Feasibility of an Exercise Intervention - Full Text View

Purpose

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.

Condition	Intervention
HIV	Other: HOME-EX


Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) Primary Purpose: Health Services Research
Official Title:	Feasibility of an Exercise Intervention In HIV+ Older Adults

Resource links provided by NLM:

MedlinePlus related topics: Exercise and Physical Fitness HIV/AIDS

U.S. FDA Resources

Further study details as provided by Krupa Shah, University of Rochester:

Primary Outcome Measures:

Change in Feasibility [ Time Frame: 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 Outcome Measures:

Change in Efficacy [ Time Frame: 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 [ Time Frame: 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.


Enrollment:	74
Study Start Date:	December 2013
Study Completion Date:	August 2015
Primary Completion Date:	August 2015 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
HOME-EX Motivational Counseling: Six patient-centered motivational counseling sessions based on the self-determination theory (SDT) of behavior change will be conducted with the patients in the HOME-EX group over 12 weeks. Exercise Intervention: an individually tailored home-based exercise program performed 5-7 days a week that consists of walking prescription, and individualized strength training exercise designed to provide moderately intense progressive resistance exercise. Subjects will be given a set of 3 color-coded therapeutic resistance bands representing varying levels of resistance and they will start with a number of sets which is customized for each individual and they will be encouraged to progressively increase from their individual baseline sets.	Other: HOME-EX 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
No Intervention: Control Subjects are instructed to maintain their usual activities during the study period. This group did not receive any PA counseling or recommendations.

Arms

Assigned Interventions

HOME-EX

Motivational Counseling: Six patient-centered motivational counseling sessions based on the self-determination theory (SDT) of behavior change will be conducted with the patients in the HOME-EX group over 12 weeks.

Exercise Intervention: an individually tailored home-based exercise program performed 5-7 days a week that consists of walking prescription, and individualized strength training exercise designed to provide moderately intense progressive resistance exercise. Subjects will be given a set of 3 color-coded therapeutic resistance bands representing varying levels of resistance and they will start with a number of sets which is customized for each individual and they will be encouraged to progressively increase from their individual baseline sets.

Other: HOME-EX

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

No Intervention: Control

Subjects are instructed to maintain their usual activities during the study period. This group did not receive any PA counseling or recommendations.

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.

Eligibility


Ages Eligible for Study:	45 Years to 80 Years (Adult, Senior)
Sexes Eligible for Study:	All
Accepts Healthy Volunteers:	No

Criteria

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.

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01984060

Locations


United States, New York
University of Rochester/ Strong Memorial Hospital
Rochester, New York, United States, 14642

Sponsors and Collaborators

University of Rochester

Investigators


Principal Investigator:	Krupa Shah, M.D., M.P.H.	University of Rochester

More Information


Responsible Party:	Krupa Shah, M.D. Assistant professor, University of Rochester
ClinicalTrials.gov Identifier:	NCT01984060 History of Changes
Other Study ID Numbers:	1K23AG043319-01A1 ( US NIH Grant/Contract Award Number )
Study First Received:	October 24, 2013
Last Updated:	May 10, 2016

Keywords provided by Krupa Shah, University of Rochester:


Aging Physical Activity Physical Function HIV	Frailty Autonomous Motivation Depression

ClinicalTrials.gov processed this record on June 23, 2017

Feasibility of an Exercise Intervention (MESH)