Optimization of a Behavioral Intervention to Increase Physical Activity in Older Adults Living With HIV
Butler Hospital
Summary
The goal of this clinical trial is to examine 3 interventions designed to increase physical activity in older adults with HIV. We will examine 3 potential components of an intervention package: physical activity coaching, cognitive behavioral therapy targeted toward common barriers to physical activity such as low motivation or chronic pain, and a Fitbit-based social support intervention. Our primary outcome will be physical activity, defined as steps per day. Results will guide choice of intervention components to be used in an optimized behavioral intervention.
Description
Increasing numbers of persons living with HIV (PLWH) are living to older ages. Older PLWH are at increased risk for a wide spectrum of co-morbid conditions such as cardiovascular disease, frailty phenotype, and mental health disorders. Practical primary care-based interventions are needed for older PLWH that target lifestyle factors to reduce complications of aging and improve healthspan. Most PLWH engage in less physical activity (PA) than is recommended by public health guidelines. Thus, increasing PA can lead to numerous mental and physical health benefits among PLWH. Current studies in PLW…
Eligibility
- Age range
- 50+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. HIV positive: defined by HIV antibody, detectable HIV RNA in plasma, or a note from the participant's HIV care provider. 2. Must be on continuous antiretroviral therapy (ART) for \> 3 months, as assessed via self-report. 3. Low PA: defined as self-report of \< 90 minutes of moderate-vigorous PA (MVPA) per week in the previous 3 months AND less than 14 hours per week of sustained walking in the previous 4 weeks. 4. Medically cleared for moderate PA. If participants report a) a history of cardiovascular disease including known coronary artery disease, peripheral vascular…
Interventions
- BehavioralCognitive Behavioral Intervention for Physical Activity
Interventionist will use cognitive and behavioral techniques to help the participant increase facilitators and decrease barriers to physical activity, particularly barriers such as lack of motivation, depression, and chronic pain. Meetings will occur every other week for 4 months.
- BehavioralSocial Support for Physical Activity
This component will leverage the social functionality of the Fitbit app, promoting social support and friendly competition via a moderated Facebook group.
- BehavioralPhysical Activity Coaching
The PA coach will meet with the participant to set goals for physical activity (steps) and encourage self-monitoring. Meetings will occur every other week for 4 months.
- BehavioralBrief Advice and Self-Monitoring
Participants will receive a single session with brief advice about increasing physical activity, and instructions on how to use their study-provided FitBit.
Locations (2)
- Hennepin Healthcare Research InstituteMinneapolis, Minnesota
- Brown University HealthProvidence, Rhode Island