Conceptualizing and Assessing Everyday Functioning in the Context of HIV-Associated Neurocognitive Disorders.
Combination antiretroviral therapy has reduced the rates of severe HIV-associated neurocognitive disorders (HAND), but the prevalence of milder forms of HAND that can affect everyday functioning remains high. As HIV-infected adults approach near-normal life expectancies, they may become increasingly susceptible to declines in everyday functioning secondary to a variety of physical and mental factors, including HAND. Although impairments in everyday functioning are a hallmark of HAND diagnoses and can adversely influence quality of life, there are no gold standard measures of this fundamentally important and complex construct. This chapter provides a brief review of the various self-report, clinician-rated, and performance-based methods by which everyday functioning is measured in the setting of HIV disease, including global activities of daily living and specific domains of medication adherence, financial management, automobile driving, and vocational functioning.
['Kordovski|Victoria M|VM|', 'Tierney|Savanna M|SM|', 'Woods|Steven Paul|SP|']
D000203:Activities of Daily Living D000328:Adult D015658:HIV Infections D006801:Humans D019965:Neurocognitive Disorders D009483:Neuropsychological Tests D011788:Quality of Life
Everyday functioning HIV Activities of daily living Functional living skills Performance-based assessment Self-assessment