An Educational Intervention to Promote Access to Rehabilitation for People Living with HIV

Authors

  • Patricia Solomon School of Rehabilitation Science, McMaster University, 1400 Main St. W, IAHS – 403, Hamilton, ON L8S 1C7
  • Nancy M Salbach Department of Physical Therapy, University of Toronto
  • Kelly K O’Brien Department of Physical Therapy, University of Toronto
  • Stephanie Nixon Department of Physical Therapy, University of Toronto
  • Larry Baxter Community HIV Volunteer
  • Nicole Gervais School of Rehabilitation Science, McMaster University

DOI:

https://doi.org/10.5463/dcid.v30i4.854

Keywords:

Educational intervention, self-management, patient activation, rehabilitation for HIV

Abstract

This paper describes the design and novel features of an evidence- and theory-informed client activation intervention to increase the capacity of people living with HIV to: 1) self-manage their health-related challenges using rehabilitation strategies, and 2) communicate their rehabilitation needs to their healthcare providers to improve access to rehabilitation.

Building on social-cognitive theory and evidence, the intervention is a community-based workshop to develop knowledge and skills of people living with HIV to advocate for rehabilitation services. Novel features include engagement of community-based organisations in a train-the-trainer delivery model, a problem-based learning design to promote problem-solving and application, and a focus on client-centred practice.

The intervention is flexible and adaptable. Health providers in other countries and contexts could use the pedagogical features to develop a workshop to meet their local needs.  Given that most knowledge transfer interventions aim to change health provider behaviour, the focus on teaching people living with HIV to advocate for referral to rehabilitation is unique. The workshop model may be of interest to those in communities where access to rehabilitation for people living with HIV can be limited due to a lack of knowledge of the potential role of rehabilitation.

Author Biographies

Patricia Solomon, School of Rehabilitation Science, McMaster University, 1400 Main St. W, IAHS – 403, Hamilton, ON L8S 1C7

Patricia Solomon is a Professor at the School of Rehabilitation Science at McMaster University. Her research interests focus on knowledge translation interventions and episodic disability in people living with HIV.

Nancy M Salbach, Department of Physical Therapy, University of Toronto

Nancy Salbach is an implementation scientist in rehabilitation. She is an Associate Professor and a Heart & Stroke Mid-career Investigator in the Department of Physical Therapy at the University of Toronto. She holds an MSc degree in rehabilitation science and a PhD degree in epidemiology and biostatistics. Her research interests include development and implementation of resources and community exercise programs to improve balance and mobility among older adults with stroke and other chronic health conditions.

Kelly K O’Brien, Department of Physical Therapy, University of Toronto

Kelly K O'Brien is an Associate Professor at the Department of Physical Therapy at University of Toronto. She holds a Canada Research Chair in Episodic Disability and Rehabilitation. Her research interests include measurement of episodic disability and examining the effectiveness of rehabilitation interventions for adults aging with HIV.

Stephanie Nixon, Department of Physical Therapy, University of Toronto

Stephanie Nixon, PT, PhD, is an Associate Professor in the Department of Physical Therapy, cross-appointed at the Rehabilitation Sciences Institute and the Dalla Lana School of Public Health at the University of Toronto. She has been an HIV activist and global health researcher for 20 years. Stephanie is co-founder and Director of the International Centre for Disability and Rehabilitation. Her research explores how systems of oppression shape health research, education and practice, and the role of people in positions of unearned advantage in disrupting these harmful patterns.

Larry Baxter, Community HIV Volunteer

Larry is a person living with HIV, now retired from the nonprofit and homecare sector. From Halifax, he continues as a patient partner on various national or Ontario based HIV and rehabilitation research projects as well as primary health care and multi morbidity research in Atlantic Canada.

Nicole Gervais, School of Rehabilitation Science, McMaster University

At the time of this study, Nicole Gervais was a Research Coordinator, School of Rehabilitation Science, McMaster University.

Downloads

Published

2020-05-15

How to Cite

1.
Solomon P, Salbach NM, O’Brien KK, Nixon S, Baxter L, Gervais N. An Educational Intervention to Promote Access to Rehabilitation for People Living with HIV. DCIDJ [Internet]. 2020 May 15 [cited 2024 Sep. 8];30(4):127-38. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/343

Issue

Vol. 30 No. 4 (2019): Winter 2019

Section

Brief reports

License

Copyright (c) 2020 The Author(s)

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License By-NC-ND 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Crossref
Scopus
Google Scholar
Europe PMC