HOLA is a community health worker (CHW)-led, multicomponent, health promotion intervention consisting of: (1) a social and physical activation session; (2) a moderately intense group walk led by a CHW for 45 minutes, 3x/week for 16 weeks; (3) pleasant events scheduling. This study will address the following specific aims: to evaluate the feasibility of recruitment, assessment procedures, retention, acceptability, and implementation of HOLA in a sample of midlife and older Latinos living with HIV (Aim 1); to identify modifications needed in the design of a larger, confirmatory randomized controlled trial (Aim 2); to explore changes in cardiometabolic risk factors (waist circumference, dyslipidemia, hypertension, and glucose), psychosocial functioning (depression and anxiety severity, social support), and health-related quality of life in a sample of midlife and older Latinos living with HIV enrolled in the HOLA health promotion intervention (Aim 3). This pilot study is not powered to test a hypothesis. Rather, we will evaluate the feasibility of recruitment, assessment procedures, retention, acceptability, and implementation of HOLA in a sample of midlife and older Latinos living with HIV. This pilot study will inform feasibility and identify modifications needed in the design of a larger hypothesis testing study (R01).
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