Evaluation of a Cohort-Based Healthy Aging With HIV Wellness Pilot Intervention: "People Aging and Thriving With HIV" in Colorado.

The study was a small pilot with 22 analyzed participants, so it cannot show whether the program works. Participants received physical activity monitoring and goals, nutritional counseling, and social circles together, so the effect of any single component cannot be separated. The intervention was changed between cohorts because of the pandemic, including virtual delivery, shorter cohort length, different step devices, and optional in-person sessions, which makes the cohorts hard to compare. The sample overrepresented White participants, limiting generalizability. The paper notes most participants had regular access to computers and stable internet, which may not apply to all older adults. Nutritional counseling uptake was not consistently collected, so its contribution cannot be assessed. Satisfaction was optional and based on 15 respondents, so it does not measure efficacy.

The authors report no real or perceived vested interests related to this article. The paper states supportive services are funded through U.S. Department of Health and Human Services, Colorado Department of Public Health and Environment, City and County of Denver, U.S. Department of Housing and Urban Development, Health Resources and Services Administration, and charitable foundations.

Do not conclude that the program improves aging outcomes because participants liked it. The primary step-count outcome did not improve significantly in any cohort, and secondary outcomes also did not change significantly. Because participants received physical activity, nutritional counseling, and social support together, no single component can be credited.