{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T05:47:47Z","timestamp":1782193667862,"version":"3.54.5"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["D43TW011302"],"award-info":[{"award-number":["D43TW011302"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Neurocognitive impairment (NCI) is increasingly prevalent among older adults living with HIV (OALHIV). HIV clinics in low\u2010 and middle\u2010income countries often do not routinely screen for NCI. Task\u2010shifting screening to peer educators might be an alternative approach. We explored facilitators and barriers to implementing a peer\u2010led NCI screening tool in an HIV clinic in Thailand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study took place at a community hospital HIV clinic in suburban Chiang Mai. Peer educators were trained to screen OALHIV \u226550 years for NCI using the International HIV\u2010Dementia Scale for global cognition, the Trail\u2010Making Test for psychomotor speed and the General Practitioner Assessment of Cognition. We interviewed OALHIV who participated in the peer\u2010led NCI screening during and after a 12\u2010week implementation phase, peer educators and healthcare professionals to identify individual and intervention characteristics categorized according to the Consolidated Framework for Implementation Research. Transcribed and imported digital materials were used for thematic analysis in Dedoose (version 9.2.12).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      From March to June 2023, 162 eligible OALHIV were recruited. Among the 144 (89%) screened, the median age was 58 (IQR 54\u221262) years, and 93 (65%) were female. On at least one measure, 40 (28%) matched the study\u2010defined referral criteria for NCI, of whom 20 (50%) were diagnosed with mild NCI, representing 14% of all those screened. We conducted 39 interviews with OALHIV (\n                      <jats:italic>n<\/jats:italic>\n                      = 26) and clinic\u2010based staff (\n                      <jats:italic>n<\/jats:italic>\n                      = 12; five peer educators, eight healthcare professionals). The perceived benefits of neurocognitive screening, the empowerment of peer educators, the reliance on established links between peers and clinic clients, and OALHIV acceptance of screening were facilitators of the intervention. The main reported barriers were a lack of perceived necessity among OALHIV, clinic staff concerns about screening quality and comprehensiveness, and a lack of supportive national policies to integrate screening into routine HIV care for OALHIV.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We demonstrated that a peer\u2010led NCI screening intervention was feasible and acceptable in our setting. Raising awareness of the benefits of NCI screening among OALHIV and improved training and coordination in the healthcare setting would facilitate more effective implementation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jia2.70135","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:05:18Z","timestamp":1781240718000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Facilitators and Barriers to Implementing Peer\u2010Led Neurocognitive Screening for Older Adults Living With HIV at a Community Hospital in Thailand: A Multiple\u2010Methods Study"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0246-8187","authenticated-orcid":false,"given":"Linda","family":"Aurpibul","sequence":"first","affiliation":[{"name":"Research Institute for Health Sciences Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rattika","family":"Thammalangka","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramual","family":"Threeyakul","sequence":"additional","affiliation":[{"name":"Fang Hospital  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arunrat","family":"Tangmunkongvorakul","sequence":"additional","affiliation":[{"name":"Research Institute for Health Sciences Chiang Mai University  Chiang Mai Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0036-3165","authenticated-orcid":false,"given":"Nittaya","family":"Phanuphak","sequence":"additional","affiliation":[{"name":"Institute of HIV Research and Innovation  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7608-7921","authenticated-orcid":false,"given":"Morgan M.","family":"Philbin","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claude A.","family":"Mellins","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New York State Psychiatric Institute and Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,11]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000298"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2016.10.004"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2019.0139"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13237031"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semdp.2017.04.002"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/13550280903493914"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000316390.17248.65"},{"key":"e_1_2_15_9_1","volume-title":"Global HIV & AIDS Statistics \u2014 Fact sheet 2023 [Internet]","author":"UNAIDS","year":"2023"},{"key":"e_1_2_15_10_1","volume-title":"HIV Info Hub: HIV, sexually transmitted diseases, and hepatitis B and C in Thailand [Internet]","author":"Division of AIDS and STI","year":"2024"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2055-6640(20)31093-1"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/braincomms\/fcae399"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/7854_2019_117"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis975"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2073-x"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13365-021-00991-z"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1277"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.13582"},{"key":"e_1_2_15_19_1","volume-title":"Task Shifting: Global Recommendations and Guidelines","author":"World Health Organization","year":"2008"},{"issue":"1","key":"e_1_2_15_20_1","first-page":"65","article-title":"Development of Village Health Volunteers' Knowledge and Skills in Caring for Diabetes Patient and Their Families at Koksung Sub\u2013District, Nongki District, Buriram","volume":"21","author":"Rapeepun Chatjuntek D. 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