The efficacy of physical activity counseling in Ugandan patients with HIV and a co-morbid mental disorder: a pilot study.

Journal: AIDS care

Volume: 32

Issue: 6

Year of Publication: 2020

Affiliated Institutions:  KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium. Africa Social Development & Health Initiatives, Kampala, Uganda. Department of Psychiatry, Makerere University, Kampala, Uganda. Health Office Buikwe District, Buikwe, Uganda. School of Psychiatry, University of New South Wales Australia, Sydney. Mental Health Unit, Ministry of Health, Kampala, Uganda. Butabika National Referral and Mental Health Hospital, Kampala, Uganda.

Abstract summary 

This study explored the efficacy of physical activity (PA) counseling in inactive patients with HIV/AIDS and a co-morbid mental health disorder living in a Ugandan fishing community. We investigated associations between changes in PA, sedentary behavior, mental health burden and quality of life (QoL) following an 8-week once per week PA counseling program using the self-determination theory and motivational interviewing framework. In total 41 (33 women) patients (39.8 ± 10.9years) completed the Simple Physical Activity Questionnaire, Patient Health Questionnaire, Alcohol Use Disorder Identification Test and World Health Organization Quality of Life Questionnaire pre- and post-intervention. Large effect sizes were found for reductions in time spent sedentary (Cohen's d = 2.85) and reductions in depressive symptoms (Cohen's d = 1.47). We also found large effect sizes for increases in time spent walking (Cohen's d = 1.38), in incidental PA such as household chores (Cohen's d = 1.69), and physical health (Cohen's d = 1.38), psychological health (Cohen's d = 0.95), and social relationships. (Cohen's d = 1.39). The more time spent sedentary decreased, the more the psychological health increased (r = -0.33, P = 0.037). In sedentary patients with HIV/AIDS and a co-morbid mental disorder, the mental health burden reduces and QoL improves following PA counseling. Controlled studies are however needed to confirm our findings.

Authors & Co-authors:  Vancampfort Davy D Byansi Peter P Namutebi Hilda H Lillian Nalukenge N Kinyanda Eugene E Bbosa Richard Serunkuma RS Ward Philip B PB Lukwata Hafsa H Mugisha James J

Study Outcome 

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Statistics
Citations : 
Authors :  9
Identifiers
Doi : 10.1080/09540121.2019.1640853
SSN : 1360-0451
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Physical activity;alcohol;depression;quality of life;sedentary behavior
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
England