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

Patricia Solomon; Nancy M Salbach; Kelly K O’Brien; Stephanie Nixon; Larry Baxter; Nicole Gervais

doi:10.5463/dcid.v30i4.854

Patricia Solomon ⁽¹⁾, Nancy M Salbach ⁽²⁾, Kelly K O’Brien ⁽³⁾, Stephanie Nixon ⁽⁴⁾, Larry Baxter ⁽⁵⁾, Nicole Gervais ⁽⁶⁾

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

(2) Department of Physical Therapy, University of Toronto, Canada,

(3) Department of Physical Therapy, University of Toronto, Canada,

(4) Department of Physical Therapy, University of Toronto, Canada,

(5) Community HIV Volunteer, Canada,

(6) School of Rehabilitation Science, McMaster University, Canada

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

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

Submitted
September 14, 2020

Published
May 15, 2020

Keywords:

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

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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.

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Authors

Patricia Solomon

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

solomon@mcmaster.ca (Primary Contact)

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

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.

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 2025 Feb. 23];30(4):127-38. Available from: https://dcidj.uog.edu.et/index.php/up-j-dcbrid/article/view/343

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