title: Health-Related Everyday Functioning in the Internet Age: HIV-Associated Neurocognitive Disorders Disrupt Online Pharmacy and Health Chart Navigation Skills.
abstract: This study evaluated the effects of HIV-associated Neurocognitive Disorders (HAND) on 2 Internet-based tests of healthcare management. Study participants included 46 individuals with HIV infection, 19 of whom were diagnosed with HAND, and 21 seronegatives. Participants were administered Internet-based tests of online pharmacy and health records navigation skills in which they used mock credentials to log in to an experimenter-controlled website and independently perform a series of typical online health-related behaviors (e.g., refill a prescription, read and interpret an electronic chart note). HAND was associated with significantly lower accuracy on both the online pharmacy and health records navigation tasks. Among the HIV+ participants, poorer performance on the online healthcare navigation tasks was associated with fewer years of education, higher plasma viral load, less frequent Internet use, and lower health literacy. Findings indicate that individuals with HAND may have marked difficulties navigating the Internet to complete important health-related behaviors.
authors.affiliation: Department of Psychology, University of Houston, Houston, TX, USA Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA spwoods@uh.edu.
authors.forename: Steven Paul
authors.initials: SP
authors.lastname: Woods
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Iudicello
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Erin E
authors.initials: EE
authors.lastname: Morgan
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Marizela V
authors.initials: MV
authors.lastname: Cameron
authors.affiliation: Joint Doctoral Program in Clinical Psychology, San Diego State University and University of California, San Diego, San Diego, CA, USA.
authors.forename: Katie L
authors.initials: KL
authors.lastname: Doyle
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Tyler V
authors.initials: TV
authors.lastname: Smith
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Clint
authors.initials: C
authors.lastname: Cushman
mesh_terms: D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000523:psychology*; D057220:Health Literacy; D055991:Health Records, Personal / Q000523:psychology*; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000150:complications* / Q000523:psychology*; D009483:Neuropsychological Tests; D060946:Pharmaceutical Services, Online; D019562:Viral Load
keywords: Electronic health records; HIV/AIDS; Health literacy; Medication management; Neuropsychology; World Wide Web