The efficacy of physical activity counseling in Ugandan patients with HIV and a co-morbid mental disorder: a pilot study.
Davy VancampfortPeter ByansiHilda NamutebiNalukenge LillianEugene KinyandaRichard Serunkuma BbosaPhilip B WardHafsa LukwataJames MugishaPublished in: AIDS care (2019)
This study explored the efficacy of physical activity (PA) counseling in inactive patients with HIV/AIDS and a co-morbid mental health disorder living in a Ugandan fishing community. We investigated associations between changes in PA, sedentary behavior, mental health burden and quality of life (QoL) following an 8-week once per week PA counseling program using the self-determination theory and motivational interviewing framework. In total 41 (33 women) patients (39.8 ± 10.9years) completed the Simple Physical Activity Questionnaire, Patient Health Questionnaire, Alcohol Use Disorder Identification Test and World Health Organization Quality of Life Questionnaire pre- and post-intervention. Large effect sizes were found for reductions in time spent sedentary (Cohen's d = 2.85) and reductions in depressive symptoms (Cohen's d = 1.47). We also found large effect sizes for increases in time spent walking (Cohen's d = 1.38), in incidental PA such as household chores (Cohen's d = 1.69), and physical health (Cohen's d = 1.38), psychological health (Cohen's d = 0.95), and social relationships. (Cohen's d = 1.39). The more time spent sedentary decreased, the more the psychological health increased (r = -0.33, P = 0.037). In sedentary patients with HIV/AIDS and a co-morbid mental disorder, the mental health burden reduces and QoL improves following PA counseling. Controlled studies are however needed to confirm our findings.
Keyphrases
- mental health
- physical activity
- hiv aids
- antiretroviral therapy
- mental illness
- hiv testing
- healthcare
- sleep quality
- depressive symptoms
- human immunodeficiency virus
- public health
- hiv infected
- bariatric surgery
- body mass index
- smoking cessation
- end stage renal disease
- randomized controlled trial
- men who have sex with men
- cross sectional
- ejection fraction
- newly diagnosed
- hiv positive
- risk factors
- clinical trial
- health information
- type diabetes
- obese patients
- climate change
- chronic kidney disease
- hepatitis c virus
- south africa
- high resolution
- risk assessment
- peritoneal dialysis
- mass spectrometry
- social media
- skeletal muscle
- study protocol
- lower limb
- pregnancy outcomes
- single molecule
- quality improvement
- liquid chromatography