{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:49:44Z","timestamp":1791892184802,"version":"4.3.4"},"reference-count":62,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T00:00:00Z","timestamp":1649980800000},"content-version":"unspecified","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000085","name":"Ontario HIV Treatment Network","doi-asserted-by":"publisher","award":["EFP-1121-BNG"],"award-info":[{"award-number":["EFP-1121-BNG"]}],"id":[{"id":"10.13039\/501100000085","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Connaught Community Partner Research Program","award":["Not applicable"],"award-info":[{"award-number":["Not applicable"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,3,28]]},"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the need for, and utility of, online community-based exercise (CBE) interventions with adults living with HIV and identify factors to consider in developing and implementing an online CBE intervention with adults living with HIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative descriptive study using web-based semistructured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>We recruited adults representing at least one of five stakeholder groups with experience in CBE and\/or HIV: (1) adults living with HIV, (2) rehabilitation professionals, (3) fitness personnel, (4) educators with eLearning experience and (5) representatives from HIV community-based organisations (CBOs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data collection<\/jats:title>\n                    <jats:p>We asked participants to describe their experiences with online CBE, need and utility for online CBE and factors in developing and implementing online CBE interventions. We analysed data using a group-based thematic analytical approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 11 participants, most had experience working with adults living with HIV (73%) or with telehealth\/rehabilitation\/coaching in HIV or other chronic conditions (91%). Participants (eight\u2009women; two men; one non-binary; median age: 49 years), identified the need and utility for online CBE interventions to increase accessibility and continuity of care with adults living with HIV. Six factors to consider in developing and implementing online CBE included: (1) person-specific considerations (episodic nature of HIV, stigma, HIV disclosure), (2) accessibility of programme (physical space to exercise, reliable internet, access to devices, digital literacy), (3) programme delivery and technology (live vs prerecorded online classes, multiple online platforms for delivery, physical activity tracking, troubleshooting technology), (4) attributes of programme personnel (working with CBOs, relatable instructors, diverse staff), (5) programme content and design (tailored exercise classes, educational sessions) and (6) building community (shared experiences, peer support, social opportunities).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is a need and utility for online CBE in the context of HIV. Considerations for development and implementation span individual, structural and technical, and community dimensions. Results can inform the future development and implementation of online CBE with adults living with HIV and other chronic episodic conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-059294","type":"journal-article","created":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T11:32:30Z","timestamp":1650022350000},"page":"e059294","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Considerations for developing and implementing an online community-based exercise intervention with adults living with HIV: a qualitative study"],"prefix":"10.1136","volume":"12","author":[{"given":"Bernice","family":"Lau","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukhbir","family":"Manku","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Kobylianski","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li Yin","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3667-6411","authenticated-orcid":false,"given":"Francisco","family":"Ib\u00e1\u00f1ez-Carrasco","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3977-0523","authenticated-orcid":false,"given":"Soo Chan","family":"Carusone","sequence":"additional","affiliation":[{"name":"McMaster Collaborative for Health and Aging, McMaster University, Hamilton, Ontario, Canada"},{"name":"Casey House, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1632-6537","authenticated-orcid":false,"given":"Kelly K","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management and Evaluation (IHPME), Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"},{"name":"Rehabilitation Sciences Institute (RSI), University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,4,15]]},"reference":[{"key":"2025121407232771000_12.4.e059294.1","doi-asserted-by":"crossref","first-page":"e349","DOI":"10.1016\/S2352-3018(17)30066-8","article-title":"Survival of HIV-positive patients starting antiretroviral therapy between 1996 and 2013: a collaborative analysis of cohort studies","volume":"4","year":"2017","journal-title":"Lancet HIV"},{"key":"2025121407232771000_12.4.e059294.2","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/COH.0000000000000706","article-title":"Hepatotoxicity of contemporary antiretroviral drugs","volume":"16","author":"Rivera","year":"2021","journal-title":"Curr Opin HIV AIDS"},{"key":"2025121407232771000_12.4.e059294.3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-161"},{"key":"2025121407232771000_12.4.e059294.4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0203895"},{"key":"2025121407232771000_12.4.e059294.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-019-4184-z","article-title":"Clusterization of co-morbidities and multi-morbidities among persons living with HIV: a cross-sectional study","volume":"19","author":"Maggi","year":"2019","journal-title":"BMC Infect Dis"},{"key":"2025121407232771000_12.4.e059294.6","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-6-76"},{"key":"2025121407232771000_12.4.e059294.7","doi-asserted-by":"publisher","DOI":"10.1177\/2325957414547431"},{"key":"2025121407232771000_12.4.e059294.8","doi-asserted-by":"crossref","DOI":"10.1177\/2325958218759210","article-title":"Trajectories of episodic disability in people aging with HIV: a longitudinal qualitative study","volume":"17","author":"Solomon","year":"2018","journal-title":"J Int Assoc Provid AIDS Care"},{"key":"2025121407232771000_12.4.e059294.9","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-019-02594-6"},{"key":"2025121407232771000_12.4.e059294.10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0260555","article-title":"Peer- and community-led responses to HIV: a scoping review","volume":"16","author":"Ayala","year":"2021","journal-title":"PLoS One"},{"key":"2025121407232771000_12.4.e059294.11","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1089\/apc.2019.0309","article-title":"Resilience and HIV treatment outcomes among women living with HIV in the United States: a mixed-methods analysis","volume":"34","author":"Fletcher","year":"2020","journal-title":"AIDS Patient Care STDS"},{"key":"2025121407232771000_12.4.e059294.12","doi-asserted-by":"publisher","DOI":"10.1177\/1359105315622558"},{"key":"2025121407232771000_12.4.e059294.13","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-017-2342-8","article-title":"Effectiveness of progressive resistive exercise (pre) in the context of HIV: systematic review and meta-analysis using the Cochrane collaboration protocol","volume":"17","author":"O'Brien","year":"2017","journal-title":"BMC Infect Dis"},{"key":"2025121407232771000_12.4.e059294.14","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-016-1478-2"},{"key":"2025121407232771000_12.4.e059294.15","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1177\/1742395317694224","article-title":"Exercise and mental health of people living with HIV: a systematic review","volume":"13","author":"Nosrat","year":"2017","journal-title":"Chronic Illn"},{"key":"2025121407232771000_12.4.e059294.16","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1260645"},{"key":"2025121407232771000_12.4.e059294.17","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1306587"},{"key":"2025121407232771000_12.4.e059294.18","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2018.1499860"},{"key":"2025121407232771000_12.4.e059294.19","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2016.1164802"},{"key":"2025121407232771000_12.4.e059294.20","doi-asserted-by":"publisher","DOI":"10.1177\/1545968309332734"},{"key":"2025121407232771000_12.4.e059294.21","doi-asserted-by":"crossref","first-page":"838-45","DOI":"10.1123\/jpah.2012-0183","article-title":"Partnering to increase access to community exercise programs for people with stroke, acquired brain injury, and multiple sclerosis","volume":"11","author":"Salbach","year":"2014","journal-title":"J Phys Act Health"},{"key":"2025121407232771000_12.4.e059294.22","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2016-103"},{"key":"2025121407232771000_12.4.e059294.23","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2020.1742801"},{"key":"2025121407232771000_12.4.e059294.24","first-page":"4921","article-title":"Community-Based exercise programs and cancer-related fatigue: a systematic review and meta-analysis","volume":"29","author":"Wagoner","year":"2021","journal-title":"Support Care Cancer"},{"key":"2025121407232771000_12.4.e059294.25","doi-asserted-by":"crossref","DOI":"10.1016\/j.rmed.2020.106195","article-title":"Randomized controlled trial of community-based, post-rehabilitation exercise in COPD","volume":"174","author":"Butler","year":"2020","journal-title":"Respir Med"},{"key":"2025121407232771000_12.4.e059294.26","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-015861"},{"key":"2025121407232771000_12.4.e059294.27","unstructured":"Li A , McCabe T , Silverstein E , et al . Community-Based exercise in the context of HIV. J Int Assoc Provid AIDS Care 2017;2325957416686836."},{"key":"2025121407232771000_12.4.e059294.28","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/09540121.2020.1719278","article-title":"The effectiveness of a community-based exercise program on depression symptoms among people living with HIV","volume":"33","author":"Sousa","year":"2021","journal-title":"AIDS Care"},{"key":"2025121407232771000_12.4.e059294.29","doi-asserted-by":"crossref","DOI":"10.1177\/2325958221995344","article-title":"Experiences of people living with HIV in community based exercise: a qualitative longitudinal study","volume":"20","author":"Solomon","year":"2021","journal-title":"J Int Assoc Provid AIDS Care"},{"key":"2025121407232771000_12.4.e059294.30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18005\/PTHP0201001","article-title":"Long-Term participation in a community-based fitness program for Hispanic adults living with HIV influences health-related outcomes fitness in Hispanic adults living with HIV","volume":"2","author":"Ortiz","year":"2014","journal-title":"PTHP"},{"key":"2025121407232771000_12.4.e059294.31","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0257639"},{"key":"2025121407232771000_12.4.e059294.32","unstructured":"Public Health Ontario . Lockdown duration and Re-Opening including considerations for COVID-19 variants of concern, 2021. Available: https:\/\/www.publichealthontario.ca\/-\/media\/documents\/ncov\/phm\/2021\/02\/covid-19-environmental-scan-lockdowns-reopening-considerations-voc.pdf?la=en"},{"key":"2025121407232771000_12.4.e059294.33","unstructured":"Pan American Health Organization . Framework for the implementation of a telemedicine service, 2016."},{"key":"2025121407232771000_12.4.e059294.34","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2019.05.007"},{"key":"2025121407232771000_12.4.e059294.35","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofab480"},{"key":"2025121407232771000_12.4.e059294.36","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-021-00543-4"},{"key":"2025121407232771000_12.4.e059294.37","doi-asserted-by":"publisher","DOI":"10.1097\/JNC.0000000000000005"},{"key":"2025121407232771000_12.4.e059294.38","doi-asserted-by":"crossref","DOI":"10.2196\/mhealth.9774","article-title":"Smartphone-Based physical activity Telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation","volume":"6","author":"Loeckx","year":"2018","journal-title":"JMIR Mhealth Uhealth"},{"key":"2025121407232771000_12.4.e059294.39","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-027416"},{"key":"2025121407232771000_12.4.e059294.40","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X18794315"},{"key":"2025121407232771000_12.4.e059294.41","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-017-2014-0"},{"key":"2025121407232771000_12.4.e059294.42","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-018-0418-8"},{"key":"2025121407232771000_12.4.e059294.43","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2019.0261"},{"key":"2025121407232771000_12.4.e059294.44","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20362"},{"key":"2025121407232771000_12.4.e059294.45","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-020-00280-5"},{"key":"2025121407232771000_12.4.e059294.46","unstructured":"Zoom Health Care Video Communications [program] 2020."},{"key":"2025121407232771000_12.4.e059294.47","doi-asserted-by":"crossref","first-page":"160940691987459","DOI":"10.1177\/1609406919874596","article-title":"Using Zoom videoconferencing for qualitative data collection: perceptions and experiences of researchers and participants","volume":"18","author":"Archibald","year":"2019","journal-title":"Int J Qual Methods"},{"key":"2025121407232771000_12.4.e059294.48","doi-asserted-by":"publisher","DOI":"10.1017\/S0266462311000638"},{"key":"2025121407232771000_12.4.e059294.49","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"2025121407232771000_12.4.e059294.50","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dat093"},{"key":"2025121407232771000_12.4.e059294.51","unstructured":"NVivo qualitative data analysis software. version 12 2018."},{"key":"2025121407232771000_12.4.e059294.52","doi-asserted-by":"publisher","DOI":"10.1108\/10662241211199960"},{"key":"2025121407232771000_12.4.e059294.53","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S167501"},{"key":"2025121407232771000_12.4.e059294.54","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2013.0189"},{"key":"2025121407232771000_12.4.e059294.55","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2041-5"},{"key":"2025121407232771000_12.4.e059294.56","doi-asserted-by":"publisher","DOI":"10.1159\/000448560"},{"key":"2025121407232771000_12.4.e059294.57","doi-asserted-by":"publisher","DOI":"10.1093\/her\/16.6.709"},{"key":"2025121407232771000_12.4.e059294.58","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1177\/2047487320939671","article-title":"The future is now: a call for action for cardiac telerehabilitation in the COVID-19 pandemic from the secondary prevention and rehabilitation section of the European association of preventive cardiology","volume":"28","author":"Scherrenberg","year":"2021","journal-title":"Eur J Prev Cardiol"},{"key":"2025121407232771000_12.4.e059294.59","doi-asserted-by":"crossref","DOI":"10.1007\/s10461-020-02871-9","article-title":"The burden of COVID-19 in people living with HIV: a Syndemic perspective","volume":"24","author":"Shiau","year":"2020","journal-title":"AIDS Behav"},{"key":"2025121407232771000_12.4.e059294.60","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-021-00335-1"},{"key":"2025121407232771000_12.4.e059294.61","doi-asserted-by":"publisher","DOI":"10.1023\/A:1015328627304"},{"key":"2025121407232771000_12.4.e059294.62","unstructured":"Ologhobo TTB , Zurlini C , McGrath B . Improving health outcomes and social connectedness through virtual exercise programs in community members with musculoskeletal conditions. Arthritis Rheumatol 2021;73."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2021-059294","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:23:37Z","timestamp":1765725817000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2021-059294"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":62,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4,15]]},"published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1136\/bmjopen-2021-059294"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2021-059294","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2021.11.14.21266319","asserted-by":"object"}]},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}