Amsterdam 2015
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| Abstract #2055 - Evidence and interventions | ||||
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Session: 30.2: Evidence and interventions (Oral poster discussion) on Thursday @ 13.30-14.30 in Poster room 1 Chaired by Tamsen Rochat, Sibylle Nider/i> Authors: Presenting Author: Mr Maurice Bulls - Wayne State University, United States |
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| Additional Authors: | ||||
| Aim: African Americans (AA) have higher rates of many of diseases that can be prevented with physical activity (PA). PA can improve the immune system and cardiovascular risk of youth with HIV. The purpose of the study was to examine feasibility and acceptability of FLEX, a home-based PA program integrated with Motivational Interviewing (MI). | ||||
| Method / Issue: We first conducted a focus group with 10 African American young adults (ages 19 to 27 80% male). After completion of this group, an interdisciplinary team created a detailed manual. The initial FLEX program consisted of an initial MI session followed by 3 months of HIIT and resistance bands with motivational goal setting for PA and adherence using a tapered dose: one month with 3 visits per week, a second month with 2 visits per week, and a third month with 1 visit per week. The young adults were provided resistance bands and incentives for session attendance. Young adults were encouraged to add independent PA, and they were also taught to self-monitor PA and medication adherence. Youth were recruited from the local adolescent HIV clinic. Eligibility included HIV, ages 18 to 24, physician PA clearance, and suboptimal PA. Of 17 eligible, only 2 refused consent. In a case series design, the young adults completed a fitness assessment at baseline, 3 months and 6 months. Medical records were reviewed for viral load and appointment history. | ||||
| Results / Comments: Five youth have completed the 3-month program. Of 24 sessions, a mean of 18 sessions were completed (76%). Preliminary findings suggest improvements at 3 months in strength assessments, and reductions or maintenance of BMI. Exit interviews revealed high satisfaction and a strong desire to continue the program beyond 3 months, but that 3 sessions per week were too difficult to schedule. The manual was subsequently revised to a 6-month program where the first month included 3 sessions per week, the next two months 2 sessions per week, and final 3 months 1 session per week (40 sessions). Two youth have completed the 6 month program to date, which included 40 sessions. One youth completed less than half (45%) of the 40 sessions while the other youth completed 78%. Analysis for viral load and appointment adherence are underway. | ||||
| Discussion: A home-based PA and adherence program is feasible and acceptable for youth living with HIV, and has the potential to improve health outcomes. | ||||
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