Abstract
The purpose of this paper was to describe SystemCHANGE™-HIV, a novel self-management intervention for people living with HIV (PLWH) and provide evidence of its initial efficacy to improve physical activity. The rationale and design of the SystemCHANGE™-HIV intervention were reviewed. Intervention detail, including its historical use, learning exercises and content, were provided. Forty PLWH participated in this pilot study, using a randomized clinical trial design. Intervention participants increased their physical activity by 300 Metabolic Equivalent minutes per week, compared to the control condition. Additionally, 70% of intervention participants increased their physical activity, whereas 65% of control subjects either had no change or experienced a decrease in physical activity. SystemCHANGE™-HIV is an innovative intervention for PLWH, representing a new paradigm in health behavior change. Findings support its potential to increase physical activity in PLWH. Future work should refine and rigorously test the effect of this intervention.
Highlights
People living with HIV (PLWH) are having longer life expectancies and experiencing increased morbidity and mortality associated with chronic co-morbidities such as cardiovascular disease, cancer, pulmonary and musculoskeletal disorders [1,2,3,4,5,6,7]
In determining the initial efficacy of the SystemCHANGETM-HIV intervention on physical activity, we found that those in the intervention group increased their physical activity by 300 Metabolic Equivalent (MET) minutes per week, compared to those in the control group (p=0.743)
In reviewing individual difference scores, we found that 70% (n=14) of participants in the intervention group increased their weekly physical activity, whereas 65% (n=13) of participants in the control group either had no change or experienced a decrease in physical activity
Summary
People living with HIV (PLWH) are having longer life expectancies and experiencing increased morbidity and mortality associated with chronic co-morbidities such as cardiovascular disease, cancer, pulmonary and musculoskeletal disorders [1,2,3,4,5,6,7]. This longevity is due to the development and widespread use of highly effective HIV antiretroviral therapy (ART). Involving people in your process; Who impacts your system? Distinguishing between buddies and process owners; Goal Setting: Describing what you want to accomplish Self-Monitoring
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