Table 1.7: Roles of Rehabilitation Providers
| Roles of Rehabilitation Providers | Examples |
|---|---|
| Clinical care | From health promotion, to prevention, referrals, acute care, rehabilitation, habilitation and palliation.
E.g., see Section 1.8 for details of clinical roles for rehabilitation. |
| Advocacy | Using one’s knowledge and status in the community to advocate for change in support of the needs of people living with, or at risk for, HIV.
E.g., advocating for inclusion of rehabilitation in HIV National Strategic Plans, advocating for HIV physicians to refer to rehabilitation, advocating for people living with HIV who are marginalized to receive equitable care, advocating for food security. |
| Capacity- building | Providing training to others to enhance the inclusion and participation of people living with HIV in their communities.
E.g., education to employers about how to support employees living with HIV, education to parents or other family members about appropriate HIV precautions and how to combat HIV-related stigma. |
| Research | Rehabilitation researchers can incorporate HIV into the conditions that they are investigating along with developing and conducting HIV specific studies.
E.g., research to develop a tool to assess HIV-related disability,1 research on when and how people with disabilities may be excluded from HIV care and how to address this,2 research on non-pharmacological treatment of peripheral neuropathy or lipodystrophy,3,4 research on rehabilitation with children living with HIV,5 rehabilitation on pain management in HIV,6 research on safe and effective exercise prescription for people living with HIV.7,8 |
1 O’Brien KK, Bayoumi AM, Bereket T, Swinton M, Alexander R, King K, Solomon P. Sensibility assessment of the HIV Disability Questionnaire. Disabil Rehabil. 2013 Apr;35(7):566-77. doi: 10.3109/ 09638288.2012.702848. Epub 2012 Jul 21. PubMed PMID: 22816434.
2 Nixon SA, Cameron C, Hanass-Hancock J, Simwaba P, Solomon P, Bond V, Menon JA, Richardson E, Stevens M, Zack E. Perceptions of HIV-related health services in Zambia for people with disabilities who are HIV-positive. J Int AIDS Society. 2014;17:18806.
3 Mutimura E, Crowther NJ, Cade TW, Yarasheski KE, Stewart A. Exercise training reduces central adiposity and improves metabolic indices in HAART-treated HIV-positive subjects in Rwanda: a randomized controlled trial. AIDS Res Hum Retroviruses. 2008a Jan;24(1):15-23. PubMed PMID: 18275343.
4 Mutimura E, Stewart A, Crowther NJ, Yarasheski KE, Cade WT. The effects of exercise training on quality of life in HAART-treated HIV-positive Rwandan subjects with body fat redistribution. Qual Life Res. 2008b Apr;17(3):377-85. PubMed PMID: 18320351.
5 Potterton J, Stewart A, Cooper P, Becker P. The effect of a basic home stimulation program on the development of young children infected with HIV. Dev Med Child Neurol. 2010 Jun;52(6):547-51. doi: 10.1111/j.1469-8749.2009.03534.x. Nov 28. PMID: 20002116.
6 Parker R, Stein DJ, Jelsma J. Pain in people living with HIV/AIDS: a systematic review. J Int AIDS Soc. 2014; 17(1): 18719. Published online Feb 18, 2014. doi: 10.7448/IAS.17.1.18719.
7 O’Brien KK, Tynan AM, Nixon SA, Glazier RH. Effectiveness of Progressive Resistive Exercise (PRE) in the context of HIV: systematic review and meta-analysis using the Cochrane Collaboration protocol. BMC Infect Dis. 2017 Apr 12;17(1):268. doi: 10.1186/s12879-017-2342-8. PMID: 28403830.
8 O’Brien KK, Tynan AM, Nixon SA, Glazier RH. Effectiveness of aerobic exercise for adults living with HIV: systematic review and meta-analysis using the Cochrane Collaboration protocol. BMC Infect Dis. 2016 Apr 26;16:182. doi: 10.1186/s12879-016-1478-2. PMID: 27112335