Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2023 Mar 30;13(3):e067703. doi: 10.1136/bmjopen-2022-067703.
Our aim is to evaluate the implementation of an online telecoaching community-based exercise (CBE) intervention with the goal of reducing disability and enhancing physical activity and health among adults living with HIV.
We will conduct a prospective longitudinal mixed-methods two-phased intervention study to pilot the implementation of an online CBE intervention with ~30 adults (≥18 years) living with HIV who consider themselves safe to participate in exercise. In the intervention phase (0-6 months), participants will take part in an online CBE intervention involving thrice weekly exercise (aerobic, resistance, balance and flexibility), with supervised biweekly personal training sessions with a fitness instructor, YMCA membership providing access to online exercise classes, wireless physical activity monitor to track physical activity and monthly online educational sessions on topics related to HIV, physical activity and health. In the follow-up phase (6-12 months), participants will be encouraged to continue independent exercise thrice weekly. Quantitative assessment: Bimonthly, we will assess cardiopulmonary fitness, strength, weight, body composition and flexibility, followed by administering self-reported questionnaires to assess disability, contextual factor outcomes (mastery, engagement in care, stigma, social support), implementation factors (cost, feasibility, technology), health status and self-reported physical activity. We will conduct a segmented regression analyses to describe the change in level and trend between the intervention and follow-up phases. Qualitative assessment: We will conduct online interviews with a subsample of ~10 participants and 5 CBE stakeholders at baseline (month 0), postintervention (month 6) and end of follow-up (month 12) to explore experiences, impact and implementation factors for online CBE. Interviews will be audiorecorded and analysed using content analytical techniques.
Protocol approved by the University of Toronto Research Ethics Board (Protocol # 40410). Knowledge translation will occur in the form of presentations and publications in open-access peer-reviewed journals.
NCT05006391.
本研究旨在评估一种基于在线远程指导的社区锻炼（CBE）干预措施的实施情况，以期减少残疾、提高艾滋病毒感染者的身体活动水平和健康状况。
我们将进行一项前瞻性纵向混合方法两阶段干预研究，以试点实施一项针对约 30 名（≥18 岁）认为自己安全可参加运动的艾滋病毒感染者的在线 CBE 干预措施。在干预阶段（0-6 个月），参与者将参加一项在线 CBE 干预，包括每周三次的运动（有氧运动、阻力运动、平衡和灵活性），每两周有一次健身教练的监督个人培训课程，YMCA 会员资格可提供在线运动课程，无线身体活动监测器用于跟踪身体活动，每月有一次关于艾滋病毒、身体活动和健康相关主题的在线教育课程。在随访阶段（6-12 个月），鼓励参与者继续每周三次进行独立运动。定量评估：我们将每两个月评估心肺适能、力量、体重、身体成分和灵活性，然后使用自我报告问卷评估残疾、情境因素结局（掌控感、参与护理、耻辱感、社会支持）、实施因素（成本、可行性、技术）、健康状况和自我报告的身体活动。我们将进行分段回归分析，描述干预和随访阶段之间的水平和趋势变化。定性评估：我们将在基线（第 0 个月）、干预后（第 6 个月）和随访结束（第 12 个月）时对约 10 名参与者和 5 名 CBE 利益相关者进行在线访谈，以探讨在线 CBE 的经验、影响和实施因素。访谈将被录音，并使用内容分析技术进行分析。
该方案已获得多伦多大学研究伦理委员会的批准（方案编号：40410）。知识转化将以在开放获取同行评议期刊上发表演讲和文章的形式进行。
NCT05006391。
