Burk-Leaver Erin, Zivalich Christopher, Sunshine Justine, Lowry Christopher A, Erlandson Kristine M
Erin Burk-Leaver, MPH, MA, is the Director of Community Engagement, Department of Community Engagement, Colorado Health Network, Inc., Denver, Colorado, USA.
Christopher Zivalich, MA, is a Senior Manager, State Policy & Training, National Coalition of STD (Sexually Transmitted Disease) Directors, Denver, Colorado, USA.
J Assoc Nurses AIDS Care. 2025;36(2):167-176. doi: 10.1097/JNC.0000000000000509. Epub 2024 Dec 4.
The aging population of people living with HIV (PLWH) face unique health and social challenges. We piloted a community-based wellness program, People Aging and Thriving with HIV (PATH2Wellness), aiming to improve health outcomes through physical activity, nutritional counseling, and social support within Colorado Health Network, a statewide AIDS service organization. Participants ages 50+ were recruited into three cohorts between September 2020 and December 2021. Weekly step counts and psychosocial measures were collected. Overall, while there were no statistically significant improvements in step count or secondary outcomes (including depression, social connectedness, self-reported physical function, and quality of life [all p ≥ .55]), participants noted a high level of satisfaction. Ongoing feedback led to modifications for program improvement; as such, PATH2Wellness shows promise in improving mental health and social connectedness, and findings underscore the importance of tailored programs for older PLWH, suggesting avenues for research and program development.
老龄化的艾滋病毒感染者（PLWH）面临着独特的健康和社会挑战。我们试点了一项基于社区的健康计划，即“艾滋病毒感染者健康老龄化与蓬勃发展计划（PATH2Wellness）”，旨在通过科罗拉多州全州范围的艾滋病服务组织——科罗拉多健康网络内的体育活动、营养咨询和社会支持来改善健康状况。2020年9月至2021年12月期间，50岁及以上的参与者被招募到三个队列中。收集了每周的步数和心理社会指标。总体而言，虽然步数或次要结果（包括抑郁、社会联系、自我报告的身体功能和生活质量[所有p≥0.55]）没有统计学上的显著改善，但参与者表示满意度很高。持续的反馈促使对计划进行改进；因此，PATH2Wellness在改善心理健康和社会联系方面显示出前景，研究结果强调了为老年PLWH制定量身定制计划的重要性，为研究和计划制定提供了途径。
