Table 2.

A New Approach to Prioritizing Key Care Components for the Older Adult with HIV: The Six M’s

*MODIFIABLE: Prioritization of interventions that target the most modifiable risk factors (physical activity, obesity, nutrition, substance use) that impact multiple bio/psycho/social systems		Components	Interventions
	MIND	Cognition, depression, mood	Evaluate and treat mood disorders Evaluate/treat comorbidities and polypharmacy that may contribute to cognitive decline Physical activity and mentally stimulating activities across the lifespan to maintain cognitive function Ensure safety (i.e., consideration of driving safety, social support at home, medication administration)
	MOBILITY	Gait, balance, falls	Fall intervention programs Physical activity Physical/occupational therapy Home safety assessments
	MEDICATIONS	Polypharmacy and drug-drug interactions	Reduce polypharmacy Prescribe treatments specific for older person’s needs Identify medication adverse effects
	MULTI-COMPLEXITY	Consideration of comorbidities within complex social circumstances and limitations	Consideration of the highest priority screening and treatment guidelines, without contributing to polypharmacy. Assess living conditions and competing priorities Help older adults manage a variety of health conditions
	MATTERS MOST TO ME	An individual’s own health outcome goals and care preferences	Coordinate advance care planning Manage goals of care Risk/benefit discussions when considering priorities and goals of care

^*added to the Geriatric 35 M’s Model