Cardiovascular Risk Reduction in Persons Living With HIV: Treatment Development, Feasibility, and Preliminary Results.
Patricia A Cioe, Kate M Guthrie, Matthew S Freiberg and 2 others
PMID 29329940WHAT IT FOUND
People living with HIV wanted tailored heart-health education, simple materials, and reminders.
In an eight-person nurse-delivered pilot, attendance and satisfaction were high, but risk perception barely changed and step counts fell below baseline by week 12.
Key findings
01Thirty people living with HIV wanted heart-health education tailored to their HIV status, with choices about content, simple materials, and follow-up reminders.
02In the eight-person pilot, seven participants completed all four sessions, satisfaction averaged 28.25 out of 32, and all participants set goals, but perceived risk barely changed and weekly steps fell below baseline by week 12.
03The pilot bundled nurse-delivered education, personalized risk and heart-age feedback, motivational interviewing, pedometer tracking, binders, goals, texts, and a phone check-in, and had no comparison group.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The pilot had only 8 participants and no comparison group, so it cannot show whether the program caused any change. Perceived risk barely moved and weekly steps fell below baseline by week 12, so short-term gains were not maintained. The sample was English-speaking, had no prior cardiac event, and came from two academic clinics, so results may not apply to patients who cannot read English, have prior cardiac events, or attend other settings. The qualitative sample included 20 single participants, 18 participants who were disabled and not employed, and 15 current smokers, which may limit generalizability. The intervention bundled education, personalized risk and heart-age feedback, motivational interviewing, pedometer tracking, binders, goals, texts, and a phone check-in, so the contribution of any single component cannot be separated.
Declared interests
The authors declared no real or perceived vested interests. The article is listed as supported by NIH extramural research.
The easy way to misread this
Do not read high satisfaction and attendance as proof that the program reduces cardiovascular risk. It bundled education, personalized risk and heart-age feedback, motivational interviewing, pedometer tracking, binders, goals, texts, and a phone check-in, had only 8 participants, and had no comparison group.