Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study

Introduction Our aim is to evaluate the implementation of an online telecoaching community-based exercise (CBE) intervention with the goal of reducing disability and enhancing physical activity and health among adults living with HIV.Methods and analysis We will conduct a prospective longitudinal mi...

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Main Authors: Ahmed M Bayoumi, Darren A Brown, Kelly K O'Brien, Patricia Solomon, Ada Tang, Mehdi Zobeiry, Mona R Loutfy, Lisa Avery, Soo Chan Carusone, Brittany Torres, Francisco Ibáñez-Carrasco, Kiera McDuff, Tizneem Jiancaro, George Da Silva, Shaz Islam, Joanne Lindsay, Colleen Price, Zoran Pandovski, Ivan Illic, Puja Ahluwalia
Format: Article
Language:English
Published: BMJ Publishing Group 2023-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/3/e067703.full
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author Ahmed M Bayoumi
Darren A Brown
Kelly K O'Brien
Patricia Solomon
Ada Tang
Mehdi Zobeiry
Mona R Loutfy
Lisa Avery
Soo Chan Carusone
Brittany Torres
Francisco Ibáñez-Carrasco
Kiera McDuff
Tizneem Jiancaro
George Da Silva
Shaz Islam
Joanne Lindsay
Colleen Price
Zoran Pandovski
Ivan Illic
Puja Ahluwalia
author_facet Ahmed M Bayoumi
Darren A Brown
Kelly K O'Brien
Patricia Solomon
Ada Tang
Mehdi Zobeiry
Mona R Loutfy
Lisa Avery
Soo Chan Carusone
Brittany Torres
Francisco Ibáñez-Carrasco
Kiera McDuff
Tizneem Jiancaro
George Da Silva
Shaz Islam
Joanne Lindsay
Colleen Price
Zoran Pandovski
Ivan Illic
Puja Ahluwalia
author_sort Ahmed M Bayoumi
collection DOAJ
description Introduction Our aim is to evaluate the implementation of an online telecoaching community-based exercise (CBE) intervention with the goal of reducing disability and enhancing physical activity and health among adults living with HIV.Methods and analysis We will conduct a prospective longitudinal mixed-methods two-phased intervention study to pilot the implementation of an online CBE intervention with ~30 adults (≥18 years) living with HIV who consider themselves safe to participate in exercise. In the intervention phase (0–6 months), participants will take part in an online CBE intervention involving thrice weekly exercise (aerobic, resistance, balance and flexibility), with supervised biweekly personal training sessions with a fitness instructor, YMCA membership providing access to online exercise classes, wireless physical activity monitor to track physical activity and monthly online educational sessions on topics related to HIV, physical activity and health. In the follow-up phase (6–12 months), participants will be encouraged to continue independent exercise thrice weekly. Quantitative assessment: Bimonthly, we will assess cardiopulmonary fitness, strength, weight, body composition and flexibility, followed by administering self-reported questionnaires to assess disability, contextual factor outcomes (mastery, engagement in care, stigma, social support), implementation factors (cost, feasibility, technology), health status and self-reported physical activity. We will conduct a segmented regression analyses to describe the change in level and trend between the intervention and follow-up phases. Qualitative assessment: We will conduct online interviews with a subsample of ~10 participants and 5 CBE stakeholders at baseline (month 0), postintervention (month 6) and end of follow-up (month 12) to explore experiences, impact and implementation factors for online CBE. Interviews will be audiorecorded and analysed using content analytical techniques.Ethics and dissemination Protocol approved by the University of Toronto Research Ethics Board (Protocol # 40410). Knowledge translation will occur in the form of presentations and publications in open-access peer-reviewed journals.Trial registration number NCT05006391.
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spelling doaj.art-5c764ce9fde24c70b2255305667db6942023-08-11T19:45:08ZengBMJ Publishing GroupBMJ Open2044-60552023-03-0113310.1136/bmjopen-2022-067703Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science studyAhmed M Bayoumi0Darren A Brown1Kelly K O'Brien2Patricia Solomon3Ada Tang4Mehdi Zobeiry5Mona R Loutfy6Lisa Avery7Soo Chan Carusone8Brittany Torres9Francisco Ibáñez-Carrasco10Kiera McDuff11Tizneem Jiancaro12George Da Silva13Shaz Islam14Joanne Lindsay15Colleen Price16Zoran Pandovski17Ivan Illic18Puja Ahluwalia195 Department of Medicine, University of Toronto, Toronto, Ontario, CanadaTherapies Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UKDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, CanadaSchool of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, CanadaYMCA of Greater Toronto, YMCA Canada, Toronto, Ontario, CanadaWomen`s College Research Institute, Women`s College Hospital, Toronto, Ontario, Canada6 Department of Biostatistics, University of Toronto, Toronto, Ontario, CanadaMcMaster Collaborative for Health and Aging, McMaster University, Hamilton, Ontario, CanadaDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, CanadaDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaCanada-International HIV and Rehabilitation Research Collaborative (CIHRRC), Toronto, Ontario, CanadaCanada-International HIV and Rehabilitation Research Collaborative (CIHRRC), Toronto, Ontario, CanadaCanada-International HIV and Rehabilitation Research Collaborative (CIHRRC), Ottawa, Ontario, CanadaYMCA of Greater Toronto, YMCA Canada, Toronto, Ontario, CanadaYMCA of Greater Toronto, YMCA Canada, Toronto, Ontario, CanadaRealize, Toronto, Ontario, CanadaIntroduction Our aim is to evaluate the implementation of an online telecoaching community-based exercise (CBE) intervention with the goal of reducing disability and enhancing physical activity and health among adults living with HIV.Methods and analysis We will conduct a prospective longitudinal mixed-methods two-phased intervention study to pilot the implementation of an online CBE intervention with ~30 adults (≥18 years) living with HIV who consider themselves safe to participate in exercise. In the intervention phase (0–6 months), participants will take part in an online CBE intervention involving thrice weekly exercise (aerobic, resistance, balance and flexibility), with supervised biweekly personal training sessions with a fitness instructor, YMCA membership providing access to online exercise classes, wireless physical activity monitor to track physical activity and monthly online educational sessions on topics related to HIV, physical activity and health. In the follow-up phase (6–12 months), participants will be encouraged to continue independent exercise thrice weekly. Quantitative assessment: Bimonthly, we will assess cardiopulmonary fitness, strength, weight, body composition and flexibility, followed by administering self-reported questionnaires to assess disability, contextual factor outcomes (mastery, engagement in care, stigma, social support), implementation factors (cost, feasibility, technology), health status and self-reported physical activity. We will conduct a segmented regression analyses to describe the change in level and trend between the intervention and follow-up phases. Qualitative assessment: We will conduct online interviews with a subsample of ~10 participants and 5 CBE stakeholders at baseline (month 0), postintervention (month 6) and end of follow-up (month 12) to explore experiences, impact and implementation factors for online CBE. Interviews will be audiorecorded and analysed using content analytical techniques.Ethics and dissemination Protocol approved by the University of Toronto Research Ethics Board (Protocol # 40410). Knowledge translation will occur in the form of presentations and publications in open-access peer-reviewed journals.Trial registration number NCT05006391.https://bmjopen.bmj.com/content/13/3/e067703.full
spellingShingle Ahmed M Bayoumi
Darren A Brown
Kelly K O'Brien
Patricia Solomon
Ada Tang
Mehdi Zobeiry
Mona R Loutfy
Lisa Avery
Soo Chan Carusone
Brittany Torres
Francisco Ibáñez-Carrasco
Kiera McDuff
Tizneem Jiancaro
George Da Silva
Shaz Islam
Joanne Lindsay
Colleen Price
Zoran Pandovski
Ivan Illic
Puja Ahluwalia
Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study
BMJ Open
title Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study
title_full Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study
title_fullStr Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study
title_full_unstemmed Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study
title_short Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study
title_sort piloting an online telecoaching community based exercise intervention with adults living with hiv protocol for a mixed methods implementation science study
url https://bmjopen.bmj.com/content/13/3/e067703.full
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