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Barriers and facilitators to physical activity in a South African cohort of people living with HIV participating in a home-based pedometer walking programme

Bibliographic Data

ID19439019
AuthorsRonel Roos (0000-0001-5254-0875, University of the Witwatersrand, corresponding author), Hellen Myezwa (0000-0003-4562-6413, University of the Witwatersrand), Heleen van Aswegen (0000-0003-1926-4690, University of the Witwatersrand), Helena van Aswegen
Year2015
Volume27
Issue2
Pages235-239
Publication date2015-02-01
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2014.951309
PMID25174986
OpenAlexW1993086918
LanguageEN
Citations received11
References cited14

The promotion of physical activity is encouraged in people living with HIV and AIDS (PLWHA) as a means of promoting wellness and health. Adherence to programmes that promote exercise is often reduced, and home-based programmes are suggested to improve adherence. This study investigated the personal and environmental factors that cause barriers and facilitators of physical activity in a home-based pedometer walking programme as a means of highlighting adherence challenges. An observational study nested in a randomised controlled trial was conducted in a cohort of South African PLWHA on antiretroviral therapy over a six-month period. Descriptive analysis and qualitative content analysis of 42 participants who underwent physical activity modification assisted with data review. The mean age of the sample was 38.7 (±8.9) years, consisted mostly of women (n = 35; 83.3%) who were employed (n = 19; 45.2%) but earning very little (less than R500 per month) and often single or widowed (n = 23; 54.8%). Barriers to physical activity identified included physical complaints, e.g., low-energy levels; psychological complaints, e.g., stress levels; family responsibility, e.g., being primary caregivers; the physical environment, e.g., adverse weather conditions; social environment, e.g., domestic abuse and crime; and workplace, e.g., being in a sedentary job. Facilitators of physical activity included support and encouragement from friends and family, religious practices during worship and community environment, e.g., having access to parks and sport fields. The study is of benefit as it highlights personal and environmental factors that need to be considered when developing or implementing a home-based walking programme in PLWHA

Cohort · Descriptive statistics · Family medicine · Health promotion · Observational study · Pedometer · Physical activity · Physical therapy · Public health · Social support · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Nursing · Physical Activity and Health · Psychology · Social Psychology · Gerontology

  • Development of a Tool to Increase Physical Activity among People at Risk for Diabetes in Low-Resourced Communities in Cape Town

    Open Access•JILLIAN HILL, Camille Lavigne Delville et al.•International Journal of…•2020

  • Facilitators and barriers to physical activity in middle-aged and older adult(s) HIV infected persons

    Open Access•Yali Zhou, Xutong Zheng et al.•Frontiers in Public Health•2026

  • Physical activity and quality of life in people living with HIV

    Kevin Martín, Fernando Naclerio et al.•AIDS Care•2019

  • Home-based interventions to promote physical activity for people living with HIV – a systematic review

    Elisabete Cristina Morandi Dos Santos, Yu M Aliev et al.•AIDS Care•2023

  • Perspectives on ART adherence among Zambian adults living with HIV

    Jill Hanass-Hancock, Virginia Bond et al.•AIDS Care•2020

  • Evaluation of a physiotherapy-led group rehabilitation intervention for adults living with HIV

    Darren A Brown, Darren Brown et al.•AIDS Care•2016

  • Turning disability into ability

    Hadlai A Neff, Yvonne Kellar‐Guenther et al.•AIDS Care•2019

  • The effects of a 16-week aerobic exercise programme on cognitive function in people living with HIV

    Adam McDermott, AD McDermott et al.•AIDS Care•2017

  • Physical activity levels and perceived benefits and barriers to physical activity in HIV-infected women living in the deep south of the United States

    Kristina E Rehm, Deborah J Konkle-Parker et al.•AIDS Care•2016

  • A rehabilitation model as key to comprehensive care in the era of HIV as a chronic disease in South Africa

    Open Access•Verusia Chetty, Jill Hanass-Hancock•AIDS Care•2016

  • Using the Theoretical Domains Framework to identify barriers and facilitators to exercise among older adults living with HIV

    Adria Quigley, Larry Baxter et al.•AIDS Care•2019

  • Physical activity and immunity in HIV-infected individuals

    Christopher M Bopp, Kenneth D Phillips et al.•AIDS Care•2004

  • The effects of exercise training on quality of life in Haart-treated HIV-positive Rwandan subjects with body fat redistribution

    Open Access•Eugene Mutimura, Aimee Stewart et al.•Quality of Life Research•2008

  • Randomised controlled trials of physical activity promotion in free living populations

    Melvyn Hillsdon, M Thorogood et al.•Journal of Epidemiology and…•1995

Citations per year1.1
Citation span2016 - 2026 (11)
Highly citedNo

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