Piloting an online telecoaching community-based exercise intervention with adults living with HIV: protocol for a mixed-methods implementation science study
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
Affiliations
Ahmed M Bayoumi
5 Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Darren A Brown
Therapies Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
Kelly K O'Brien
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Patricia Solomon
School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
Ada Tang
School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada
Mehdi Zobeiry
YMCA of Greater Toronto, YMCA Canada, Toronto, Ontario, Canada
Mona R Loutfy
Women`s College Research Institute, Women`s College Hospital, Toronto, Ontario, Canada
Lisa Avery
6 Department of Biostatistics, University of Toronto, Toronto, Ontario, Canada
Soo Chan Carusone
McMaster Collaborative for Health and Aging, McMaster University, Hamilton, Ontario, Canada
Brittany Torres
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Francisco Ibáñez-Carrasco
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Kiera McDuff
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Tizneem Jiancaro
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
George Da Silva
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
Shaz Islam
Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), Toronto, Ontario, Canada
Joanne Lindsay
Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), Toronto, Ontario, Canada
Colleen Price
Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), Ottawa, Ontario, Canada
Zoran Pandovski
YMCA of Greater Toronto, YMCA Canada, Toronto, Ontario, Canada
Ivan Illic
YMCA of Greater Toronto, YMCA Canada, Toronto, Ontario, Canada
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.
