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final program.qxd - Parallels Plesk Panel

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PP 3.29<br />

The Effects of a Supervised Exercise Programme on Self-efficay, Cardiovascular<br />

Fitness and Quality of Life in HIV/AIDS<br />

Soula Fillipas, Leonie Oldmeadow, Micheal Bailey and Catherine Cherry<br />

Soula Fillipas The Alfred Hospital<br />

Leonie Oldmeadow The Alfred Hospital<br />

Michael Bailey Monash University<br />

Katherine Cherry The Alfred Hospital, Burnet Institute and Monash University<br />

With combination antiretroviral therapy, HIV has become a chronic, manageable medical<br />

condition. The role of non-pharmacological interventions such as exercise among people<br />

with HIV is increasing.<br />

Aim<br />

To evaluate the effects of a supervised exercise <strong>program</strong>me (SEP) on self efficacy,<br />

cardiovascular fitness and quality of life (QOL) status on people living with HIV/AIDS.<br />

Methods<br />

A randomised single blinded controlled trial was conducted at a tertiary hospital's<br />

physiotherapy department. Forty male HIV-infected individuals were randomly allocated to<br />

an experimental (n=20) or a control (n=20) group. The experimental group was a<br />

combined aerobic and progressive resisted exercise <strong>program</strong>me twice weekly, offered to<br />

all patients of the hospital. The control group participated in an individual walking<br />

<strong>program</strong>me twice weekly and attended a monthly group forum. The study duration was 24<br />

weeks. Outcome measures were a Generic Self Efficacy Scale as a measure of<br />

perceived self efficacy; 1 minute heart rate response post 3 minute step test; MOS-HIV<br />

Health Survey as a measure of health related quality of life. Measurements were taken at<br />

baseline, 2 months and 6 months. Baseline comparisons were conducted using<br />

chi-square proportion and student t-tests, validated using Wilcoxon rank sum tests.<br />

Differences between groups were assessed using repeat measures analysis of variance<br />

on all three time points and validated using repeated measures analysis of variance on<br />

the change from baseline.<br />

Results<br />

The experimental group improved significantly in self efficacy [mean increase 5.3 points<br />

(p

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