EACS2023: 277 Patients’ and healthcare providers’ views on screening for cognitive impairment in people living with HIV: a qualitative study K. Alford , S. Sidat , K. Bristowe , N. St. Clair-Sullivan , G. Parteger , M. Maddocks , D. Yi , R. Harding , T. Levitt , S. Bremner , J.H Vera Brighton and Sussex Medical School, Department of Global Health and Infection, Brighton, United Kingdom, King's College London, Cicely Saunders Institute, London, United Kingdom, Lunch Positive, Brighton, United Kingdom, Brighton and Sussex Medical School, Department of Medicine, Brighton, United Kingdom, Brighton and Sussex Medical School, Department of Primary Care and Public Health, Brighton, United Kingdom, University Hospitals Sussex NHS Foundation Trust, HIV and Sexual Health, Brighton, United Kingdom General data Abstract category: Access and delivery of care Abstract body Purpose: People living with HIV are an ageing population with an increased risk of cognitive impairment. Although cognitive impairment is dependent upon assessment, the acceptability of screening for cognitive impairment is unknown. This study aimed to explore the views of people living with HIV and healthcare providers regarding routine screening for cognitive impairment. Method: In-depth individual qualitative interviews were conducted with purposively sampled people living with HIV and focus groups of healthcare providers from a UK HIV service. Verbatim pseudonymised transcripts were analysed using reflexive thematic analysis supported by NVivo. Results: 20 people living with HIV were interviewed and 12 healthcare providers participated in three focus groups. People living with HIV were concerned about developing cognitive issues and welcomed routine screening. Screening was seen as relevant and an important part of managing health in older age. Healthcare providers expressed concerns regarding the capacity of HIV services to implement routine screening and questioned the validity of screening measures used. People living with HIV felt that screening and subsequent detection of cognitive impairment, if present, may help them to prepare for future issues, and promote active management strategies and care pathways which would support cognitive health. People living with HIV felt screening should be brief, delivered by the HIV service and they should be given a choice of administration method. Indications of cognitive impairment should be discussed face-to-face and followed up with a comprehensive cognitive assessment. Conclusions: People living with HIV are concerned about cognitive impairment and would welcome regular screening for this as part of the holistic care provided by the HIV team. Both people living with HIV and staff would like more information on cognitive impairment, its screening and ways to support cognitive health. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 1 2 1 3 2 2 2 4 5 1,6 1 2 3 4 5 6 16 19TH EUROPEAN AIDS CONFERENCE | WARSAW 2023
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