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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Models of Health Promotion and Illness Prevention I01:25

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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Updated: Jan 12, 2026

Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
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Emerging Interventions to Improve Health Outcomes for People Aging With HIV: Protocol for a Mixed Methods

Richard Dunville1, Sarah Hodge1, Shannon TenBroeck1

  • 1Department of Public Health, NORC at the University of Chicago, Chicago, IL, United States.

JMIR Research Protocols
|November 7, 2025
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Summary

This study evaluates new interventions for aging people with HIV using an implementation science framework. Findings will improve HIV care for the growing older adult population.

Keywords:
HIV and agingemerging interventionsevaluationgeriatric careimplementation science

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Area of Science:

  • Gerontology
  • Public Health
  • Implementation Science

Background:

  • Over half of people with HIV are now over 50, yet care often neglects aging-related conditions.
  • The Health Resources and Services Administration HIV/AIDS Bureau initiated a program with 10 sites to test interventions for aging with HIV.
  • NORC at the University of Chicago was selected to lead the evaluation of this initiative.

Purpose of the Study:

  • To apply the Health Resources and Services Administration HIV/AIDS Bureau implementation science framework to a multisite evaluation.
  • To outline the evaluation protocol, technical assistance, and dissemination plan for the initiative.

Main Methods:

  • A theory-based, mixed-methods evaluation plan was developed using an implementation science hybrid type 2 study.
  • Organizational-level data included surveys, interviews, and cost monitoring; client-level data used surveys and chart abstractions.
  • Data were collected on site engagement with a capacity-building provider and satisfaction with services.

Main Results:

  • Evaluation funding began in August 2022, with data collection starting April 2023.
  • All 10 sites enrolled clients by September 2023, with 626 clients enrolled by December 2023.
  • Data collection continues through December 2024, with comprehensive findings anticipated by late 2025.

Conclusions:

  • This is the first national study to evaluate interventions for aging with HIV using an implementation science framework.
  • The study aims to establish an evidence base for enhancing HIV clinical care for the aging population.