Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial

Oursler, Krisann K.; Marconi, Vincent C.; Briggs, Bernard D.; Sorkin, John D.; Ryan, Alice S.

doi:10.1097/jnc.0000000000000235

Cited by 8 publications

(7 citation statements)

References 56 publications

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“…Balance training is less researched but small studies suggest twice weekly balance training can improve physical function and reduce the risk of frailty [69 ▪▪ ]. Larger longitudinal studies are required to further explore rehabilitation and exercise though a recent protocol has been published for a randomized trial examining the impact of high-intensity functional circuit exercise training delivered by live videoconferencing on older people living with HIV [76].…”

Section: Physical Function and Rehabilitationmentioning

confidence: 99%

Frailty in people living with HIV: an update

Jones

Levett

Barber

2021

Current Opinion in Infectious Diseases

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Purpose of reviewThe HIV population is ageing with rising rates of frailty though strategies of how best to manage it remain ill-defined. It also remains unclear what the prevalence of frailty is within this cohort, how best to diagnose it and what factors are associated. Recent findingsThe prevalence of frailty remains unclear because of heterogenous results. Routine screening in those 50þ is recommended and whilst the Fried Frailty Phenotype is currently preferred the Clinical Frailty Scale could be considered. No biomarkers are currently recommended. Looking at associated factors, HIV neurocognitive impairment and long-term alcohol usage has been shown to be associated with developing frailty whilst those who are frail have been shown to be less active and more likely to fall. NAFLD with fibrosis has been shown to be an indicator of metabolic age and the Pooled Cohort Equations has been shown to be more effective in diagnosing cardiovascular risk in frail people living with HIV.

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Section: Physical Function and Rehabilitationmentioning

confidence: 99%

Frailty in people living with HIV: an update

Jones

Levett

Barber

2021

Current Opinion in Infectious Diseases

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“…social isolation, mental health) and disrupted models of rehabilitation care delivery. Technology has been used widely for education, accessing health and rehabilitation services, and implementing interventions in the context of HIV; this includes smartphone and app technology to facilitate engagement in care, medication adherence, neurocognitive assessment, and exercise (26-29), virtual driving test platforms to assess the ability to drive among persons with HIV and neurocognitive impairment (30), and tele-health exercise interventions with adults aging with HIV (20,31,32). Arti cial intelligence also is used with older adults for remote patient monitoring and smart home technology (33)(34)(35), assessment of mobility with mobility disorders (36, 37) or dementia (38), as well as facilitating rehabilitation assessment and treatment in order adults (39).…”

Section: Discussionmentioning

confidence: 99%

Research priorities in HIV, aging and rehabilitation: Building on a Framework with the Canada-International HIV and Rehabilitation Research Collaborative

O’Brien,

Ibáñez-Carrasco,

Birtwell

et al. 2023

Preprint

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Background In 2016, the Canada-International HIV and Rehabilitation Research Collaborative established a framework of research priorities in HIV, aging and rehabilitation. Our aim was to review and identify any new emerging priorities from the perspectives of people living with HIV, clinicians, researchers, and representatives from community organizations. Methods We conducted a multi-stakeholder international consultation with people living with HIV, researchers, clinicians and representatives of community-based organizations. Stakeholders convened for a one-day Forum in Manchester, United Kingdom (UK) to discuss research priorities via a web-based questionnaire and facilitated discussions. We analyzed data using conventional content analytical techniques and mapped emerging priorities onto the foundational framework. Results Thirty-five stakeholders from the UK(n = 29), Canada(n = 5) and Ireland(n = 1) attended the Forum, representing persons living with HIV or representatives from community-based organizations(n = 12;34%), researchers or academics(n = 10;28%), service providers(n = 6;17%), clinicians(n = 4;11%); and trainees(n = 4;11%). Five priorities mapped onto the Framework of Research Priorities across three content areas: A–Episodic Health and Disability Aging with HIV (disability, frailty, social participation), B-Rehabilitation Interventions for Healthy Aging across the Lifespan (role, implementation and impact of digital and web-based rehabilitation interventions) and C–Outcome Measurement in HIV and Aging (digital and web-based rehabilitation health technology to measure physical activity). Stakeholders indicated methodological considerations for implementing digital and web-based rehabilitation interventions into research and practice and the importance of knowledge transfer and exchange among the broader community. Conclusion Results highlight the sustained importance of the framework of research priorities and provide further depth and areas of inquiry related to digital and web-based rehabilitation interventions and technology aging with HIV.

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“…Future research should place a focus on increasing the accessibility of exercise programs delivered via Telehealth, to ensure that any individual may have the ability to complete these programs. The feasibility of Telehealth delivery for additional populations should also be investigated, including for further immunocompromised groups, such as a trial being completed for those living with HIV [ 38 ]. The findings of this research have the potential to shape the standard of care for those with a preference for remote exercise, particularly those within the oncology population.…”

Section: Discussionmentioning

confidence: 99%