A Prospective Randomized Pilot Study to Evaluate the Effect of a Mobile Health Physical Activity Intervention for HIV-associated Frailty
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- HIV
- Sponsor
- Johns Hopkins University
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Change in Mean daily step count
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
This pilot study will examine the effect of a mobile health text messaging platform linked to a digital physical activity tracker on physical activity among persons living with HIV and frailty.
Detailed Description
HIV is associated with frailty, an important aging-related phenotype associated with adverse clinical outcomes. The investigators propose that personalized health coaching using a digital activity tracker with mobile health text messaging can increase physical activity in this population. The total duration of the intervention will be 12 weeks.
Investigators
Eligibility Criteria
Inclusion Criteria
- •HIV-1 positive adults of any gender
- •Age 50 years and older
- •Frailty score of 2 or greater (at least 1 criteria is slow gait speed or decreased grip strength)
- •Ability to provide informed consent
Exclusion Criteria
- •Any physical condition that would prevent or prohibit moderate physical activity
- •\>3 days per week of moderate or vigorous leisure time activity lasting \>30 min/day
Outcomes
Primary Outcomes
Change in Mean daily step count
Time Frame: Baseline, 12 weeks
Mean daily step count will be assessed using a digital physical activity tracker
Secondary Outcomes
- Change in Frailty as assessed by the Fried-based physical frailty phenotype(Baseline, 12 weeks)
- Percent change in lean mass(Baseline, 12 weeks)
- Change in Muscle strength as assessed by isokinetic resistance(Baseline, 12 weeks)
- Percent change in fat mass(Baseline, 12 weeks)
- Change in soluble Tumor Necrosis Factor Receptor 1 (sTNFR1)(Baseline, 12 weeks)
- Change in Physical Fitness as assessed by 12 minute walk(Baseline, 12 weeks)
- Change in Interleukin-6 (IL-6) concentration(Baseline, 12 weeks)
- Change in Physical performance as assessed by the physical performance battery(Baseline, 12 weeks)
- Change in Quality of Life as assessed by the Medical Outcomes Study HIV Health Survey (MOS-HIV)(Baseline, 12 weeks)