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Alvarez G, Sanabria G, Jia H, Cho H, Reynolds NR, Gradilla M, Olender S, Mohr DC, Schnall R. Do Walk Step Reminders Improve Physical Activity in Persons Living With HIV in New York City?-Results From a Randomized Clinical Trial. J Assoc Nurses AIDS Care 2023; 34:527-537. [PMID: 37747318 PMCID: PMC10592070 DOI: 10.1097/jnc.0000000000000427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/26/2023]
Abstract
ABSTRACT Supervised physical activity can increase functional capacity in persons with HIV (PWH); however, aerobic interventions have shown little improvement in overall physical activity in PWH. In response, we sought to assess the effect of wearing a fitness tracker (FitBit) paired with walk step reminders delivered through an mHealth application to improve physical activity and decreasing body mass index among PWH in New York City. There was no significant difference in the frequency of walk steps between participants in the control group and intervention group from baseline to 6-month follow-up. These findings show that walk step reminders alone were inadequate for sustained improvement of physical activity. This study highlights the need to develop and test the comparative efficacy of physical activity interventions that are tailored to the unique needs and capabilities of PWH. Future interventions should incorporate fitness tracking with tailored interventions focused on the promotion of physical activity.Clinical Trials.Gov Registration number: NCT03205982.
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Affiliation(s)
| | - Gabriella Sanabria
- Community and Family Health, College of Public Health University of South Florida, Tampa, Florida, USA
| | - Haomiao Jia
- Columbia University School of Nursing, New York, New York, USA
| | - Hwayoung Cho
- Department of Family, Community, and Health System Science, College of Nursing, University of Florida, Gainesville, Florida, USA
| | - Nancy R. Reynolds
- Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
| | | | - Susan Olender
- Division of Infectious Disease, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA
| | - David C. Mohr
- Center for Behavioral Intervention Technologies (CBITs), Department of Preventive Medicine, Medical Social Sciences and Psychiatry and Behavioral Sciences, Northwestern University, Chicago, Illinois, USA
| | - Rebecca Schnall
- Disease Prevention and Health Promotion, Columbia University School of Nursing, Columbia University, New York, New York, USA
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