Unhealthy substance use is a major modifiable cause of morbidity and mortality among people with HIV (PWH). Disproportionate rates of substance use and co-morbidity among PWH are associated with physical inactivity. Engaging in higher levels of physical activity can offset substance use-related harms and may consequently increase motivation to engage in treatment for substance use disorders among PWH. However, physical inactivity is largely under addressed in routine clinical care. Considering social determinants of health by integrating physical activity screening, education, and promotion into clinical settings for PWH and unhealthy substance use is likely to increase access and engagement in physical activity.
By meeting the following specific aims, this pilot project intends to: 1) elicit perspectives from HIV clinicians and staff on how to best identify and address physical inactivity among PWH, including those with unhealthy substance use, and 2) explore perspectives from individuals with HIV and unhealthy substance use with varied physical activity levels, regarding multi-level barriers and facilitators to physical activity and potential interventions to promote physical activity. To inform future physical activity interventions, we also assess preferences of two different wearable devices (a wristwatch and a chest strap) among PWH and explore whether potential use differed by: 1) demographic characteristics, 2) unhealthy substance use, and 3) physical activity level.