Qualitative insights from an online community-based exercise intervention for persons living with HIV
IntroductionOnline community-based exercise (CBE) is a rehabilitation strategy that can promote health outcomes among people living with HIV. We aimed to describe experiences implementing a community-based exercise (CBE) intervention with adults living with HIV.MethodsWe conducted a longitudinal qua...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Rehabilitation Sciences |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2025.1602007/full |
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| author | Francisco Ibáñez-Carrasco Kiera McDuff George Da Silva Ahmed M. Bayoumi Ahmed M. Bayoumi Ahmed M. Bayoumi Soo Chan Carusone Mona Loutfy Mona Loutfy Mona Loutfy Ada Tang Puja Ahluwalia Lisa Avery Lisa Avery Kelly K. O’Brien Kelly K. O’Brien Kelly K. O’Brien |
| author_facet | Francisco Ibáñez-Carrasco Kiera McDuff George Da Silva Ahmed M. Bayoumi Ahmed M. Bayoumi Ahmed M. Bayoumi Soo Chan Carusone Mona Loutfy Mona Loutfy Mona Loutfy Ada Tang Puja Ahluwalia Lisa Avery Lisa Avery Kelly K. O’Brien Kelly K. O’Brien Kelly K. O’Brien |
| author_sort | Francisco Ibáñez-Carrasco |
| collection | DOAJ |
| description | IntroductionOnline community-based exercise (CBE) is a rehabilitation strategy that can promote health outcomes among people living with HIV. We aimed to describe experiences implementing a community-based exercise (CBE) intervention with adults living with HIV.MethodsWe conducted a longitudinal qualitative descriptive study involving interviews with adults living with HIV and persons implementing an online tele-coaching CBE intervention. Leveraging community-based research principles, the intervention aimed to improve physical activity engagement and health outcomes through online individualized coaching, online YMCA resources, and wearable fitness technology. We analyzed interviews with adults living with HIV and representatives involved in CBE implementation at baseline (month 0), end of intervention (6 months), and end of follow-up phase (12 months).ResultsThirteen adults living with HIV and eight representatives involved in CBE implementation participated in the study (43 interviews total). Key themes included the “four Cs”: Cost, Care, Comfort, and Convenience that encapsulated participants’ perceptions of financial barriers, need for holistic healthcare integration, importance of stigma-free and emotionally supportive environments, and accessibility of health interventions.DiscussionResults underscore the critical role of inclusive and adaptable exercise programs in addressing the complex needs of individuals with chronic, episodic conditions such as HIV, and the value of participatory, community-driven methodologies in designing effective and equitable health interventions.Clinical Trial RegistrationNCT05006391 |
| format | Article |
| id | doaj-art-9eebd1233a5d4035b621c6462a9bdea4 |
| institution | Kabale University |
| issn | 2673-6861 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj-art-9eebd1233a5d4035b621c6462a9bdea42025-08-25T05:25:22ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612025-08-01610.3389/fresc.2025.16020071602007Qualitative insights from an online community-based exercise intervention for persons living with HIVFrancisco Ibáñez-Carrasco0Kiera McDuff1George Da Silva2Ahmed M. Bayoumi3Ahmed M. Bayoumi4Ahmed M. Bayoumi5Soo Chan Carusone6Mona Loutfy7Mona Loutfy8Mona Loutfy9Ada Tang10Puja Ahluwalia11Lisa Avery12Lisa Avery13Kelly K. O’Brien14Kelly K. O’Brien15Kelly K. O’Brien16Dalla Lana School of Public Health, University of Toronto, Toronto, ON, CanadaDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, CanadaRealize, Toronto, ON, CanadaMAP Centre for Urban Health Solutions at the Keenan Research Centre in the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON, CanadaDepartment of Medicine, University of Toronto, Toronto, ON, CanadaInstitute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, ON, CanadaMcMaster Collaborative for Health and Aging, McMaster University, Hamilton, ON, CanadaDepartment of Medicine, University of Toronto, Toronto, ON, CanadaInstitute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, ON, CanadaWomen’s College Research Institute, Toronto, ON, CanadaSchool of Rehabilitation Sciences, McMaster University, Hamilton, ON, CanadaRealize, Toronto, ON, CanadaDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada0Biostatistics Department, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, CanadaDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, CanadaInstitute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada1Rehabilitation Sciences Institute (RSI), University of Toronto, Toronto, ON, CanadaIntroductionOnline community-based exercise (CBE) is a rehabilitation strategy that can promote health outcomes among people living with HIV. We aimed to describe experiences implementing a community-based exercise (CBE) intervention with adults living with HIV.MethodsWe conducted a longitudinal qualitative descriptive study involving interviews with adults living with HIV and persons implementing an online tele-coaching CBE intervention. Leveraging community-based research principles, the intervention aimed to improve physical activity engagement and health outcomes through online individualized coaching, online YMCA resources, and wearable fitness technology. We analyzed interviews with adults living with HIV and representatives involved in CBE implementation at baseline (month 0), end of intervention (6 months), and end of follow-up phase (12 months).ResultsThirteen adults living with HIV and eight representatives involved in CBE implementation participated in the study (43 interviews total). Key themes included the “four Cs”: Cost, Care, Comfort, and Convenience that encapsulated participants’ perceptions of financial barriers, need for holistic healthcare integration, importance of stigma-free and emotionally supportive environments, and accessibility of health interventions.DiscussionResults underscore the critical role of inclusive and adaptable exercise programs in addressing the complex needs of individuals with chronic, episodic conditions such as HIV, and the value of participatory, community-driven methodologies in designing effective and equitable health interventions.Clinical Trial RegistrationNCT05006391https://www.frontiersin.org/articles/10.3389/fresc.2025.1602007/fullHIV/AIDSexerciseinterviewscommunity-based researchqualitative research |
| spellingShingle | Francisco Ibáñez-Carrasco Kiera McDuff George Da Silva Ahmed M. Bayoumi Ahmed M. Bayoumi Ahmed M. Bayoumi Soo Chan Carusone Mona Loutfy Mona Loutfy Mona Loutfy Ada Tang Puja Ahluwalia Lisa Avery Lisa Avery Kelly K. O’Brien Kelly K. O’Brien Kelly K. O’Brien Qualitative insights from an online community-based exercise intervention for persons living with HIV Frontiers in Rehabilitation Sciences HIV/AIDS exercise interviews community-based research qualitative research |
| title | Qualitative insights from an online community-based exercise intervention for persons living with HIV |
| title_full | Qualitative insights from an online community-based exercise intervention for persons living with HIV |
| title_fullStr | Qualitative insights from an online community-based exercise intervention for persons living with HIV |
| title_full_unstemmed | Qualitative insights from an online community-based exercise intervention for persons living with HIV |
| title_short | Qualitative insights from an online community-based exercise intervention for persons living with HIV |
| title_sort | qualitative insights from an online community based exercise intervention for persons living with hiv |
| topic | HIV/AIDS exercise interviews community-based research qualitative research |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2025.1602007/full |
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