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dc.contributor.authorDaniels, Andrea K.
dc.contributor.authorVan Niekerk, Rudolph L.
dc.date.accessioned2018-08-21T13:35:57Z
dc.date.available2018-08-21T13:35:57Z
dc.date.issued2018
dc.identifier.citationDaniels, A.K. & Van Niekerk, R.L. 2018. The impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africa. HIV/AIDS: research and palliative care, 10:133-144. [https://doi.org/10.2147/HIV.S167005]en_US
dc.identifier.issn1179-1373 (Online)
dc.identifier.urihttp://hdl.handle.net/10394/30759
dc.identifier.urihttps://doi.org/10.2147/HIV.S167005
dc.identifier.urihttps://www.dovepress.com/getfile.php?fileID=43140
dc.description.abstractAttitudes, responses, and reactions of HIV-positive women in three sub-Saharan African regions toward a therapeutic exercise intervention, aimed to determine the presence of depression and low body self-image, were captured. This provided insight into body satisfaction and desire to exercise (Stage 1, n=60), body self-image and depression (Stage 2, n=60), and overall concerns around the often adverse side effects of antiretroviral treatment (ART). A program of therapeutic (specialty) exercise was developed for the experimental design (Stage 2), to quantify the psychological side effects of these variables. Methodology: Stage 1 constituted a qualitative exploration into attitudes and perceptions around ART, toxicity, health concerns, metabolic irregularities (lipodystrophy), body shape and size dissatisfaction, and cultural attitudes toward exercise. This stage deployed brief informal face-to-face interviews, based on the World Health Organization (WHO)/United Nations Fund for Population Activities (UNFPA) AIDS Inventory, in three sub-Saharan African regions (including provincial and district hospitals, nongovernmental organizations, voluntary counseling and testing/HIV and testing centers, and primary care outpatient clinics). Stage 2 of the study comprised a quantitative experimental design, conducted on a sample of HIV-positive women (mean age=39.0 years; mean years on ART=5.5; 86% black) in three selected HIV outpatient clinics in Johannesburg, South Africa. Data analysis: The collated data sets from both stages of the research were presented, analyzed, and interpreted (thematic analyses [Stage 1] and statistical analyses [Stage 2]) using the body self-image questionnaire and Beck’s depression inventory. Results: Stage 1 outlined participants’ concerns and reports around 1) body shape and size, including long-term effects of ART and 2) attitudes toward exercise, as a function of HIV status. Stage 2 represented pre- and posttest statistics, showing low statistical means for both the experiment and the control groups, with statistical significance for four out of nine items of subscales of body self-image questionnaireen_US
dc.language.isoenen_US
dc.publisherDove Pressen_US
dc.subjectAntiretroviral treatmenten_US
dc.subjectARTen_US
dc.subjectBody self-imageen_US
dc.subjectDepressionen_US
dc.subjectFunctional cognitionen_US
dc.subjectLipodystrophyen_US
dc.subjectTherapeutic movementen_US
dc.titleThe impact of a therapeutic exercise intervention on depression and body self-image in HIV-positive women in sub-Saharan Africaen_US
dc.typeArticleen_US
dc.contributor.researchID30448050 - Daniels, Andrea K.


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