Healing Hearts and Mending Minds in Older Adults Living With HIV
Condition: HIV; Cardiovascular Disease; AIDS
MeSH terms: Cardiovascular Diseases
Study type: Interventional

Summary: 
      The purpose of this study is to see if exercise is helpful for improving memory,
      concentration thinking abilities, physical function, and quality of life for adults aged 50
      to 89 years living with HIV and who have two or more cardiovascular disease risk factors. The
      study will test two kinds of intervention exercises: one group will walk for exercise and the
      second group will stretch for exercise. Members of both interventions will be asked to
      participate in one-on-one interviews/assessments, measures of physical functioning, and some
      sessions with others who are also enrolled in the study.
    

Detailed description: 
      This is a two arm, randomized controlled trial to test the longitudinal effects of the Let's
      Move Program (walking for exercise) compared to effects of the attention control Let's Flex
      Program (stretching for exercise) in participants aged 50 to 89 years living with HIV and who
      have two or more cardiovascular disease risk factors. Participants in both interventions will
      be asked to participate in one-on-one interviews/assessments, measures of physical
      functioning, and some sessions with others who are also enrolled in the study. Participants
      will participate in an in home exercise program for twelve weeks in which the study team will
      help identify maximum duration and intensity followed by a maintenance period for weeks
      13-58.
    

Intervention name(s): Let's Move Program; Let's Flex Program; Group Motivational Interviewing
Intervention type(s): Behavioral; Behavioral; Behavioral
Intervention description(s): Participants will be asked to walk five times per week for twelve weeks for a minimum of 30 minutes while wearing a heart rate monitor and a pedometer. Participants will also receive weekly telephone calls from a member of the research team to monitor walking progress and to change walking duration or intensity level based on their progress.After the twelve week period, participants will enter a maintenance exercise phase for weeks 13-17 in which they will be asked to maintain their exercise regimen.; Participants will be asked to stretch five times per week for twelve weeks for a minimum of 30 minutes. Participants will also receive weekly telephone calls from a member of the research team to monitor progress and to change duration or intensity level based on their progress.After the twelve week period, participants will enter a maintenance exercise phase for weeks 13-17 in which they will be asked to maintain their exercise regimen.; Participants will attend four separate group intervention sessions for 2.5 hours for four consecutive weeks at the beginning of the program. Groups will consist of 6-8 members and will focus on the rationale for aerobic exercise, barriers to exercise, finding time for exercise, how to set short and long term exercise goals, and use of self-monitoring to improve exercise engagement.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care