The efficacy of a lay health workers - led physical activity counselling program in patients with HIV and mental health problems: a real-world intervention from Uganda.
Davy VancampfortPeter Kayiira ByansiHilda NamutebiEugene KinyandaRichard Serunkuma BbosaPhilip B WardHafsa LukwataJames MugishaPublished in: AIDS care (2021)
ABSTRACTThis study explored the efficacy of a lay health worker (LHW)-led physical activity (PA) counselling program for inactive patients with HIV/AIDS and mental health problems living in a Ugandan farming community. In total 49 (35 women) community patients (40.0 ± 11.2 years) followed an 8-week once weekly LHW-led PA counselling program based on a self-determination theory and motivational interviewing framework. Participants completed the Simple Physical Activity Questionnaire, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, HIV/AIDS Stress Scale and World Health Organization Disability Assessment Schedule 2 (WHODAS 2) pre- and immediately post-intervention. Small, significant (P < 0.05) effect sizes were found for reductions in HIV/AIDS-related stress (Cohen's d = 0.26) and in global disability (Cohen's d = 0.46). Large effect sizes were observed for reductions in time spent sedentary (Cohen's d = 1.97) and reductions in depressive (Cohen's d = 2.04) and anxiety (Cohen's d = 1.47) symptoms and increases in time spent active (Cohen's d = 1.98). Greater decrease in sedentary time was associated with greater anxiety symptoms reduction (r = 0.32, P = 0.021). In physically inactive patients with HIV/AIDS and mental health problems, an LHW-led PA counselling program reduced stress, anxiety, depression and disability. Randomized controlled trials are needed to confirm these preliminary positive findings.
Keyphrases
- hiv aids
- mental health
- physical activity
- sleep quality
- antiretroviral therapy
- quality improvement
- randomized controlled trial
- hiv testing
- human immunodeficiency virus
- multiple sclerosis
- mental illness
- body mass index
- hiv infected
- hiv positive
- smoking cessation
- end stage renal disease
- stress induced
- healthcare
- men who have sex with men
- ejection fraction
- newly diagnosed
- public health
- chronic kidney disease
- patient reported
- clinical trial
- bipolar disorder
- hepatitis c virus
- metabolic syndrome
- molecularly imprinted
- risk assessment
- liquid chromatography
- adipose tissue
- health information
- social media
- peritoneal dialysis