Evidence map›Paper›PMID 26956163›Full record

ArticleBMJ open2016

Are you ready? Exploring readiness to engage in exercise among people living with HIV and multimorbidity in Toronto, Canada: a qualitative study.

Alya Simonik, Kyle Vader, Denine Ellis, Dirouhi Kesbian, Priscilla Leung, Patrick Jachyra, Soo Chan Carusone, Kelly K O'Brien

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
7.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  6. Trial
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  9. Article
  10. Challenges to Physical Activity Participation Among Older People Living with HIV: Scoping Review.International journal of environmental research and public health · 2025
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  12. Article
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  15. Article
  16. Article
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  19. Behavioral and Physical Activity Interventions for HAND.Current topics in behavioral neurosciences · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Alya SimonikDepartment of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Kyle VaderDepartment of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Denine EllisDepartment of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Dirouhi KesbianDepartment of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Priscilla LeungDepartment of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Patrick JachyraRehabilitation Sciences Institute (RSI), University of Toronto, Toronto, Ontario, Canada.
Soo Chan CarusoneCasey House, Toronto, Ontario, Canada.
Kelly K O'BrienDepartment of Physical Therapy, University of Toronto, Toronto, Ontario, Canada Rehabilitation Sciences Institute (RSI), University of Toronto, Toronto, Ontario, Canada Institute of Health Policy, Management and Evaluation (IHPME), University of Toronto, Toronto, Ontario, Canada.
University of Toronto · CACasey House · CA

Funding

Canadian Institutes of Health Research MSH-122796
6 · The paper itself

Abstract

objectivesOur aim was to explore readiness to engage in exercise among people living with HIV and multimorbidity.

designWe conducted a descriptive qualitative study using face-to-face semistructured interviews with adults living with HIV.

settingWe recruited adults (18 years or older) who self-identified as living with HIV and 2 or more additional health-related conditions from a specialty hospital in Toronto, Canada.

participants14 participants with a median age of 50 years and median number of 9 concurrent health-related conditions participated in the study. The majority of participants were men (64%) with an undetectable viral load (71%). OUTCOME MEASURES: We asked participants to describe their readiness to engage in exercise and explored how contextual factors influenced their readiness. We analysed interview transcripts using thematic analysis.

resultsWe developed a framework to describe readiness to engage in exercise and the interplay of factors and their influence on readiness among adults with HIV and multimorbidity. Readiness was described as a diverse, dynamic and fluctuating spectrum ranging from not thinking about exercise to routinely engaging in daily exercise. Readiness was influenced by the complex and episodic nature of HIV and multimorbidity comprised of physical impairments, mental health challenges and uncertainty from HIV and concurrent health conditions. This key factor created a context within which 4 additional subfactors (social supports, perceptions and beliefs, past experience with exercise, and accessibility) may further hinder or facilitate an individual's position along the spectrum of readiness to exercise.

conclusionsReadiness to engage in exercise among people living with HIV is a dynamic and fluctuating construct that may be influenced by the episodic nature of HIV and multimorbidity and 4 subfactors. Strategies to facilitate readiness to exercise should consider the interplay of these factors in order to enhance physical activity and subsequently improve health outcomes of people with HIV and multimorbidity.

Indexed as

ExerciseCanadaComorbidityDisability EvaluationFemaleHIV InfectionsHumansInterviews as TopicMaleMental HealthMiddle AgedPerceptionQualitative ResearchSelf ReportSocial Supportepisodic disabilityexercisemulti-morbidityQUALITATIVE RESEARCHREHABILITATION MEDICINE

Identifiers

PMID26956163
PMCPMC4785327
OpenAlexW2293463427

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.