Long-Term Participation in a Community-Based Fitness Program for Hispanic Adults Living with HIV Influences Health-Related Outcomes Fitness in Hispanic Adults Living with HIV

Ortíz, Alexis; Ramírez-Marrero, Farah A.; Rosario, Martín G.; Venegas-Rios, Heidi L.

doi:10.18005/pthp0201001

Cited by 6 publications

(12 citation statements)

References 30 publications

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“…Secondly, the participants in this study did not undergo a standardized exercise prescription as it was personalized based on their fitness level and preference for exercises. However, all exercise prescriptions were based on ACSM guidelines targeting an aerobic, strength, endurance, balance, and flexibility components (Ortiz et al, 2014;ACSM, 2018) Nonetheless, the results of this investigation provide evidence on the importance of balance assessment in PLWH and the role balance plays in the bigger spectrum of HRQoL.…”

Section: Discussionmentioning

confidence: 89%

“…Institutional ethics approval was obtained prior to the study. Specific information on how the center operates can be found elsewhere (Ortiz et al, 2014). Briefly, this center provides physical therapy, fitness, and alternative medicine services to low income ($12,000/year) PLWH.…”

Section: Methodsmentioning

confidence: 99%

“…Fifty-four PLWH records (women: 28; men: 26) had baseline data for the outcomes of interest and only 23 had three-month follow-up data for an attrition of 57.40%. Attrition rates of this magnitude have been reported as typical in this population (Ortiz et al, 2014). Due to the nature of services and resources of the Center, follow-up of participants who stop assisting to the Center is minimal.…”

Section: Participantsmentioning

confidence: 99%

“…The exercise intervention has been described in detail elsewhere and was performed according to guidelines from the American College of Sports Medicine (ACSM) (Ortiz et al, 2014). Briefly, the intervention included a warm-up of approximately 20-30 minutes at an intensity of 60%-70% of heart rate reserve.…”

Section: Exercise Interventionmentioning

confidence: 99%

“…After the warm-up, there were a variety of strengthening exercises using weight machines, free weights, or elastic bands. The strengthening component included eight to twelve upper and lower strengthening exercises performed in three sets of 12-15 repetitions at 60%-80% 1RM based on participant's comfort (Ortiz et al, 2014). Bench press, arm curls, lateral pull-downs, rowing, and triceps pulls were used for upper extremity strengthening while leg press, leg extension, hamstring curls, calf raises, hip abduction/adduction, and hip extension were used as lower body exercises.…”

Section: Exercise Interventionmentioning

confidence: 99%

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Balance as an assessment of health-related quality of life in people living with HIV

Quiles¹,

Rosario²,

Ortíz³

2019

jhse

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Background: Balance and cognitive decline are impairments in people living with HIV (PLWH). These impairments predispose to fall-related injuries, affecting health-related quality of life (HRQoL). This study assessed standing balance and cognition after a three-month fitness program and its relationship to HRQoL. Methods: Fifty-four PLWH participating in a community-based fitness program participated in this study. Standing balance with eyes open and eyes closed was measured with a pressure mat. Cognition was assessed using the HIV dementia scale (HDS), while the Functional Assessment of HIV Infection (FAHI) was used as a measure of HRQoL. Paired t-tests compared balance values while linear regression explored the association between balance and HDS scores with HRQoL. Results: Balance values with eyes open improved significantly (p=0.04). Linear regression showed a significant association between the three predictors and HRQoL (r = .50; p = .017). Conclusions: Standing balance and mental status play a significant role in HRQoL in PLWH.

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Section: Discussionmentioning

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Exercise Interventionmentioning

confidence: 99%

Section: Exercise Interventionmentioning

confidence: 99%

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Balance as an assessment of health-related quality of life in people living with HIV

Quiles¹,

Rosario²,

Ortíz³

2019

jhse

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Evaluation of a physiotherapy-led group rehabilitation intervention for adults living with HIV: referrals, adherence and outcomes

2016

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HIV is characterised by episodes of disability. We report a novel, hospital outpatient rehabilitation intervention, combining physiotherapy-led group exercise and education for people living with HIV (PLWH). This observational study evaluated routine delivery of the 10-week intervention in terms of referral patterns, rehabilitation goals, intervention adherence and change in patient outcomes. Measurements at baseline & 10 weeks included locomotor performance (6 minute walk test; 6MWT), flexibility, upper and lower limb strength and health related quality of life (HRQOL). Adherence was defined as attending ≥8/20 sessions, with reasons for non-adherence identified in retrospective telephone interviews. Goal Attainment Scale measured progression to individual goals. Total 92 referrals were mostly for musculoskeletal (25.0%), oncological (19.6%) or cardio-metabolic (18.5%) reasons, and mostly male (81.5%), Caucasian (70.7%) and older (mean 51.5 years). Common themed rehabilitation goals included improving body image, participation, mobility, health/fitness and function. Adherence was achieved by 42 (46%) patients, with open access utilised by 34 patients, returning (n = 19) or restarting when non-adherent (n = 15). Post-intervention measurements collected for 37 (40%) patients demonstrated improvements in 6MWT distance (p < .001), flexibility (p < .001), strength in triceps (p < .001), biceps (p < .001), Lattisimus Dorsi (p < .001), shoulder-press (p < .001), chest-press (p < 0.001), and leg-press (p < 0.001). HRQOL improved in total score (p < .001), physical (p < .001), emotional (p < .001) and functional (p = .065) subscales. Extent of goal achievement demonstrated 83% of goals was "expected" (n = 57), "somewhat more" (n = 31) or "much more" (n = 14). Reasons for non-adherence from 21 telephone interviews identified physical health challenges, individual factors and time or location issues. This novel rehabilitation approach for PLWH improved function, HRQOL and goal attainment among those completing the intervention. Sub-optimal adherence likely relates to episodic disability.

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Considerations for Developing and Implementing an Online Community-Based Exercise Intervention for Adults Living with HIV: a qualitative study

Lau

Sharma

Manku

et al. 2021

Preprint

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ObjectivesTo describe the need for and utility of online community-based exercise (CBE) interventions with adults living with HIV and identify factors to consider in developing and implementing an online CBE intervention with adults living with HIV.DesignQualitative descriptive study using web-based semi-structured interviews.ParticipantsWe recruited adults representing at least one of five stakeholder groups with experience in CBE and/or HIV: 1) adults living with HIV, 2) rehabilitation professionals, 3) fitness personnel, 4) educators with eLearning experience, and 5) representatives from HIV community-based organizations (CBOs).Data CollectionWe asked participants to describe their experiences with online CBE, need and utility for online CBE, and factors in developing and implementing online CBE interventions. We analyzed data using group-based content analytical techniques.ResultsAmong the 11 participants, most had experience working with adults living with HIV (73%) or with tele-health/rehabilitation/coaching in HIV or other chronic conditions (91%). Participants identified the need and utility for online CBE interventions to increase accessibility and continuity of care with adults living with HIV. Six factors to consider in developing and implementing online CBE included: 1)person-specific considerations (episodic nature of HIV, stigma, HIV disclosure), 2)accessibility of program (physical space to exercise, reliable internet, access to devices, digital literacy), 3)program delivery and technology (live versus pre-recorded online classes, multiple online platforms for delivery, physical activity tracking, troubleshooting technology), 4)attributes of program personnel (working with CBOs, relatable instructors, diverse staff), 5)program content and design (tailored exercise classes, educational sessions) and 6)building community (shared experiences, peer support, social opportunities).ConclusionsThere is a need and utility for online CBE in the context of HIV. Considerations for development and implementation span individual, structural and technical, and community dimensions. Results can inform the future development and implementation of online CBE with adults living with HIV and other chronic episodic conditions.STRENGTHS & LIMITATIONS OF THIS STUDYTo our knowledge, this is the first qualitative study exploring the perspectives of key stakeholders in developing and implementing an online community-based exercise (CBE) program for adults living with HIV.Insights gained from this study can help to inform future online community-based exercise programming for adults living with HIV and other chronic and episodic conditions.We used the Model for ASsessment of Telemedicine applications (MAST) framework as a conceptual foundation to design the interview guide, which enabled us to comprehensively explore diverse aspects of telemedicine services in relation to information, communication and technology.All interviews were conducted online with participants who had access to technological devices and reliable internet, therefore, results may not be transferable to individuals or contexts without access to technology.Most participants were living in Canada, hence, it is unclear how results may be transferable to other geographical contexts.

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Long-Term Participation in a Community-Based Fitness Program for Hispanic Adults Living with HIV Influences Health-Related Outcomes Fitness in Hispanic Adults Living with HIV

Cited by 6 publications

References 30 publications

Balance as an assessment of health-related quality of life in people living with HIV

Balance as an assessment of health-related quality of life in people living with HIV

Evaluation of a physiotherapy-led group rehabilitation intervention for adults living with HIV: referrals, adherence and outcomes

Considerations for Developing and Implementing an Online Community-Based Exercise Intervention for Adults Living with HIV: a qualitative study

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