Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial

Krisann K Oursler; Vincent C Marconi; Brandon C Briggs; John D Sorkin; Alice S Ryan; FIT VET Project Team

doi:10.1097/JNC.0000000000000235

Telehealth Exercise Intervention in Older Adults With HIV: Protocol of a Multisite Randomized Trial

J Assoc Nurses AIDS Care. 2022 Mar-Apr;33(2):168-177. doi: 10.1097/JNC.0000000000000235.

Authors

Krisann K Oursler^{1

2

3

4

5

6}, Vincent C Marconi^{1

2

3

4

5

6}, Brandon C Briggs^{1

2

3

4

5

6}, John D Sorkin^{1

2

3

4

5

6}, Alice S Ryan^{1

2

3

4

5

6}; FIT VET Project Team

Affiliations

¹ Krisann K. Oursler, MD, ScM, is Director, Geriatric Research and Education, Salem Veterans Affairs Medical Center, and is an Associate Professor, Virginia Tech Carilion School of Medicine, Roanoke, Virginia, USA.
² Vincent C. Marconi, MD, is Director, Infectious Diseases Research Program, Atlanta Veterans Affairs Medical Center, and is a Professor, Emory University School of Medicine and Emory University Rollins School of Public Health, Atlanta, Georgia, USA.
³ Brandon C. Briggs, MS, is an Exercise Physiologist, Salem Veterans Affairs Medical Center, and a PhD Student, Concordia University Chicago, Chicago, Illinois, USA.
⁴ John D. Sorkin, MD, PhD, is Chief, Biostatistics and Informatics, Veterans Affairs Maryland Health Care System, Baltimore Veterans Affairs Medical Center Geriatric Research, Education, and Clinical Center, and is a Professor, University of Maryland School of Medicine, Baltimore, Maryland, USA.
⁵ Alice S. Ryan, PhD, is Senior Research Career Scientist, Rehabilitation Research & Development, Veterans Affairs Maryland Health Care System, Baltimore Veterans Affairs Medical Center Geriatric Research, Education, and Clinical Center, and is a Professor, University of Maryland School of Medicine, Baltimore, Maryland, USA.
⁶ The FIT VET Project Team is listed in Acknowledgments.

Abstract

People with HIV (PWH) have reduced cardiorespiratory fitness, but a high intensity, easily disseminated exercise program has not yet been successfully developed in older PWH. The purpose of this article is to describe a synchronous telehealth exercise intervention in older PWH, delivered from one medical center to two other centers. Eighty older PWH (≥50 years) on antiretroviral therapy will be randomized to exercise or delayed entry control groups. Functional circuit exercise training, which does not entail stationary equipment, will be provided by real-time videoconferencing, 3 times weekly for 12 weeks, to small groups. Continuous remote telemonitoring of heart rate will ensure high exercise intensity. We hypothesize that telehealth exercise will be feasible and increase cardiorespiratory fitness and reduce sarcopenia and frailty. Findings will provide new insight to target successful aging in older PWH and can also be widely disseminated to PWH of any age or other patient populations.

Trial registration: ClinicalTrials.gov NCT04103593.

Publication types

Clinical Trial Protocol
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

Aged
Exercise / physiology
Exercise Therapy
HIV Infections* / drug therapy
Humans
Multicenter Studies as Topic
Randomized Controlled Trials as Topic
Telemedicine* / methods
Videoconferencing

Associated data

ClinicalTrials.gov/NCT04103593

Abstract

Publication types

MeSH terms

Associated data

Grants and funding