Browsing by Author "Lukwata, Hafsa"

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Correlates of physical activity stages of change in people living with HIV in a Ugandan community
(Taylor& Francis Online: Disability and Rehabilitation., 2020-05-29) Vancampfort, Davy; Byansi, Peter Kayiira; Namutebi, Hilda; Nalukenge, Lillian; Kinyanda, Eugene; Bbosa, Richard Serunkuma; Ward, Philip B.; Lukwata, Hafsa; Mugisha, James
The transtheoretical model (TTM) of behavioral change posits that individuals move through five stages of change when adopting new behaviors: pre-contemplation, contemplation, preparation, action, and maintenance. The aim of this study was to determine the proportion of patients with HIV/AIDS within a Ugandan fishing community in the different physical activity (PA) stages. We also explored differences in variables, motives, and barriers for PA across the stages. Methods: In total, 256 individuals (77 men, 40.5 ± 10.3 years) completed the Patient-centered Assessment and Counseling for Exercise Questionnaire, the Patient Health Questionnaire-9 (PHQ-9) to assess depressive symptoms, and the Alcohol Use Disorders Identification Test. They were also asked about their most important PA motive and barrier. Results: Seventy-five individuals (29%) were in the (pre-)preparatory stages, 140 (55%) in the action and 41 (16%) in the maintenance stage. Those in the (pre-)preparatory stages had higher PHQ-9 total scores (p < 0.001) and were more likely to report barriers than those in the later stages (p < 0.001). Compared with those in the (pre-)preparatory stage, patients in the action stage experienced less body weakness (p = 0.015). Conclusions: Depression and barriers to PA should be considered in people with HIV/AIDS in low-resource settings when implementing interventions to assist them to become more active.
The efficacy of a lay health workers – led physical activity counselling program in patients with HIV and mental health problems: a real-world intervention from Uganda
(Taylor and Francis online : AIDS Care Psychological and Socio-medical Aspects of AIDS/HIV., 2021-01-23) Vancampfort, Davy; Byansi, Peter Kayiira; Namutebi, Hilda; Kinyanda, Eugene; Bbosa, Richard Serunkuma; Ward, Philip B.; Lukwata, Hafsa; Mugisha, James
This study explored the efficacy of a lay health worker (LHW)-led physical activity (PA) counselling program for inactive patients with HIV/AIDS and mental health problems living in a Ugandan farming community. In total 49 (35 women) community patients (40.0 ± 11.2 years) followed an 8-week once weekly LHW-led PA counselling program based on a self-determination theory and motivational interviewing framework. Participants completed the Simple Physical Activity Questionnaire, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, HIV/AIDS Stress Scale and World Health Organization Disability Assessment Schedule 2 (WHODAS 2) pre- and immediately post-intervention. Small, significant (P < 0.05) effect sizes were found for reductions in HIV/AIDS-related stress (Cohen’s d = 0.26) and in global disability (Cohen’s d = 0.46). Large effect sizes were observed for reductions in time spent sedentary (Cohen’s d = 1.97) and reductions in depressive (Cohen’s d = 2.04) and anxiety (Cohen’s d = 1.47) symptoms and increases in time spent active (Cohen’s d = 1.98). Greater decrease in sedentary time was associated with greater anxiety symptoms reduction (r = 0.32, P = 0.021). In physically inactive patients with HIV/AIDS and mental health problems, an LHW-led PA counselling program reduced stress, anxiety, depression and disability. Randomized controlled trials are needed to confirm these preliminary positive findings.
The efficacy of physical activity counseling in Ugandan patients with HIV and a co-morbid mental disorder: a pilot study
(Taylor and Francis: AIDS Care Psychological and Socio-medical Aspects of AIDS/HIV., 2019-07-08) Vancampfort, Davy; Byansi, Peter; Namutebi, Hilda; Nalukenge, Lillian; Kinyanda, Eugene; Bbosa, Richard Serunkuma; Ward, Philip B.; Lukwata, Hafsa; Mugisha, James
This study explored the efficacy of physical activity (PA) counseling in inactive patients with HIV/AIDS and a co-morbid mental health disorder living in a Ugandan fishing community. We investigated associations between changes in PA, sedentary behavior, mental health burden and quality of life (QoL) following an 8-week once per week PA counseling program using the self-determination theory and motivational interviewing framework. In total 41 (33 women) patients (39.8 ± 10.9years) completed the Simple Physical Activity Questionnaire, Patient Health Questionnaire, Alcohol Use Disorder Identification Test and World Health Organization Quality of Life Questionnaire pre- and post-intervention. Large effect sizes were found for reductions in time spent sedentary (Cohen’s d = 2.85) and reductions in depressive symptoms (Cohen’s d = 1.47). We also found large effect sizes for increases in time spent walking (Cohen’s d = 1.38), in incidental PA such as household chores (Cohen’s d = 1.69), and physical health (Cohen’s d = 1.38), psychological health (Cohen’s d = 0.95), and social relationships. (Cohen’s d = 1.39). The more time spent sedentary decreased, the more the psychological health increased (r = −0.33, P = 0.037). In sedentary patients with HIV/AIDS and a co-morbid mental disorder, the mental health burden reduces and QoL improves following PA counseling. Controlled studies are however needed to confirm our findings.