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Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
Published on: October 6, 2016
Experiences With Technology Among Adults Aging With HIV Engaged in an Online Community-Based Exercise Intervention
Julia Mucha1, Rana Hamdy1, Melina Marini1
1Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, 160-500 University Avenue, Toronto, ON, M5G 1V7, Canada, 1 416-978-0565.
JMIR Rehabilitation and Assistive Technologies
|July 2, 2026
Summary
Technology use in online exercise programs for adults with HIV varied, with experiences shifting over time. Understanding user preferences and providing ongoing support are crucial for successful telerehabilitation interventions.
Area of Science:
- Gerontology
- Public Health
- Rehabilitation Science
Background:
- Aging adults with HIV experience multimorbidity and disability.
- Community-based exercise (CBE) can mitigate disability but faces engagement barriers.
- Technology-based interventions like telerehabilitation may overcome these barriers for adults with HIV.
Purpose of the Study:
- To describe technology uptake and usage experiences among adults aging with HIV in an online CBE intervention.
- To explore changes in these experiences from baseline to postintervention.
Main Methods:
- A longitudinal qualitative descriptive study analyzed interview data from adults with HIV in a 6-month online CBE intervention.
- Interventions included supervised online exercise, coaching, group classes, and self-management education.
- Technology utilized: Zoom, Sweat for Good YMCA app, YMCA Virtuagym website, and Fitbit Inspire 2.
Main Results:
- Eleven participants (55% women, median age 52) provided 19 interview transcripts.
- Experiences encompassed technology setup, interaction preferences, facilitators, satisfaction, challenges, and frustrations.
- Technology experiences were influenced by prior exposure, the COVID-19 pandemic, and technological/social support.
Conclusions:
- Technology experiences among adults aging with HIV in online CBE varied, becoming easier or more burdensome over time.
- Incorporating personal preferences and continuous technological support is essential for effective online interventions.
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