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Study Design:   Case report.Background:   Twenty-five percent of people living with HIV/AIDS (PLWHA) are also coinfected with hepatitis C virus (HCV). There are limited reports to assist in the symptom management of PLWHA and HCV coinfection.Case Description:   Our case was a 67-year-old man living with HIV/HCV coinfection and other medical complications. Our intervention consisted of a 6-week progressive conditioning program, while his activity and sleep pattern were monitored using a wrist accelerometer.Outcomes:   After completing a conditioning training, there was a 64% decrease in the number of waking episodes per night and 68% decrease in activity at night. Based on Pittsburgh Sleep Quality Index scores, the participant transitioned from being a “poor sleeper” to a “good sleeper.” A 40% decrease in pain was reported. Functional outcome measures also showed improvements.Discussion:   There were improvements in the participant’s sleep quality and pain. The use of a commercial accelerometer may assist in objectively tracking compliance and activity changes.

Management of Sleep Quality and Pain in an Individual Living with HIV and Hepatitis C Coinfection Using an Activity Monitor