Research Article
Integrating HIV-Associated Neurocognitive Impairment Screening within Primary Healthcare Facilities: A Pilot Training Intervention
Table 2
Accuracy of healthcare workers’ HIV-associated neurocognitive impairment screening tool delivery two months posttraining.
| Cadre | Doctor (n = 2) | Nurse (n = 22) | Adherence counsellor (n = 10) | Total (n = 34) | Chi-square | Df | -value | Screening tool | Task | No change | Improved | Declined | No change | Improved | Declined | No change | Improved | Declined | No change | Improved | Declined |
| IHDS | Motor speed | 5.9 (2) | 0 (0) | 0 (0) | 55.9 (19) | 5.9 (2) | 2.9 (1) | 17.6 (6) | 0 (0) | 12 (4) | 79.4 (27) | 5.9 (2) | 14.7.8 (5) | 7.99 | 4 | 0.09 | Psychomotor speed | 0 (0) | 2.9 (1) | 2.9 (1) | 35.3 (12) | 23.5 (8) | 5.9 (2) | 17.6 (6) | 5.9 (2) | 5.9 (2) | 52.9 (18) | 32.4 (11) | 5.9 (5) | 4,29 | 4 | 0.37 | Memory recall | 5.9 (2) | 0 (0) | 0 (0) | 35.3 (12) | 23.5 (8) | 5.9 (2) | 14.7 (5) | 5.9 (2) | 8.8 (3) | 55.9 (19) | 29.4 (10) | 8.8 (5) | 4,37 | 4 | 0.36 | IHDS total | 0 (0) | 2.9 (1) | 2.9 (1) | 29.4 (10) | 26.5 (9) | 8.8 (3) | 8.8 (3) | 8.8 (3) | 11.8 (4) | 38.2 (13) | 38.2 (13) | 23.5 (8) | 4.20 | 4 | 0.38 |
| CAT-rapid | Symptoms | 5.9 (2) | 0 (0) | 0 (0) | 41.2 (14) | 20.6 (7) | 2.9 (1) | 11.8 (4) | 8.8 (3) | 8.8 (3) | 55.8 (20) | 29.4 (10) | 11.8 (4) | 5.6 | 4 | 0.20 | Trail making | 5.9 (2) | 0 (0) | 0 (0) | 41.2 (14) | 17.6 (6) | 5.9 (2) | 20.6 (7) | 2.9 (1) | 5.9 (2) | 67.6 (23) | 20.6 (7) | 11.8 (4) | 2.75 | 4 | 0.60 | Motor speed | 2.9 (1) | 0 (0) | 2.9 (1) | 26.5 (9) | 32.4 (11) | 5.9 (2) | 17.6 (6) | 5.9 (2) | 5.9 (2) | 47.1 (16) | 38.2 (13) | 14.7 (5) | 5.32 | 4 | 0.26 | Psychomotor speed test | 0 (0) | 2.9 (1) | 2.9 (1) | 41.2 (14) | 17.6 (6) | 5.9 (2) | 17.6 (6) | 2.9 (1) | 8.8 (3) | 58.8 (20) | 23.5 (8) | 17.6 (6) | 4.46 | 4 | 0.35 | Memory recall | 0 (0) | 2.9 (1) | 2.9 (1) | 41.2 (14) | 17.6 (6) | 5.9 (2) | 17.6 (6) | 2.9 (1) | 5.9 (2) | 58.5 (20) | 23.5 (8) | 17.6 (6) | 4.20 | 4 | 0.38 | CAT-rapid total | 0 (0) | 2.9 (1) | 2.9 (1) | 41.2 (14) | 17.6 (6) | 5.9 (2) | 17.6 (6) | 2.9 (1) | 5.9 (2) | 58.5 (20) | 23.5 (8) | 17.6 (6) | 4.20 | 4 | 0.38 |
| Total combined score | Total | 0 (0) | 2.9 (1) | 2.9 (1) | 29.4 (10) | 29.4 (10) | 5.9 (2) | 5.9 (2) | 8.8 (3) | 14.7 (5) | 35.3 (12) | 41.2 (14) | 23.5 (8) | 7.97 | 4 | 0.09 |
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