Mindfulness and Behavior Change to Improve Cardiovascular Health of Older People With HIV

One-Mind One-Heart (OM-OH) is intended to be a mindfulness-based, behavior change intervention to reduce psychological and behavioral cardiovascular disease risk.

Behavioral: One-Mind One-Heart

The education session will provide information on behaviors important for cardiovascular disease risk reduction.

Other: Education

One-Mind One-Heart will include mindfulness and behavior change skills to address psychological distress, physical activity, diet, and substance use.

Education will be provided on behavioral cardiovascular disease risk reduction strategies, such as increasing physical activity, reducing salt intake in diet, and reduce/stop alcohol and tobacco-use.

Plazo: Baseline (pre-intervention)

70% or more of participants consent to screening, meet screening criteria, are eligible, and agree to participate in the study

Plazo: Baseline (pre-intervention)

Less than 20% of participants are ineligible due to each criterion

Plazo: Pre-intervention

70% or more of participants are randomized and complete the first intervention session

Plazo: Duration of intervention

70% or more of participants attend all sessions and complete all homework

Plazo: Duration of intervention; 0 and 12-week follow-up

70% or more of weekly and follow-up research assessments are completed

Plazo: Baseline; 12-week follow-up

70% of more are collected

Plazo: 0-weeks post-intervention

Rating of 7.5 or greater/10 on: session satisfaction, helpfulness, and utility; overall program satisfaction; plan to use the skills; and would recommend the intervention program to a friend

Plazo: 0-weeks post-intervention

Rating of 7.5 or greater/10 on: ease, and confidence of use; and rating of 2 or less/10 on interference of technical problems

Plazo: 0- and 12-weeks post-intervention

Rating of 7.5 or greater/10 on ease of collection; and rating of 2 or less/10 on pain

Plazo: 0 and 12-weeks post-intervention

The FFQ assesses trait mindfulness.There are five sub scales: observing, describing, acting with awareness, non-judging, and non-reactivity. The FFMQ sub scale summary scores can be calculated by dividing the total in each category by the number of items in that category. The FFMQ sum score can be divided by 39 to get an average item score. Higher scores indicated greater trait mindfulness.

Plazo: 0 and 12-weeks post-intervention

PHQ-9 assesses depressive symptoms. Total scores of 5, 10, 15, and 20 represent cutpoints for mild, moderate, moderately severe and severe depressive symptoms, respectively.

Plazo: 0 and 12-weeks post-intervention

GAD-7 assesses anxiety symptoms. Total scores of 5, 10, and 15 represent cut points for mild, moderate, and severe anxiety symptoms, respectively.

Plazo: 0 and 12-weeks post-intervention

The PSS assessed perceived stress. Scores on the PSS range from 0 to 40 with higher scores indicating higher perceived stress. Scores ranging from 0-13 would be considered low stress. Scores ranging from 14-26 would be considered moderate stress. Scores ranging from 27-40 would be considered high perceived stress.

Plazo: 0 and 12-weeks post-intervention

The HIV/AIDS Stress Scale assesses HIV-related stress. The total score ranges from 0-68, with higher scores indicating higher levels of HIV-related stress.

Plazo: 0 and 12-weeks post-intervention

The AUDIT-C is scored on a scale of 0-12 (scores of 0 reflect no alcohol use). In men, a score of 4 or more is considered positive for hazardous drinking; in women, a score of 3 or more is considered positive for hazardous drinking. Generally, the higher the AUDIT-C score, the more likely it is that the patient's drinking is affecting his/her health and safety.

Plazo: 0 and 12-weeks post-intervention

The PASBQ assesses frequency and time spent in physical activity and sedentary behaviors. These time will be compared to Centers for Disease Control and Prevention (CDC) to determine if current guidelines are being met (yes/no) for 150 minutes of moderate aerobic activity (or 75 minutes of vigorous aerobic activity) and 2 or more days of muscle strengthening activities.

Plazo: 0 and 12-weeks post-intervention

The DRA assesses dietary patterns. A total DRA score and 4 subscales (Nuts, Oils, Dressings, and Spreads; Vegetables, Fruit, Whole Grains, and Beans; Drinks, Desserts, Snacks, Eating Out, and Salt; and Fish, Meat, Poultry, Dairy, and Eggs) can be derived. Subscales are scored independently by assigning score values accordingly: 2 for response choices in the "Desirable" column; 1 for response choices in the "Could be improved" column; and 0 for response choices in the "Needs to be improved" column. Sum the 4 subscales to obtain a total DRA score ranging 0 to 46. For all scoring, a higher score represents a more healthful dietary pattern.

Plazo: 0 and 12-weeks post-intervention

The FTND assesses dependence on nicotine. Scores for all item are summed. Scores of �1-2: low dependence; 3-4 low to moderate dependence; 5-7 moderate dependence; 8+ high dependence.

Plazo: 0- and 12-weeks post-intervention

Interleukin-6 and C-reactive protein measured in picograms per milliliter of blood

Mindfulness and Behavior Change to Improve Cardiovascular Health of Older People With HIV