Your browser doesn't support javascript.
Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study.
O'Brien, Kelly K; Ibáñez-Carrasco, Francisco; Carusone, Soo Chan; Bayoumi, Ahmed M; Tang, Ada; McDuff, Kiera; Jiancaro, Tizneem; Da Silva, George; Torres, Brittany; Loutfy, Mona R; Islam, Shaz; Lindsay, Joanne; Price, Colleen; Zobeiry, Mehdi; Pandovski, Zoran; Illic, Ivan; Ahluwalia, Puja; Brown, Darren A; Avery, Lisa; Solomon, Patricia.
  • O'Brien KK; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada kelly.obrien@utoronto.ca.
  • Ibáñez-Carrasco F; Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
  • Carusone SC; Rehabilitation Sciences Institute (RSI), University of Toronto, Toronto, Ontario, Canada.
  • Bayoumi AM; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
  • Tang A; McMaster Collaborative for Health and Aging, McMaster University, Hamilton, Ontario, Canada.
  • McDuff K; Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
  • Jiancaro T; MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
  • Da Silva G; Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Torres B; Division of General Internal Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.
  • Loutfy MR; School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
  • Islam S; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Lindsay J; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Price C; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Zobeiry M; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Pandovski Z; Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
  • Illic I; Maple Leaf Medical Clinic, Toronto, Ontario, Canada.
  • Ahluwalia P; Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada.
  • Brown DA; Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), Toronto, Ontario, Canada.
  • Avery L; Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), Toronto, Ontario, Canada.
  • Solomon P; Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), Ottawa, Ontario, Canada.
BMJ Open ; 13(3): e067703, 2023 03 30.
Article in English | MEDLINE | ID: covidwho-2274571
ABSTRACT

INTRODUCTION:

Our aim is to evaluate the implementation of an online telecoaching community-based exercise (CBE) intervention with the goal of reducing disability and enhancing physical activity and health among adults living with HIV. METHODS AND

ANALYSIS:

We will conduct a prospective longitudinal mixed-methods two-phased intervention study to pilot the implementation of an online CBE intervention with ~30 adults (≥18 years) living with HIV who consider themselves safe to participate in exercise. In the intervention phase (0-6 months), participants will take part in an online CBE intervention involving thrice weekly exercise (aerobic, resistance, balance and flexibility), with supervised biweekly personal training sessions with a fitness instructor, YMCA membership providing access to online exercise classes, wireless physical activity monitor to track physical activity and monthly online educational sessions on topics related to HIV, physical activity and health. In the follow-up phase (6-12 months), participants will be encouraged to continue independent exercise thrice weekly. Quantitative assessment Bimonthly, we will assess cardiopulmonary fitness, strength, weight, body composition and flexibility, followed by administering self-reported questionnaires to assess disability, contextual factor outcomes (mastery, engagement in care, stigma, social support), implementation factors (cost, feasibility, technology), health status and self-reported physical activity. We will conduct a segmented regression analyses to describe the change in level and trend between the intervention and follow-up phases. Qualitative assessment We will conduct online interviews with a subsample of ~10 participants and 5 CBE stakeholders at baseline (month 0), postintervention (month 6) and end of follow-up (month 12) to explore experiences, impact and implementation factors for online CBE. Interviews will be audiorecorded and analysed using content analytical techniques. ETHICS AND DISSEMINATION Protocol approved by the University of Toronto Research Ethics Board (Protocol # 40410). Knowledge translation will occur in the form of presentations and publications in open-access peer-reviewed journals. TRIAL REGISTRATION NUMBER NCT05006391.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Implementation Science Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Humans Language: English Journal: BMJ Open Year: 2023 Document Type: Article Affiliation country: Bmjopen-2022-067703

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Implementation Science Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Humans Language: English Journal: BMJ Open Year: 2023 Document Type: Article Affiliation country: Bmjopen-2022-067703