Rehabilitation professionals and human immunodeficiency virus care: results of a national Canadian survey

Arch Phys Med Rehabil. 2008 Jan;89(1):105-13. doi: 10.1016/j.apmr.2007.10.009.

Abstract

Objective: To describe rehabilitation professionals' practices, knowledge and training, professional views, and service delivery issues for people living with human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (PHAs) in Canada.

Design: Nationwide cross-sectional postal survey.

Setting: Canada.

Participants: Random sample (N=2105) of occupational therapists, physical therapists, speech-language pathologists, and physiatrists who had practiced in the past year.

Interventions: Not applicable.

Main outcome measures: Survey items on current practices, HIV knowledge and training, professional views on rehabilitation and HIV, and HIV rehabilitation service delivery issues.

Results: Seventy-four percent (1492/2006) of the traceable sample responded, 53% (n=1058) of whom yielded completed surveys. Sixty-one percent of survey respondents never knowingly had served an HIV-positive patient. Of this group, 27% indicated these were patients they would like to work with, 27% indicated they were unwilling, and 46% were unsure. The 39% who knowingly had served PHAs had served an average of 4 PHAs in the last year, and less than 25% of their HIV patients' rehabilitation issues were HIV-related.

Conclusions: Despite the role rehabilitation professionals have to play in the care of PHAs, only a minority serves PHAs. Results of this survey show a potential gap between the documented rehabilitative needs of PHAs and services provided by the rehabilitation professional community.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Allied Health Occupations*
  • Canada
  • Cross-Sectional Studies
  • Female
  • HIV Infections / rehabilitation
  • HIV Infections / therapy*
  • Health Care Surveys*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Referral and Consultation / statistics & numerical data
  • Rehabilitation