Evidence map›Paper›PMID 34000940›Full record

Trial reportApplied neuropsychology. Adult

Can individualized-targeted computerized cognitive training improve everyday functioning in adults with HIV-associated neurocognitive disorder?

David Vance, Pariya Fazeli, Andres Azuero, Jennifer S Frank, Virginia G Wadley, James L Raper, Caitlin N Pope, Karlene Ball

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Applied neuropsychology. Adult. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

David VanceSchool of Nurisng, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0002-0498-6263
Pariya FazeliSchool of Nurisng, University of Alabama at Birmingham, Birmingham, AL, USA.
Andres AzueroSchool of Nurisng, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0001-9883-1424
Jennifer S FrankSchool of Nurisng, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0001-5816-3935
Virginia G WadleySchool of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA.
James L RaperSchool of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA.
Caitlin N PopeGraduate Center for Gerontology, University of Kentucky, Lexington, KY, USA.ORCID 0000-0003-1576-9763
Karlene BallDepartment of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0003-1811-9870
University of Alabama at Birmingham · USThe Graduate Center, CUNY · US

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jessica Lynette Montoya · 2001 to 2026
$50.4M
Pilot CoreP30AG022838 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BALL, KARLENE K · 2003 to 2020
$5.7M
Sustained Training in Aging and HIV Research (STAHR)R25MH108389 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Scott L Letendre, DAVID J MOORE · 2016 to 2026
$1.9M
A Novel Neurorehabilitation Approach for Cognitive Aging with HIVR00AG048762 · NIA · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WHEELER, PARIYA FAZELI · 2016 to 2018
$747k
Individualized-Targeted Cognitive Training in Older Adults with HANDR21NR016632 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI VANCE, DAVID E · 2017 to 2018
$408k
NIA NIH HHS P30 AG022838NIA NIH HHS R00 AG048762NIMH NIH HHS P30 MH062512NIMH NIH HHS R25 MH108389NINR NIH HHS R21 NR016632
6 · The paper itself

Abstract

Half of people with human immunodeficiency virus (HIV) have HIV-associated neurocognitive disorder (HAND). Fortunately, cognitive training programs can improve function across cognitive domains, which may translate to everyday functioning. The Training on Purpose (TOPS) Study was designed to reverse HAND by targeting cognitive training to specific cognitive impairments that contributed to the diagnosis. A secondary aim of TOPS was to determine whether such cognitive training improved subjective and objective everyday functioning. In this two-group pre-post experimental design study, 109 adults with HAND were randomized to either: (1) a no-contact control group (no training) or (2) the Individualized-Targeted Cognitive Training group. Each participant received approximately 10 hours of cognitive training in two selected cognitive domains based on her/his individual baseline cognitive performance. Thus, 20 hours of individualized training on these two cognitive domains occurred over a course of 12 weeks in 1-2 hour sessions. Specific to the secondary aim of TOPS, measures of everyday functioning were administered before and after cognitive training to examine transfer effects. The analyses revealed that in general, speed of processing training produced benefits in everyday functioning as measured by the medication adherence visual analogue scale and the Timed Instrumental Activities of Daily Living test. Inconsistent findings were found for the other seven cognitive training protocols in either improving everyday functioning or reducing perceived everyday functioning; however, there may be other contributing factors that obscured such effects needing further research. This study demonstrated that some training protocols vary in efficacy in altering both objective and subjective everyday functioning ability.

Indexed as

Activities of Daily LivingHIV InfectionsAdultCognitionCognitive TrainingFemaleHIVHumansNeurocognitive DisordersCognitive trainingHIVIADLsspeed of processing

Identifiers

PMID34000940
PMCPMC9881593
OpenAlexW3161213239

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.