1. Introducing the AETC HIV and Aging Toolkit April 29, 2015 Brought to you by the members of the AETC HIV and Aging Workgroup

2. About the AETCs The AIDS Education and Training Centers (AETCs), a national network of leading HIV experts, provide locally based, tailored education and technical assistance to healthcare teams and systems to integrate comprehensive care for those living with or affected by HIV. The AETCs transform HIV care by building the capacity to provide accessible, high-quality treatment and services throughout the United States. The AIDS Education and Training Centers are funded by the Health Resources and Services Administration, HIV/AIDS Bureau

3. Presenters  Renée Powell, BS, RN (AETC National Resource Center)  Dorcas Baker, RN, BSN, ACRN (Pennsylvania/MidAtlantic AETC)  Elizabeth Sherman, PharmD (Florida/Caribbean AETC)  Gregory Melcher, MD, FACP (Pacific AETC)  Judy Collins, BA (AETC National Resource Center)

4. Agenda  Welcome  Workgroup background  Learning objectives  Toolkit components  Q/A

5. AETC HIV and Aging Workgroup  Began meeting in March 2014  Background  HIV Treatment Cascade  Prevention, Assessment, Treatment, Psychosocial  Online package includes:  Video recordings on HIV aging specific topic  HIV and aging annotated bibliographies  HIV and aging infographic

6. Learning Objectives Upon completion of this training exchange, participants will be able to:  Describe two ways to utilize the HIV and aging toolkit in evaluating clinic capacity to provide care.  Identify the first step a trainer could take to plan an HIV and aging training for a clinic.

7. Workgroup Members and Contributors  Renée Powell (coordinator), AETC NRC  Dorcas Baker, Pennsylvania/Mid-Atlantic AETC  Kirsten B. Balano, Pacific AETC  Lydia Barakat, Yale School of Medicine  Jenna Kah Bardwell, AETC National Resource Center  Judy Collins, AETC National Resource Center  Rosemary Donnelly, Southeast AETC  Luis Espinoza, Florida/Caribbean AETC  Shawan Fisher, Delta AETC  Linda Frank, Pennsylvania/MidAtlantic AETC  Donna Gallagher, New England AETC  Phuu Han, Pacific AETC  Marcia Holstad, Emory Center for AIDS Research, Emory University  Nicolé Mandel, AETC National Resource Center  Gregory Melcher, Pacific AETC  Elizabeth Sherman, Florida/Caribbean AETC  Piedad Suarez, Pacific AETC

8. Toolkit Overview

9. HIV and Aging Videos Dorcas Baker, RN, BSN, ACRN Pennsylvania/ Mid-Atlantic AETC

10. Annotated Bibliographies Elizabeth Sherman, PharmD Florida/Caribbean AETC

11. Development of Annotated Bibliography  Methods  Workgroup members identified and shared useful resources in each of the four categories  Members wrote an annotated bibliography for the each resource  Summarizes/evaluates a source and reflects on the source’s possible use  Facilitates utilization for end user

12. Development of Annotated Bibliography  Results  Approximately 70 resources identified  Original research (quantitative and qualitative), review papers, useful websites & reference guides, reports from working groups, clinical practice guidelines  Arranged into 4 categories: assessment, treatment, prevention, psychosocial

13. Navigating the Annotated Bibliography [http://aidsetc.org/toolkit/aging/home]

14. Navigating the Annotated Bibliography

15. Bibliography Divided Into 4 Categories

16. Each Resource Listed and Hyperlinked

17. Click Title to Navigate PubMed Citation

18. Reference Guides Link to Websites

19. Click Link to Navigate to Useful Website

20. Download the Annotated Bibliography

21. Downloaded Copy in PDF

22. Contact Us to Suggest Bibliography Additions [info@aidsetc.org]

23. Also Available… Pharmacy Recommendations for HIV and Aging

24. Pharmacy Recommendations for HIV and Aging  Appropriate prescribing checklist  Methods for maximizing medication adherence  Download a pdf copy

25. Case Studies Gregory Melcher, MD Pacific AETC

26. Case Study #1 You are a trainer from an AETC local performance site (or should we use the new term “participating clinical sites” in the new grant application) that has been asked to give training to a local medical group that is focused on “Assessment of cognitive impairment in HIV-infected individuals”. How can this toolkit help me?

27. Case Study #1 continued… Review toolkit and refer to link on left hand side of the home page; select link under the Sections subtitle; then select the references you would like to use to prepare for this training such as: a.**Ances et al. Neuroimaging of HIV-associated neurocognitive disorders (HAND). i.Full text links b.Chen et al. Neuropathogenesis of HIV-associated neurocognitive disorders: roles for immune activation, HIV blipping and viral tropism. c.Fazeli et al. Physical activity is associated with better neurocognitive and everyday functioning among older adults with HIV disease. d.Hellmuth et al. Interactions between ageing and NeuroAIDS. e.Meeker et al. The brain and HAART: collaborative and combative connections. f.**Valcour et al. The effects of age and HIV on neuropsychological performance. i.Has full text link Under link g. Rueda et al. Psychosocial, mental health and behavioral issues of aging with HIV. h. Wendelken et al. Impact of HIV and aging on neuropsychological function.

28. Case Study # 2 You are a clinician who would like to learn some techniques about how to conduct a sexual assessment for an older adult. How can this toolkit help me?

29. Case Study #2 continued… Review toolkit and refer to link on left hand side of the home page; select link to watch the video on this topic.

30. HIV and Aging Infographic Judy Collins, BA AETC National Resource Center

37. Questions

38. Evaluation  Please take a few minutes to complete the online evaluation immediately after the event https://www.surveymonkey.com/r/BH57D8B

39. Thank you!!