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Updated: Jun 14, 2025

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
Published on: October 6, 2016
Socioculturally Appropriate Internet-Based Geriatric Care Model for Older Adults Living With HIV: Experience-Based
Kristina M Kokorelias1,2,3,4, Marina B Wasilewski2,3,5, Dean Valentine1
1Section of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, ON, Canada.
Older adults living with HIV co-designed a virtual care model to improve access to geriatric care. The model prioritizes personalized communication, user-friendly technology, and culturally responsive practices for better health outcomes.
Area of Science:
- Geriatric Medicine
- HIV/AIDS Care
- Digital Health
Background:
- Older adults living with HIV experience significant barriers in accessing specialized geriatric care.
- Virtual care models present a potential solution but require careful consideration of their limitations for this population.
Purpose of the Study:
- To co-design a culturally appropriate virtual care model specifically for older adults living with HIV.
- To ensure the model addresses the unique needs and preferences of this demographic.
Main Methods:
- Employed a qualitative, experience-based co-design approach with 19 older adults living with HIV.
- Utilized interviews, questionnaires, focus groups, a workshop, and a world café format across three phases.
- Analyzed data through thematic content analysis to identify key themes and requirements.
Main Results:
- Developed a virtual care model prototype addressing needs for personalized communication, simplified technology, and culturally responsive care.
- Highlighted participant priorities including privacy, flexible scheduling, and integrated support for HIV and aging conditions.
- The co-designed model aims to enhance inclusivity, accessibility, and patient-centeredness in virtual geriatric care.
Conclusions:
- Successfully co-designed a virtual geriatric care model with direct input from older adults living with HIV.
- The model represents a promising, patient-centered approach to overcoming service gaps for this vulnerable group.
- Further research is recommended to evaluate the efficacy and implementation of this novel care model.
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