Goal Management Training Sub-Study

HIV can have subtle but important effects on the brain, leading to difficulties in memory, concentration or problem solving (cognition). Mild cognitive problems are relatively common in people with longstanding HIV infection, although in most cases they are not rapidly progressive. Goal Management training (GMT) is an intervention that has been successfully used to improve cognition in a variety of neurological conditions, as well as in healthy older people with cognitive concerns.

However, the effects of this intervention in people living with HIV are unknown. GMT is an in-person group intervention that teaches participants a series of techniques to improve skills to plan, organize, remember things, prioritize, pay attention and get started on tasks. It also shows how to implement these techniques in everyday life. Here, we are asking whether GMT improves brain health in individuals living with HIV and with cognitive concerns.