title: The Rationale, Design, and Initial Efficacy of SystemCHANGE™-HIV: A Systems-Based Intervention to Improve Physical Activity in People Living with HIV.
abstract: The purpose of this paper was to describe SystemCHANGE™-HIV, a novel self-management intervention for people living with HIV (PLWH) and provide evidence of its initial efficacy to improve physical activity. The rationale and design of the SystemCHANGE™-HIV intervention were reviewed. Intervention detail, including its historical use, learning exercises and content, were provided. Forty PLWH participated in this pilot study, using a randomized clinical trial design. Intervention participants increased their physical activity by 300 Metabolic Equivalent minutes per week, compared to the control condition. Additionally, 70% of intervention participants increased their physical activity, whereas 65% of control subjects either had no change or experienced a decrease in physical activity. SystemCHANGE™-HIV is an innovative intervention for PLWH, representing a new paradigm in health behavior change. Findings support its potential to increase physical activity in PLWH. Future work should refine and rigorously test the effect of this intervention.
authors.affiliation: Clinical Research Scholar, Frances Payne Bolton School of Nursing Case Western Reserve University, Cleveland, OH, USA.
authors.forename: Allison R
authors.initials: AR
authors.lastname: Webel
authors.affiliation: Professor, Frances Payne Bolton School of Nursing Case Western Reserve University, Cleveland, OH, USA.
authors.forename: Shirley M
authors.initials: SM
authors.lastname: Moore
authors.affiliation: Departments of Anthropology and Public Health, Case Western Reserve University, Cleveland, OH, USA.
authors.forename: Jan E
authors.initials: JE
authors.lastname: Hanson
authors.affiliation: Professor and Executive Vice-Chair, Department of Medicine, Division of Infectious Diseases and HIV Medicine, Case Western Reserve University, Cleveland, OH, USA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Salata
keywords: HIV; Intervention; Self-Management