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Household Everyday Functioning in the Internet Age: Online Shopping and Banking Skills Are Affected in HIV−Associated Neurocognitive Disorders

Published online by Cambridge University Press:  19 June 2017

Steven Paul Woods ,
Jennifer E. Iudicello ,
Erin E. Morgan ,
Marizela Verduzco ,
Tyler V. Smith ,
Clint Cushman  and
The HIV Neurobehavioral Research Program (HNRP) Group
Steven Paul Woods*
Affiliation:
Department of Psychology, University of Houston, Houston, Texas Department of Psychiatry, University of California, San Diego, La Jolla, California
Jennifer E. Iudicello
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California
Erin E. Morgan
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California
Marizela Verduzco
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California
Tyler V. Smith
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California
Clint Cushman
Affiliation:
Department of Psychiatry, University of California, San Diego, La Jolla, California
*
Correspondence and reprint requests to: Steven Paul Woods, Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX 77004-5022. E-mail: spwoods@uh.edu
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Abstract

Objectives: The Internet is a fundamental tool for completing many different instrumental activities of daily living (IADL), including shopping and banking. Persons with HIV−associated Neurocognitive Disorders (HAND) are at heightened risk for IADL problems, but the extent to which HAND interferes with the performance of Internet-based household IADLs is not known. Methods: Ninety-three individuals with HIV disease, 43 of whom were diagnosed with HAND, and 42 HIV− comparison participants completed Internet-based tests of shopping and banking. Participants used mock credentials to log in to an experimenter-controlled Web site and independently performed a series of typical online shopping (e.g., purchasing household goods) and banking (e.g., transferring funds between accounts) tasks. Results: Individuals with HAND were significantly more likely to fail the online shopping task than neurocognitively normal HIV+ and HIV− participants. HAND was also associated with poorer overall performance versus HIV+ normals on the online banking task. In the HAND group, Internet-based task scores were correlated with episodic memory, executive functions, motor skills, and numeracy. In the HIV+ sample as a whole, lower Internet-based task scores were uniquely associated with poorer performance-based functional capacity and self-reported declines in shopping and financial management in daily life, but not with global manifest functional status. Conclusions: Findings indicate that HAND is associated with difficulties in using the Internet to complete important household everyday functioning tasks. The development and validation of effective Internet training and compensatory strategies may help to improve the household management of persons with HAND. (JINS, 2017, 23, 605–615)

Keywords

HIV/AIDSWorld Wide WebNeuropsychological assessmentEveryday functioningAIDS dementia complexExecutive functions
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 23 , Issue 7 , August 2017 , pp. 605 - 615
Copyright
Copyright © The International Neuropsychological Society 2017 

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