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 journalArticle

15 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)563-573
Number of pages11
JournalHealth Psychology
Volume35
Issue number6
DOIs
StatePublished - Jun 1 2016

Fingerprint

Randomized Controlled Trials
Personal Autonomy
HIV
Quality of Life
Depression
Counseling
Control Groups
Motivation
Demography
Outcome Assessment (Health Care)

Keywords

  • Aging
  • Frailty
  • HIV
  • Physical activity
  • Physical function

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health

Cite this

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 Psychology, 35(6), 563-573. https://doi.org/10.1037/hea0000311

Enhancing physical function in HIV-infected older adults : A randomized controlled clinical trial. / Shah, Krupa N.; Majeed, Zahraa; Yoruk, Yilmaz B.; Yang, Hongmei; Hilton, Tiffany N.; McMahon, James M.; Hall, William J.; Walck, Donna; Luque, Amneris E.; Ryan, Richard M.

In: Health Psychology, Vol. 35, No. 6, 01.06.2016, p. 563-573.

Research output: Contribution to journalArticle

Shah, KN, Majeed, Z, Yoruk, YB, Yang, H, Hilton, TN, McMahon, JM, Hall, WJ, Walck, D, Luque, AE & Ryan, RM 2016, 'Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial', Health Psychology, vol. 35, no. 6, pp. 563-573. https://doi.org/10.1037/hea0000311
Shah, Krupa N. ; Majeed, Zahraa ; Yoruk, Yilmaz B. ; Yang, Hongmei ; Hilton, Tiffany N. ; McMahon, James M. ; Hall, William J. ; Walck, Donna ; Luque, Amneris E. ; Ryan, Richard M. / Enhancing physical function in HIV-infected older adults : A randomized controlled clinical trial. In: Health Psychology. 2016 ; Vol. 35, No. 6. pp. 563-573.
@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.}",
year = "2016",
month = "6",
day = "1",
doi = "10.1037/hea0000311",
language = "English (US)",
volume = "35",
pages = "563--573",
journal = "Health psychology : official journal of the Division of Health Psychology, American Psychological Association",
issn = "0278-6133",
publisher = "American Psychological Association Inc.",
number = "6",

}

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.

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

UR - http://www.scopus.com/inward/record.url?scp=84957664481&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84957664481&partnerID=8YFLogxK

U2 - 10.1037/hea0000311

DO - 10.1037/hea0000311

M3 - Article

VL - 35

SP - 563

EP - 573

JO - Health psychology : official journal of the Division of Health Psychology, American Psychological Association

JF - Health psychology : official journal of the Division of Health Psychology, American Psychological Association

SN - 0278-6133

IS - 6

ER -