Focus groups inform a mobile health intervention to promote adherence to a Mediterranean diet and engagement in physical activity among people living with HIV
| Autor: | David J. Moore, Brook L. Henry, John Garcia, Jessica L. Montoya, Elizabeth L. Quintana |
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| Rok vydání: | 2019 |
| Předmět: |
Gerontology
Male and promotion of well-being Physical disability Mediterranean diet HIV Infections Mediterranean Diet Mediterranean Oral and gastrointestinal 0302 clinical medicine Medicine 030212 general & internal medicine mHealth Qualitative Research lcsh:Public aspects of medicine Focus Groups Middle Aged Focus groups Telemedicine 3. Good health Stroke Mental Health Public Health and Health Services HIV/AIDS Female Public Health Research Article medicine.medical_specialty Clinical Trials and Supportive Activities Neurocognitive Disorders 030209 endocrinology & metabolism Health Promotion Health intervention 03 medical and health sciences Social support Clinical Research Behavioral and Social Science Humans Obesity Exercise Neurocognition Metabolic and endocrine Nutrition business.industry Public health Prevention Public Health Environmental and Occupational Health HIV lcsh:RA1-1270 Prevention of disease and conditions Focus group Diet Good Health and Well Being Patient Compliance 3.1 Primary prevention interventions to modify behaviours or promote wellbeing business Qualitative research Program Evaluation |
| Zdroj: | BMC public health, vol 19, iss 1 BMC Public Health, Vol 19, Iss 1, Pp 1-9 (2019) BMC Public Health |
| ISSN: | 0312-3731 |
| Popis: | Background A personalized mobile health intervention (iSTEP) aims to promote a Mediterranean diet and increase physical activity, thereby improving neurocognitive functioning among persons living with HIV (PLWH). This article describes a qualitative study conducted to develop iSTEP for PLWH, including assessment of diet habits and preferences for tracking physical activity. Method Two focus groups, with seven and 13 PLWH respectively, discussed barriers and facilitators of a healthy diet and provided feedback to refine iSTEP components, including the feasibility of using a Fitbit and the content of text messages designed to encourage improved diet and physical activity. Results Focus group discussions revealed several healthy diet barriers, including housing instability, time required for food preparation, cost of healthy food, depression, gastrointestinal issues, physical disability, and changes in appetite since HIV diagnosis. Participant-identified healthy diet facilitators included affordable price options for healthy food, a structured food plan, desire to modify appearance or weight, access to medical professionals, motivation for disease prevention, and social support. Participants endorsed wearing a Fitbit on the wrist and receiving text messages as useful methods to monitor and encourage a better diet and greater physical activity. Conclusions These findings assisted the expansion of a mobile health intervention that promotes health behaviors in order to improve neurocognitive outcomes among PLWH. Trial registration NCT03123731, prospectively registered on ClinicalTrials.gov, April 21, 2017. |
| Databáze: | OpenAIRE |
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