strategies to maximize the likelihood of successful implementation of the PennCNB to identify neurocognitive impairment in children in this high-need setting. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2021.1990202
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 1513
    Subjects:
      – SubjectFull: Cognition disorders diagnosis
        Type: general
      – SubjectFull: Psychiatric diagnosis
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Grounded theory
        Type: general
      – SubjectFull: Time
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Neuropsychological tests
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Computer-aided diagnosis
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      – SubjectFull: Health care rationing
        Type: general
      – SubjectFull: Botswana
        Type: general
    Titles:
      – TitleFull: Medical stakeholder perspectives on implementing a computerized battery to identify neurocognitive impairments among youth in Botswana.
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            NameFull: Van Pelt, Amelia E.
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            NameFull: Lowenthal, Elizabeth D.
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            NameFull: Phoi, Onkemetse
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            NameFull: Tshume, Ontibile
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            NameFull: Matshaba, Mogomotsi
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            NameFull: Beidas, Rinad S.
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            – D: 01
              M: 12
              Text: Dec2022
              Type: published
              Y: 2022
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