HIV
Conditions
Keywords
Aging, Physical Activity, Physical Function, HIV, Frailty, Autonomous Motivation, Depression
Brief summary
The overall purpose of this research is to evaluate the effect of a home-based exercise program on physical function and to improve the health and quality of life for the HIV-infected older adult community.
Detailed description
Subjects are being asked to participate in this study if they are infected with the human immunodeficiency virus (HIV), and they are 45 years of age or older.
Interventions
Motivational Counseling: The first session will be an hour face-to-face interview to establish a rapport with subjects, assess motives and competence. The rest will be 30 min. phone calls to assess week's performance and agree on an action plan for next 2 weeks. Exercise Intervention: Using the average number of steps for each subject from their baseline assessment, the targeted number of steps the subject needs to walk every day will be calculated. The individualized strength training exercise will target the upper and lower body. If possible, they will be encouraged to progressively increase from their individual baseline sets and repetitions to a maximum of 4 sets of 15 repetitions for each exercise
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV positive, both genders, all races, English speaking individuals, age 45 years or older, on HAART before enrollment. .
Exclusion criteria
* Subject will be excluded if he/she has history or currently has severe cardiopulmonary illness, severe orthopedic or neuromuscular impairments, significant cognitive or sensory impairments, history of active malignancy, untreated depression, manic or psychotic disorder, and normal PPT score.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Feasibility | At day zero of the study and after 12 weeks of intervension. | To develop and establish the feasibility of home-exercise(HOME-EX)in HIV positive subjects as evaluated by measuring exercise adherence and acceptability, exercise intensity and adverse events. We hypothesize that HOME-EX is a feasible and safe intervention for HOA. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Efficacy | At day zero of the study and after 12 weeks of intervension. | To determine the potential efficacy of HOME-EX in HIV positive adults in improving physical function as evaluated by the physical performance test (PPT). We hypothesize that physical function will improve in the HOME-EX group compared to the CONTROL group. |
| Change in Autonomy | At day zero of the study and after 12 weeks of intervension. | To determine the potential efficacy of HOME-EX in HIV positive on exercise-related psychological mediators as evaluated by the SDT-based questionnaires. We hypothesize that the HOME-EX group will report greater perceived autonomy support, more autonomous self-regulation, higher intrinsic motivation and perceived competence compared to the CONTROL group. |
Countries
United States