Evidence-informed recommendations for rehabilitation with older adults living with HIV: a knowledge synthesis

O’Brien, Kelly K; Solomon, Patricia; Trentham, Barry; MacLachlan, Duncan; MacDermid, Joy C.; Tynan, Anne‐Marie; Baxter, Larry; Casey, Alan; Chegwidden, W. Richard; Robinson, Greg; Tran, Todd; Wu, Janet; Zack, Elisse

doi:10.1136/bmjopen-2013-004692

Cited by 47 publications

(28 citation statements)

References 48 publications

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“…Exercise or physical activity appears to be a safe and effective way to prevent negative health outcomes associated with comorbidities in older PLWH 7–14. Exercise interventions have been shown to improve cardiovascular fitness, bone mineral density, body composition, functional status, neurocognitive function and health-related quality of life in PLWH,15–18 and exercise is recommended for older PLWH 19. Despite the importance of physical activity and exercise for health among older PLWH, high rates of sedentary behaviour are common 20 21…”

Section: Introductionmentioning

confidence: 99%

A qualitative focus group study of perceived barriers and benefits to exercise by self-described exercise status among older adults living with HIV

et al. 2019

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ObjectivesAlthough exercise interventions have been shown to improve health outcomes among older people with HIV (PLWH), this population remains highly sedentary. The purpose of this study was to examine the differences in perceived barriers and benefits of exercise among older PLWH by self-identified exercise status.DesignFive focus groups were formed among PLWH: two groups of exercising men, two groups of non-exercising men and one group of women (mixed exercisers and non-exercisers). Themes were analysed in relation to the social-ecological model, utilising the constant comparative approach.SettingPatients were recruited from an academic medical centre, HIV clinic and community locations.ParticipantsPLWH aged 50 or older, diagnosed with HIV for at least 2 years, with no other health conditions that would preclude exercise.Primary and secondary outcome measuresDetermine facilitators, barriers and the ideal environment for exercise or physical activity and determine whether these differ between older PLWH who self-identify as exercisers or non-exercisers.ResultsAmong 25 men (11 exercisers and 14 non-exercisers) and four women (three non-exercisers and one exerciser), non-exercisers mentioned fewer benefits of exercise (n=46) than exercisers (n=75). Exercisers emphasised positive reinforcement, positive mood change and increased energy as benefits of exercise; interpersonal benefits of exercise were also discussed twice as often by exercisers than by non-exercisers. Non-exercisers emphasised barriers to exercise including lack of motivation, lack of self-efficacy and a negative perception of gym culture. Non-exercisers identified the need for age-appropriate activities as a feature of an ideal exercise environment. Both groups identified time, cost and health-related challenges as barriers to exercise.ConclusionsUnique exercise barriers and benefits by self-identified exercise status provide important insights into the design of future interventions to initiate and maintain exercise.Trial registration numberNCT02404792; Results.

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Section: Introductionmentioning

confidence: 99%

A qualitative focus group study of perceived barriers and benefits to exercise by self-described exercise status among older adults living with HIV

et al. 2019

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“…10 In Canada, there is a long history of HIV community involvement in research. This is evidenced ing between recommendations that nearly all patients will accept and those that may vary depending on patient choice.…”

Section: Objectivesmentioning

confidence: 99%

Community Involvement in Development of Evidence-Informed Recommendations for Rehabilitation for Older Adults Living With HIV

Solomon¹,

O’Brien²,

Baxter³

et al. 2016

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Always cite the published version, so the author(s) will receive recognition through services that track citation counts, e.g. Scopus. If you need to cite the page number of the TSpace version (original manuscript or accepted manuscript) because you cannot access the published version, then cite the TSpace version in addition to the published version using the permanent URI (handle) found on the record page.

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“…Few people living with HIV access formal rehabilitation services (40). While systematic review evidence demonstrates the costeffectiveness of rehabilitation in preventing morbidity and mortality in chronic conditions, such as neurological, musculoskeletal, and cardiovascular disease (41)(42)(43)(44)(45)(46), rehabilitation evidence specific to aging with HIV is still evolving (24).…”

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confidence: 99%

Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)

O’Brien

Ibáñez-Carrasco²,

Solomon³

et al. 2020

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Background: People living with HIV are living longer, and can experience physical, mental and social health challenges associated with aging and multimorbidity. Rehabilitation is well positioned to address disability and maximize healthy aging. An international collaborative network, called the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), works to guide this emerging field. In this article, we report findings from CIHRRC’s aim to identify emerging research priorities in HIV, aging and rehabilitation from the perspectives of people living with HIV, clinicians, researchers, representatives from community organizations and policy stakeholders. Methods: We conducted a multi-stakeholder multi-method international consultation with people living with HIV, researchers, clinicians and representatives of community-based organizations to identify research priorities in HIV, aging and rehabilitation. Stakeholders identified research priorities during a one-day International Forum comprised of presentations and facilitated discussion. We collated and analyzed data using content analytical techniques, resulting in a framework of research priorities. Results: Sixty-nine stakeholders from countries including Canada (n=62;90%), the United Kingdom (n=5;7%), United States (n=1;1%) and Australia (n=1;1%) attended the International Forum on HIV, Aging and Rehabilitation. Stakeholders represented community-based organizations (n=20;29%), academic institutions (n=18;26%), community or institutional healthcare organizations (n=11;16%), research or knowledge production organizations (n=10;14%), and organizations representing government or industry (n=10;14%). The Framework of Research Priorities in HIV, Aging and Rehabilitation includes seven research priorities: 1) nature, extent and impact of disability, concurrent health conditions and chronic inflammation with HIV; 2) prevalence, severity and impact of frailty; 3) community and social participation aging with HIV; 4) strategies for chronic disease management and healthy aging with HIV; 5) facilitators and barriers to access to and engagement in, rehabilitation; 6) effectiveness of rehabilitation interventions for healthy aging with HIV; and 7) advancing development and use of patient reported outcome measures in HIV and aging. The Framework highlights methodological considerations to approach the priorities and the importance of knowledge translation and exchange to apply research knowledge into practice, programs and policy. Conclusions: These priorities offer a foundation for collaboration among international and multidisciplinary teams to advance the field of HIV, aging and rehabilitation in order to promote healthy aging with HIV.

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Evidence-informed recommendations for rehabilitation with older adults living with HIV: a knowledge synthesis

Cited by 47 publications

References 48 publications

A qualitative focus group study of perceived barriers and benefits to exercise by self-described exercise status among older adults living with HIV

A qualitative focus group study of perceived barriers and benefits to exercise by self-described exercise status among older adults living with HIV

Community Involvement in Development of Evidence-Informed Recommendations for Rehabilitation for Older Adults Living With HIV

Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)

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