Behavioral Activation, Nutrition, and Activity Intervention

University of Maryland Baltimore (UMB)

Status: Enrolling

Conditions: HIV

Treatments: Behavioral: Physical Activity Coaching; Behavioral: Nutritional Coaching; Behavioral: Social Connection

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06239961

5P30AG028747-17 (U.S. NIH Grant/Contract)

HP-00107100

Details and patient eligibility

About

This study will explore if a behavioral intervention program to assist people aged 50 and older with HIV is practical. The program includes a coach who talks with participants, encouraging them to be more active, reduce loneliness, and eat healthier.

Full description

This study aims to see if a 12-week program called Behavioral Activation (BA) can help people aged 50 and above with HIV by reducing loneliness and boosting social engagement. The program includes physical activity and nutrition guidance and is led by remote coaches. Investigators will recruit participants from the University of Maryland THRIVE program and other HIV centers in Baltimore. Investigators will test the program with 10 people aged 50 and above with HIV to see if it works. If it proves to be helpful and accepted, investigators might move on to a larger study to evaluate it more thoroughly.

Enrollment: 10 estimated patients

Sex: All

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. 50 years of age or older
2. HIV positive diagnosis
3. Montreal Cognitive Assessment score > 13
4. Report minimal level of loneliness, isolation, and/or depression (PHQ9 > 5)
5. Able to consent
6. Ability to read or speak English
7. Attend the UM THRIVE Center or another HIV center in Baltimore

Exclusion criteria

1. No severe cognitive impairment

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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10 participants in 3 patient groups

Physical Activity Coaching

Experimental group

Description:

The intervention involves physical activity sessions tailored for people with HIV. Participants engage in physical activities targeting health improvement and fall prevention, promoting physical activity self-efficacy and outcome expectations. Coaches identify individual exercise goals, assess access to physical activity options, and focus on safe, unsupervised strength and balance physical activities at home. Tailored exercise materials, including handouts and videos, are accessible through a website. Additionally, participants are encouraged to follow a structured walking program.

Treatment:

Behavioral: Physical Activity Coaching

Nutritional Assessment

Experimental group

Description:

Participants will complete a mini nutritional assessment and keep a food diary. Each participant will meet with a registered dietician for an evaluation. The coaching will be personalized based on the dietician's advice and will include information about community resources for food, making sure health options are available, and suggesting diets and recipes for better eating options.

Treatment:

Behavioral: Nutritional Coaching

Behavioral Activation

Experimental group

Description:

Participants receive brief BA (Behavioral Activation) coaching through remote interactions (phone or videoconference) with lay coaches. The structured behavioral approach focuses on identifying and scheduling values-based, rewarding social engagements and activities. Coaches assist in overcoming barriers to social connectedness, involving a review of daily activity patterns, setting activity goals, creating implementation plans, and assessing successes and areas for improvement. The program is adapted for individuals aging with HIV, with community collaboration to tailor content and delivery methods.

Treatment:

Behavioral: Social Connection