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Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial.

Publication ,  Journal Article
Shah, KN; Majeed, Z; Yoruk, YB; Yang, H; Hilton, TN; McMahon, JM; Hall, WJ; Walck, D; Luque, AE; Ryan, RM
Published in: Health Psychol
June 2016

OBJECTIVE: HIV-infected older adults (HOA) are at risk of functional decline. Interventions promoting physical activity that can attenuate functional decline and are easily translated into the HOA community are of high priority. We conducted a randomized, controlled clinical trial to evaluate whether a physical activity counseling intervention based on self-determination theory (SDT) improves physical function, autonomous motivation, depression and the quality of life (QOL) in HOA. METHOD: In total, 67 community-dwelling HOA with mild-to-moderate functional limitations were randomized to 1 of 2 groups: a physical activity counseling group or the usual care control group. We used SDT to guide the development of the experimental intervention. Outcome measures that were collected at baseline and final study visits included a battery of physical function tests, levels of physical activity, autonomous motivation, depression, and QOL. RESULTS: The study participants were similar in their demographic and clinical characteristics in both the treatment and control groups. Overall physical performance, gait speed, measures of endurance and strength, and levels of physical activity improved in the treatment group compared to the control group (p < .05). Measures of autonomous regulation such as identified regulation, and measures of depression and QOL improved significantly in the treatment group compared with the control group (p < .05). Across the groups, improvement in intrinsic regulation and QOL correlated with an improvement in physical function (p < .05). CONCLUSION: Our findings suggest that a physical activity counseling program grounded in SDT can improve physical function, autonomous motivation, depression, and QOL in HOA with functional limitations. (PsycINFO Database Record

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Published In

Health Psychol

DOI

EISSN

1930-7810

Publication Date

June 2016

Volume

35

Issue

6

Start / End Page

563 / 573

Location

United States

Related Subject Headings

  • Quality of Life
  • Public Health
  • Personal Autonomy
  • Motivation
  • Middle Aged
  • Male
  • Independent Living
  • Humans
  • HIV Infections
  • Female
 

Citation

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Shah, K. N., Majeed, Z., Yoruk, Y. B., Yang, H., Hilton, T. N., McMahon, J. M., … Ryan, R. M. (2016). Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial. Health Psychol, 35(6), 563–573. https://doi.org/10.1037/hea0000311
Shah, Krupa N., Zahraa Majeed, Yilmaz B. Yoruk, Hongmei Yang, Tiffany N. Hilton, James M. McMahon, William J. Hall, Donna Walck, Amneris E. Luque, and Richard M. Ryan. “Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial.Health Psychol 35, no. 6 (June 2016): 563–73. https://doi.org/10.1037/hea0000311.
Shah KN, Majeed Z, Yoruk YB, Yang H, Hilton TN, McMahon JM, et al. Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial. Health Psychol. 2016 Jun;35(6):563–73.
Shah, Krupa N., et al. “Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial.Health Psychol, vol. 35, no. 6, June 2016, pp. 563–73. Pubmed, doi:10.1037/hea0000311.
Shah KN, Majeed Z, Yoruk YB, Yang H, Hilton TN, McMahon JM, Hall WJ, Walck D, Luque AE, Ryan RM. Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial. Health Psychol. 2016 Jun;35(6):563–573.

Published In

Health Psychol

DOI

EISSN

1930-7810

Publication Date

June 2016

Volume

35

Issue

6

Start / End Page

563 / 573

Location

United States

Related Subject Headings

  • Quality of Life
  • Public Health
  • Personal Autonomy
  • Motivation
  • Middle Aged
  • Male
  • Independent Living
  • Humans
  • HIV Infections
  • Female