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首页> 外文期刊>AIDS care. >Using the Theoretical Domains Framework to identify barriers and facilitators to exercise among older adults living with HIV
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Using the Theoretical Domains Framework to identify barriers and facilitators to exercise among older adults living with HIV

机译：使用理论域框架来识别障碍和促进者在艾滋病毒患有艾滋病毒的老年人锻炼身体

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People with HIV are living longer. However, co-morbidities are often more prevalent and severe than in the general population and have greater impacts on health status. Although compelling evidence exists about the health benefits of exercise in the HIV literature, many people living with HIV tend to be physically inactive. The purpose of this study was to use the Theoretical Domains Framework to investigate the barriers and facilitators to participation in exercise of older people living with HIV. This qualitative study involved in-depth, semi-structured interviews with 12 adults aged 45 years and older recruited from HIV organizations and health centres. Data were analyzed thematically using the Theoretical Domains Framework, and two investigators independently coded transcripts. Six prominent domains were identified from the interviews: Social influences, environmental context and resources, reinforcement, intentions, social and professional role, and knowledge. Themes emerging from the interviews fit into all 14 domains of the Theoretical Domains Framework, and 67% of themes fit into the six most prominent domains. The participants had a working knowledge of exercise and its health benefits but were unfamiliar with specific exercise parameters. The majority identified environmental or resource constraints as salient barriers for participation in exercise programmes. Co-morbidities, injuries, and the side effects of HIV disease and medication were also acknowledged as barriers. Stigma and discrimination from friends, family, people within the LGBTQ community, and health care providers were commonly discussed. Participants spoke of the importance of social support to facilitate participation in exercise programmes. Other facilitators included using technology and incorporating exercise into day-to-day activities. People aging with HIV experience many barriers to exercise. Those designing exercise interventions for people aging with HIV should incorporate strategies to address these obstacles.
机译：艾滋病毒的人们很长寿。然而，共同生命往往比一般人群更普遍，严重严重，对健康状况产生了更大的影响。虽然在艾滋病毒文学中运动的健康益处存在引人注目的证据，但许多患有艾滋病毒的人往往是身体不活跃的。本研究的目的是利用理论域框架来调查障碍和促进者参与患有艾滋病毒的老年人。这种定性研究涉及深入，半结构性访谈，从艾滋病毒组织和医疗中心招募了45岁以上的12名成年人。使用理论域框架在主题上进行专题分析数据，以及两位调查员独立编码的成绩单。从访谈中确定了六个突出域名：社会影响，环境背景和资源，加强，意图，社会和专业的角色和知识。从面试中出现的主题适合理论域名框架的所有14个域，67％的主题适合六个最突出的域名。参与者对行使的工作和健康福利有工作，但不熟悉具体的运动参数。大多数将环境或资源限制确定为参与运动方案的突出障碍。艾滋病病情和药物的伤害和副病理和副病症也被视为障碍。普遍讨论耻辱和来自LGBTQ社区中的朋友，家庭，人员的歧视，以及医疗保健提供者。参与者谈到了社会支持的重要性，以促进参加运动计划。其他促进者包括使用技术并将锻炼纳入日常活动。艾滋病病毒病人的人们经历了许多锻炼障碍。为艾滋病毒衰老的人们设计运动干预措施应纳入解决这些障碍的策略。

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