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

Krupa N. Shah; Zahraa Majeed; Yilmaz B. Yoruk; Hongmei Yang; Tiffany N. Hilton; James M. McMahon; William J. Hall; Donna Walck; Amneris E. Luque; Richard M. Ryan

doi:10.1037/hea0000311

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

Krupa N. Shah, Zahraa Majeed, Yilmaz B. Yoruk, Hongmei Yang, Tiffany N. Hilton, James M. McMahon, William J. Hall, Donna Walck, Amneris E. Luque, Richard M. Ryan

Research output: Contribution to journal › Article › peer-review

40 Scopus citations

Abstract

Objective: HIV-infected older adults (HOA) are at risk of functional decline. Interventions promotingphysical activity that can attenuate functional decline and are easily translated into the HOA communityare of high priority. We conducted a randomized, controlled clinical trial to evaluate whether a physicalactivity 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, 67community-dwelling HOA with mild-to-moderate functional limitations were randomized to 1 of 2groups: a physical activity counseling group or the usual care control group. We used SDT to guide thedevelopment of the experimental intervention. Outcome measures that were collected at baseline andfinal study visits included a battery of physical function tests, levels of physical activity, autonomousmotivation, depression, and QOL. Results: The study participants were similar in their demographic andclinical 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 groupcompared to the control group (p < .05). Measures of autonomous regulation such as identifiedregulation, and measures of depression and QOL improved significantly in the treatment group comparedwith the control group (p < .05). Across the groups, improvement in intrinsic regulation and QOLcorrelated with an improvement in physical function (p < .05). Conclusion: Our findings suggest thata physical activity counseling program grounded in SDT can improve physical function, autonomousmotivation, depression, and QOL in HOA with functional limitations.

Original language	English (US)
Pages (from-to)	563-573
Number of pages	11
Journal	Health Psychology
Volume	35
Issue number	6
DOIs	https://doi.org/10.1037/hea0000311
State	Published - Jun 1 2016

Keywords

Aging
Frailty
HIV
Physical activity
Physical function

ASJC Scopus subject areas

Applied Psychology
Psychiatry and Mental health

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10.1037/hea0000311

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@article{288299a5c0a54ddda4d6ca0e58c1577d,

title = "Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial",

abstract = "Objective: HIV-infected older adults (HOA) are at risk of functional decline. Interventions promotingphysical activity that can attenuate functional decline and are easily translated into the HOA communityare of high priority. We conducted a randomized, controlled clinical trial to evaluate whether a physicalactivity 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, 67community-dwelling HOA with mild-to-moderate functional limitations were randomized to 1 of 2groups: a physical activity counseling group or the usual care control group. We used SDT to guide thedevelopment of the experimental intervention. Outcome measures that were collected at baseline andfinal study visits included a battery of physical function tests, levels of physical activity, autonomousmotivation, depression, and QOL. Results: The study participants were similar in their demographic andclinical 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 groupcompared to the control group (p < .05). Measures of autonomous regulation such as identifiedregulation, and measures of depression and QOL improved significantly in the treatment group comparedwith the control group (p < .05). Across the groups, improvement in intrinsic regulation and QOLcorrelated with an improvement in physical function (p < .05). Conclusion: Our findings suggest thata physical activity counseling program grounded in SDT can improve physical function, autonomousmotivation, depression, and QOL in HOA with functional limitations.",

keywords = "Aging, Frailty, HIV, Physical activity, Physical function",

author = "Shah, {Krupa N.} and Zahraa Majeed and Yoruk, {Yilmaz B.} and Hongmei Yang and Hilton, {Tiffany N.} and McMahon, {James M.} and Hall, {William J.} and Donna Walck and Luque, {Amneris E.} and Ryan, {Richard M.}",

note = "Funding Information: National Institute of Aging K23AG043319-01A1, National Institutes of Health grants P30 AI78498, AG020493, and Hartford Foundation of Excellence. This study is registered at www.clinicaltrials.gov (NCT019840600). We thank the participants, Alicia Tirell, Joseph Guido, Dr. Diane Morse, and Dr. Stephen Dewhurst for encouragement and support of this work Publisher Copyright: {\textcopyright} 2016 American Psychological Association.",

year = "2016",

month = jun,

day = "1",

doi = "10.1037/hea0000311",

language = "English (US)",

volume = "35",

pages = "563--573",

journal = "Health Psychology",

issn = "0278-6133",

publisher = "American Psychological Association Inc.",

number = "6",

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TY - JOUR

T1 - Enhancing physical function in HIV-infected older adults

T2 - A randomized controlled clinical trial

AU - Shah, Krupa N.

AU - Majeed, Zahraa

AU - Yoruk, Yilmaz B.

AU - Yang, Hongmei

AU - Hilton, Tiffany N.

AU - McMahon, James M.

AU - Hall, William J.

AU - Walck, Donna

AU - Luque, Amneris E.

AU - Ryan, Richard M.

N1 - Funding Information: National Institute of Aging K23AG043319-01A1, National Institutes of Health grants P30 AI78498, AG020493, and Hartford Foundation of Excellence. This study is registered at www.clinicaltrials.gov (NCT019840600). We thank the participants, Alicia Tirell, Joseph Guido, Dr. Diane Morse, and Dr. Stephen Dewhurst for encouragement and support of this work Publisher Copyright: © 2016 American Psychological Association.

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Objective: HIV-infected older adults (HOA) are at risk of functional decline. Interventions promotingphysical activity that can attenuate functional decline and are easily translated into the HOA communityare of high priority. We conducted a randomized, controlled clinical trial to evaluate whether a physicalactivity 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, 67community-dwelling HOA with mild-to-moderate functional limitations were randomized to 1 of 2groups: a physical activity counseling group or the usual care control group. We used SDT to guide thedevelopment of the experimental intervention. Outcome measures that were collected at baseline andfinal study visits included a battery of physical function tests, levels of physical activity, autonomousmotivation, depression, and QOL. Results: The study participants were similar in their demographic andclinical 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 groupcompared to the control group (p < .05). Measures of autonomous regulation such as identifiedregulation, and measures of depression and QOL improved significantly in the treatment group comparedwith the control group (p < .05). Across the groups, improvement in intrinsic regulation and QOLcorrelated with an improvement in physical function (p < .05). Conclusion: Our findings suggest thata physical activity counseling program grounded in SDT can improve physical function, autonomousmotivation, depression, and QOL in HOA with functional limitations.

AB - Objective: HIV-infected older adults (HOA) are at risk of functional decline. Interventions promotingphysical activity that can attenuate functional decline and are easily translated into the HOA communityare of high priority. We conducted a randomized, controlled clinical trial to evaluate whether a physicalactivity 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, 67community-dwelling HOA with mild-to-moderate functional limitations were randomized to 1 of 2groups: a physical activity counseling group or the usual care control group. We used SDT to guide thedevelopment of the experimental intervention. Outcome measures that were collected at baseline andfinal study visits included a battery of physical function tests, levels of physical activity, autonomousmotivation, depression, and QOL. Results: The study participants were similar in their demographic andclinical 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 groupcompared to the control group (p < .05). Measures of autonomous regulation such as identifiedregulation, and measures of depression and QOL improved significantly in the treatment group comparedwith the control group (p < .05). Across the groups, improvement in intrinsic regulation and QOLcorrelated with an improvement in physical function (p < .05). Conclusion: Our findings suggest thata physical activity counseling program grounded in SDT can improve physical function, autonomousmotivation, depression, and QOL in HOA with functional limitations.

KW - Aging

KW - Frailty

KW - HIV

KW - Physical activity

KW - Physical function

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

Abstract

Keywords

ASJC Scopus subject areas

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