%0 Journal Article
%T The Effect of an HIV Self
%A Abdus Sattar
%A Allison R. Webel
%A Anthony I. Jack
%A David M. Fresco
%A Jared Friedman
%A Margaret Rodriguez
%A Nathaniel Schreiner
%A Robert A. Salata
%A Shirley Moore
%J Western Journal of Nursing Research
%@ 1552-8456
%D 2019
%R 10.1177/0193945918823347
%X People living with HIV (PLHIV) are increasingly diagnosed with comorbidities which require increasing self-management. We examined the effect of a self-management intervention on neurocognitive behavioral processing. Twenty-nine PLHIV completed a two-group, 3-month randomized clinical trial testing a self-management intervention to improve physical activity and dietary intake. At baseline and 3 months later, everyone completed validated assessments of physical, diet, and neurocognitive processing (functional magnetic resonance imaging [fMRI]¨Cderived network analyses). We used linear mixed effects modeling with a random intercept to examine the effect of the intervention. The intervention improved healthy eating (p = .08) but did not improve other self-management behaviors. There was a significant effect of the intervention on several aspects of neurocognitive processing including in the task positive network (TPN) differentiation (p = .047) and an increase in the default mode network (DMN) differentiation (p = .10). Self-management interventions may influence neurocognitive processing in PLHIV, but those changes were not associated with positive changes in self-management behavior
%K HIV
%K exercise
%K fMRI
%K behavioral interventions
%U https://journals.sagepub.com/doi/full/10.1177/0193945918823347