Community-Based Exercise in the Context of HIV: Factors to Consider when Developing and Implementing Community-Based Exercise Programs for People Living with HIV

Li, Anna; McCabe, Taylor; Silverstein, Erin; Dragan, Stephanie; Salbach, Nancy M.; Zobeiry, Mehdi; Beldick, Sarah; Godi, Chris; O’Brien, Kelly K

doi:10.1177/2325957416686836

Cited by 31 publications

(30 citation statements)

References 26 publications

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“…Algumas recomendações recentes para proposição de programas de exercício para essa população propostas por Li et al 24 são reforçadas quando analisados os achados do presente estudo e podem ser levadas em consideração na criação de grupos de exercício para essa população: (1) O exercício deve ser oferecido em um formato de grupo para promover a interação social entre os participantes; (2) O programa deve concentrar-se no exercício, mas pode ser complementado com sessões complementares de autogestão e/ou apoio social para aumentar a autoeficácia em relação à prática de exercícios físicos dessa população; (3) Seria importante o programa ser integrado com outras doenças crônicas ou populações em geral para preservar o diagnóstico dos participantes; (4) Oferecer uma estrutura flexível para acomodar as necessidades específicas, como os compromissos familiares, citados no presente estudo, E (5) O programa deve ser acessível financeiramente para maximizar a acessibilidade dos participantes.…”

Section: Discussionunclassified

Adesão e aderência a um programa de exercício físico em pessoas vivendo com HIV/AIDS

Oliveira

Guariglia

Loch

2018

Rev Bras Ativ Fís Saúde

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O objetivo do estudo foi identificar barreiras percebidas à prática de atividade física antes e após participarem de um programa de exercícios físicos (EF), bem como aspectos ligados à adesão e a aderência à este programa, em pessoas vivendo com HIV/aids, especificamente: motivos referidos para faltas as sessões, número de desistências ao longo do programa, continuidade de prática após seis meses ao término do programa e motivos para eventuais não continuidades. Dezenove sujeitos participaram de 14 semanas de um programa de EF. Foram coletadas informações sobre barreiras percebidas para a prática de atividade física, os motivos de faltas ou desistência e a continuidade após seis meses ao término do programa. Para análise dos dados utilizou-se estatística descritiva, o teste de McNemar para verificar as diferenças nas frequências de cada barreira, e de Wilcoxon para comparar o número médio de barreiras no momento pré e pós programa. A média de assiduidade às sessões foi de 58,5% e os principais motivos relatados para as faltas foram “problemas de saúde” e “compromissos pessoais”. Cerca de 40% das pessoas que iniciaram o programa não chegaram até o final do mesmo. A maior parte das desistências aconteceu entre a 11a e a 20a sessão. Não houve diferenças significativas nas barreiras referidas pré e pós programa, nem no número médio de barreiras. Somente 21% dos sujeitos referiram estar praticando EF após seis meses. Programas de EF devem considerar estes achados e buscar elaborar ações mais sustentáveis e de maior impacto a longo prazo na saúde dos sujeitos.

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Section: Discussionunclassified

Adesão e aderência a um programa de exercício físico em pessoas vivendo com HIV/AIDS

Oliveira

Guariglia

Loch

2018

Rev Bras Ativ Fís Saúde

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“…Some challenges to delivering the TIME™ program, such as program cost and transportation, have been noted previously by people with stroke [ 22 – 24 ], HIV [ 25 ], and COPD [ 26 , 27 ], as primary barriers to participation in structured exercise programs. Individuals in these studies recommended making CBEP-HRPs widely available [ 24 , 26 ].…”

Section: Main Textmentioning

confidence: 99%

“…The ability to attend programs in close proximity to one’s home was perceived to minimize travel time and cost of transportation, and offset the negative impact of unreliable public transit, and inclement weather on program attendance [ 24 , 26 ]. Subsidization of program cost was desired [ 26 ] as people with physical disability may be receiving a fixed income [ 25 , 26 ]. Results from the current study further highlight the need for financial support of healthcare and recreation partners to sustain the CBEP-HRP model.…”

Section: Main Textmentioning

confidence: 99%

Considerations for expanding community exercise programs incorporating a healthcare-recreation partnership for people with balance and mobility limitations: a mixed methods evaluation

et al. 2018

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ObjectiveTo increase access to safe and appropriate exercise for people with balance and mobility limitations, community organizations have partnered with healthcare providers to deliver an evidence-based, task-oriented group exercise program in community centers in Canada. We aimed to understand challenges and solutions to implementing this program model to inform plans for expansion.ResultsAt a 1-day meeting, 53 stakeholders (healthcare/recreation personnel, program participants/caregivers, researchers) identified challenges to program implementation that were captured by seven themes: Resources to deliver the exercise class (e.g., difficulty finding instructors with the skills to work with people with mobility limitations); Program marketing (e.g., to foster healthcare referrals); Transportation (e.g., particularly from rural areas); Program access (e.g., program full); Maintaining program integrity; Sustaining partnerships (i.e., with healthcare partners); and Funding (e.g., to deliver program or register). Stakeholders prioritized solutions to form an action plan. A survey of individuals supervising 28 programs revealed that people with stroke, acquired brain injury, multiple sclerosis, and Parkinson’s disease register at 95–100% of centers. The most prevalent issues with program fidelity across centers were not requiring a minimum level of walking ability (32%), class sizes exceeding 12 (21%), and instructor-to-participant ratios exceeding 1:4 (19%). Findings provide considerations for program expansion.Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3313-x) contains supplementary material, which is available to authorized users.

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Section: Designing Robot-assisted Neurorehabilitation Strategies For mentioning

confidence: 99%

“…In the context of HIV management, a study conducted in the United Kingdom and Canada demonstrated that community-based exercise programs are safe and can improve the quality of life of people living with HIV [ 134 ]. Benefits of community-based rehabilitation include increased social support, enhanced engagement in social activities, and reduced isolation and stigma associated with HIV [ 134 ]. A recent review of 24 studies showed that performing aerobic and resistive exercise is safe and can lead to improvements in cardio-respiratory fitness, strength, body composition and quality of life for adults with HIV [ 96 ].…”

Section: Designing Robot-assisted Neurorehabilitation Strategies For mentioning

confidence: 99%

Designing robot-assisted neurorehabilitation strategies for people with both HIV and stroke

Bui

Johnson

2018

J NeuroEngineering Rehabil

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There is increasing evidence that HIV is an independent risk factor for stroke, resulting in an emerging population of people living with both HIV and stroke all over the world. However, neurorehabilitation strategies for the HIV-stroke population are distinctly lacking, which poses an enormous global health challenge. In order to address this gap, a better understanding of the HIV-stroke population is needed, as well as potential approaches to design effective neurorehabilitation strategies for this population. This review goes into the mechanisms, manifestations, and treatment options of neurologic injury in stroke and HIV, the additional challenges posed by the HIV-stroke population, and rehabilitation engineering approaches for both high and low resource areas. The aim of this review is to connect the underlying neurologic properties in both HIV and stroke to rehabilitation engineering. It reviews what is currently known about the association between HIV and stroke and gaps in current treatment strategies for the HIV-stroke population. We highlight relevant current areas of research that can help advance neurorehabilitation strategies specifically for the HIV-stroke population. We then explore how robot-assisted rehabilitation combined with community-based rehabilitation could be used as a potential approach to meet the challenges posed by the HIV-stroke population. We include some of our own work exploring a community-based robotic rehabilitation exercise system. The most relevant strategies will be ones that not only take into account the individual status of the patient but also the cultural and economic considerations of their respective environment.

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Community-Based Exercise in the Context of HIV: Factors to Consider when Developing and Implementing Community-Based Exercise Programs for People Living with HIV

Abstract: Recommendations for the development and implementation of an accessible and feasible CBE program may enhance exercise participation among PLWH.

Cited by 31 publications

References 26 publications

Adesão e aderência a um programa de exercício físico em pessoas vivendo com HIV/AIDS

Adesão e aderência a um programa de exercício físico em pessoas vivendo com HIV/AIDS

Considerations for expanding community exercise programs incorporating a healthcare-recreation partnership for people with balance and mobility limitations: a mixed methods evaluation

Designing robot-assisted neurorehabilitation strategies for people with both HIV and stroke

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