Evidence map›Paper›PMID 37546578›Full record

ArticleFrontiers in rehabilitation sciences2023

Factors influencing initial implementation of an online community-based exercise intervention with adults living with HIV: a systems approach.

T Jiancaro, A M Bayoumi, F Ibáñez-Carrasco, B Torres, K McDuff, D A Brown, S Chan Carusone, A Tang, M Loutfy, S Cobbing and 1 more

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Article in Frontiers in rehabilitation sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
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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

11 authors.

T JiancaroDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
A M BayoumiInstitute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
F Ibáñez-CarrascoDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
B TorresDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
K McDuffDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
D A BrownTherapies Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom.
S Chan CarusoneMcMaster Collaborative Centre for Health and Aging, McMaster University, Hamilton, ON, Canada.
A TangSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
M LoutfyDepartment of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
S CobbingDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
K K O'BrienDepartment of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Online community-based exercise (CBE) is a digital health intervention and rehabilitation strategy that promotes health among people living with HIV. Our aim was to describe the factors influencing initial implementation of a pilot online CBE intervention with adults living with HIV using a systems approach, as recommended by implementation science specialists. Methods: We piloted the implementation of a 6-month online CBE intervention and 6-month independent exercise follow up, in partnership with the YMCA in Toronto, Canada. We recruited adults living with HIV who identified themselves as safe to engage in exercise. The intervention phase included personalized exercise sessions online with a personal trainer; exercise equipment; access to online exercise classes; and a wireless physical activity monitor. Two researchers documented implementation factors articulated by participants and the implementation team during early implementation, defined as recruitment, screening, equipment distribution, technology orientation, and baseline assessments. Data sources included communication with participants; daily team communication; weekly team discussions; and in-person meetings. We documented implementation factors in meeting minutes, recruitment screening notes, and email communication; and analyzed the data using a qualitative descriptive approach using a systems engineering method called Cognitive Work Analysis. Results: Thirty-three adults living with HIV enrolled in the study ( Conclusion: Fifty-five factors spanning multiple layers illustrate the complexities of online CBE with adults living with HIV. Initial implementation required a dedicated, rehabilitation-centred, multi-skilled, multi-stakeholder team to address a diverse set of factors.

Indexed as

cognitive work analysisexercise. factors influencing initial implementationhiv/aidsimplementation sciencephysical activitysystems engineering

Identifiers

PMID37546578
PMCPMC10399961

What OpenQuestion holds

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LicenceCC BY
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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.