Social-Ecological, Motivational and Volitional Factors for Initiating and Maintaining Physical Activity in the Context of HIV

Sport and exercise can have several health benefits for people living with HIV. These benefits can be achieved through different types of physical activity, adapting to disease progression, motivation and social-ecological options. However, physical activity levels and adherence to exercise are generally low in people living with HIV. At the same time, high drop-out rates in intervention studies are prevalent; even though they often entail more favourable conditions than interventions in the natural settings. Thus, in the framework of an intervention study, the present study aims to explore social-ecological, motivational and volitional correlates of South African women living with HIV with regard to physical activity and participation in a sport and exercise health promotion programme. The qualitative data was produced in the framework of a non-randomised pre-post intervention study that evaluated structure, processes and outcomes of a 10-week sport and exercise programme. All 25 participants of the programme were included in this analysis, independent of compliance. Data was produced through questionnaires, participatory group discussions, body image pictures, research diaries and individual semi-structured interviews. All participants lived in a low socioeconomic, disadvantaged setting. Hence, the psychological correlates are contextualised and social-ecological influences on perception and behaviour are discussed. The results show the importance of considering social-cultural and environmental influences on individual motives, perceptions and expectancies, the fear of disclosure and stigmatisation, sport and exercise-specific group dynamics and self-supporting processes. Opportunities and strategies to augment physical activity and participation in sport and exercise programmes in the context of HIV are discussed.

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Factors Influencing Effectiveness of Peer Education Against Nonadherence to Antiretroviral Therapy Among Adult People Living with HIV/AIDS: A Pre-Post Intervention Study in Arsi Zone, Ethiopia

HIV/AIDS - Research and Palliative Care ◽

10.2147/hiv.s228330 ◽

2020 ◽

Vol Volume 12 ◽

pp. 1-7

Author(s):

Mohammed Hussein ◽

Bekele Dibaba ◽

Yirga Wondu

Keyword(s):

Antiretroviral Therapy ◽

Intervention Study ◽

Peer Education ◽

People Living With Hiv ◽

Post Intervention ◽

Factors Influencing ◽

Arsi Zone ◽

Living With Hiv ◽

Hiv Aids

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Efficacy of an activity tracker-and app intervention to increase physical activity in the entire family: Pilot single-arm intervention study (Preprint)

10.2196/preprints.17410 ◽

2019 ◽

Author(s):

Stephanie Schoeppe ◽

Jo Salmon ◽

Susan L. Williams ◽

Deborah Power ◽

Stephanie Alley ◽

...

Keyword(s):

Physical Activity ◽

Intervention Study ◽

Post Intervention ◽

Entire Family ◽

Physical Activity Guidelines ◽

Mothers And Fathers ◽

Activity Tracker ◽

Activity Trackers ◽

Family Program ◽

Intervention Efficacy

BACKGROUND Interventions using activity trackers and smartphone apps have demonstrated their ability to increase physical activity in children and adults. However, they have not been tested in entire families. Further, few family-centred interventions have actively involved both parents, and assessed intervention efficacy separately for children, mothers and fathers. OBJECTIVE This study aimed to examine the short-term efficacy of an activity tracker and app intervention to increase physical activity in the entire family (children, mothers and fathers). METHODS This was a pilot single-arm intervention study with pre-post measures. Between 2017-2018, 40 families (58 children aged 6-10 years, 39 mothers, 33 fathers) participated in the 6-week Step it Up Family program in Queensland, Australia. Using commercial activity trackers combined with apps (Garmin Vivofit Jr for children, Vivofit 3 for adults), the intervention included individual and family-level goal-setting, self-monitoring, performance feedback, family step challenges, family social support and modelling, weekly motivational text messages, and an introductory session delivered face-to-face or via telephone. Parent surveys were used to assess intervention efficacy measured as pre-post intervention changes in moderate-to-vigorous physical activity (MVPA) in children, mothers and fathers. RESULTS Thirty-eight families completed the post intervention survey (95% retention). At post intervention, MVPA had increased in children by 58 min/day (boys: 54 min/day, girls: 62 min/day; all P < .001). In mothers, MVPA increased by 27 min/day (P < .001), and in fathers, it increased by 31 min/day (P < .001). Furthermore, the percentage of children meeting Australia’s physical activity guidelines for children (≥60 MVPA min/day) increased from 34% to 89% (P < .001). The percentage of mothers and fathers meeting Australia’s physical activity guidelines for adults (≥150 MVPA min/week) increased from 8% to 57% (P < .001) in mothers, and from 21% to 68% (P < .001) in fathers. CONCLUSIONS Findings suggest that an activity tracker and app intervention is an efficacious approach to increasing physical activity in entire families to meet national physical activity guidelines. The Step it Up Family program warrants further testing in a larger, randomised controlled trial to determine its long-term impact. CLINICALTRIAL No trial registration as this is not an RCT. It is a pilot single-arm intervention study

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Drop-out of medical follow-up among people living with HIV in Tel-Aviv area

AIDS Care ◽

10.1080/09540121.2021.1883516 ◽

2021 ◽

pp. 1-5

Author(s):

Daniel Chemtob ◽

Itzchak Levy ◽

Shai Kaufman ◽

Nechama Averick ◽

Agate Krauss ◽

...

Keyword(s):

Drop Out ◽

People Living With Hiv ◽

Tel Aviv ◽

Living With Hiv

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A Social Ecological Approach to Understanding Life Satisfaction among Socio-Economically Disadvantaged People Living with HIV/AIDS in Taiwan: Implications for Social Work Practice

The British Journal of Social Work ◽

10.1093/bjsw/bcx060 ◽

2017 ◽

Vol 48 (3) ◽

pp. 557-577

Author(s):

Ashley Lacombe-Duncan ◽

Deng-Min Chuang

Keyword(s):

Life Satisfaction ◽

Social Work ◽

Economically Disadvantaged ◽

Work Practice ◽

Social Work Practice ◽

Ecological Approach ◽

People Living With Hiv ◽

Social Ecological ◽

Living With Hiv ◽

Disadvantaged People

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Perceptions, Facilitators And Barriers of Physical Activity Among People Living With HIV: A Qualitative Study

10.21203/rs.3.rs-567121/v1 ◽

2021 ◽

Author(s):

Brenda Kitilya ◽

Erica Sanga ◽

George PrayGod ◽

Robert Peck ◽

Bazil B Kavishe ◽

...

Keyword(s):

Physical Activity ◽

Health Care Providers ◽

Gender Stereotypes ◽

Ecological Model ◽

People Living With Hiv ◽

Activity Levels ◽

Care Providers ◽

Middle Income ◽

Facilitators And Barriers ◽

Living With Hiv

Abstract BackgroundPeople Living with HIV (PLWH) have low levels of physical activity. Understanding of perceptions, facilitators and barriers of physical activity in this population is of importance for future perspectives in developing contextual based intervention to improve physical activity in PLWH. MethodThis study explored perceptions, facilitators and barriers of physical activity in PLWH using sixteen in-depth interviews and three focus group discussions conducted in Mwanza, Tanzania. The interviews and discussions were audio recorded, transcribed and translated into English. Transcripts were coded and analysed deductively using thematic content analysis. The themes were interpreted and presented using the social ecological model. ResultsForty-three PLWH age 23-61 years old participated in this study. The findings showed that, PLWH perceived physical activity was beneficial to their health and that their perceptions and practices were rooted within the existing gender stereotypes and roles in the community. In addition to that, house-chores and income generating activities were perceived as sufficient physical activity to achieve adequate levels of physical activity. As facilitators, social support and interactions from family and friends were appraised positively as motivating factors of physical activity in this population. Indeed, at individual to community/environmental levels, PLWH reported barriers of physical activity were lack of time, money, and availability of facilities, as well as lack of social groups participating in physical activity in the communities and inadequate information on physical activity from health care providers at ART clinics. HIV disease was not reported as a main barrier of physical activity but rather stipulated from family members as a reason not to support physical activity in PLWH. ConclusionThe findings demonstrated differing perceptions, facilitators and barriers of physical activity among PLWH. Interventions addressing physical activity awareness, gender stereotypes and roles relating to physical activity performances from individual to community level, building supportive environment and infrastructures are needed to elevate physical activity levels in PLWH particularly in low and -middle income countries.

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