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Editorial HIV/AIDS and employment: the continuing challenge. 2006
Braveman B, Kielhofner G. · No affiliation provided · Work. · Pubmed #17066575 No free full text.
This publication has no abstract.
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Review HIV/AIDS and return to work: a literature review one-decade post-introduction of combination therapy (HAART). 2006
Braveman B, Levin M, Kielhofner G, Finlayson M. · Department of Occupational Therapy, University of Illinois at Chicago, Chicago, IL 60612, USA. · Work. · Pubmed #17006006 No free full text.
Abstract: It has been a little over one decade since the introduction of the first protease inhibitor that ushered in new era of treatment for persons living with human immunodeficiency virus (HIV) and Acquired Immune-Deficiency Syndrome (AIDS). As of the end of 2003, an estimated 37.8 million people worldwide were infected with the HIV. It is estimated that there are 850,000-950,000 persons in the United States living with human immunodeficiency virus (HIV) and that the incident rate is new cases each year. Since AIDS affects so many people of working age in the US, issues of employment, work rehabilitation and AIDS in the workplace have all become major concerns. The paper presents a review of the literature published during a ten year period that is relevant to understanding the various needs and barriers related to work as well as services designed to address them.
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Article Interdisciplinary staff perceptions of an occupational therapy return to work program for people living with AIDS. 2006
Bowyer P, Kielhofner G, Braveman B. · Department of Occupational Therapy, University of Illinois at Chicago, Chicago, IL 60612, USA. · Work. · Pubmed #17006005 No free full text.
Abstract: The purpose of this qualitative study was to identify the perception of interdisciplinary staff members regarding the impact of a model work and independent living oriented program for residents in supportive living facilities. This study used focus groups and individual interviews to collect these perceptions. Staff members identified four areas of impact: utilization of a holistic and process-oriented approach, an ability to identify and work with the strengths of clients, emphasis on the learning of practical skills, and creating an intersection for all aspects of services. These findings point to the fact that staff members found the value that occupational therapy has to offer their overall programming by improving participation of clients with HIV in learning practical skills for use in their daily lives and in developing work related skills.
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Article Occupational identity, occupational competence and occupational settings (environment): influences on return to work in men living with HIV/AIDS. 2006
Braveman B, Kielhofner G, Albrecht G, Helfrich C. · Department of Occupational Therapy, University of Illinois at Chicago, Chicago, IL 60612, USA. · Work. · Pubmed #17006003 No free full text.
Abstract: AIMS: The aim of this study was to examine and describe the relationship between the efforts of twelve men living with AIDS to reestablish a worker role following completion of a vocational rehabilitation program and changes in their occupational identity, occupational competence and perception of occupational settings (environment). METHODS: A series of in-depth interviews were conducted, transcribed and analyzed via categorical content analysis using sections of the text as the unit of analysis. FINDINGS: Findings illustrate how constructs measured by the sub-scales of the OPHI-II may be helpful in understanding how persons frame past, present and anticipated experiences as they attempt to reestablish a life role lost after the onset of disability. The findings are supported by the quantitative item hierarchies of the occupational identity, occupational competence and occupational settings (environment) scales established in earlier quantitative research via Rasch analysis. CONCLUSION: The constructs of occupational identity, occupational competence and occupational settings (environment) are useful constructs to aid in understanding the experiences and narratives of persons attempting to reenter a major life role.
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Article Impairments and perceived competence in persons living with HIV/AIDS. 2006
Anandan N, Braveman B, Kielhofner G, Forsyth K. · University of Illinois at Chicago, Chicago, IL 60612, USA. · Work. · Pubmed #17006002 No free full text.
Abstract: Medical advances have transformed HIV/AIDS from a short-term terminal illness to a long-term chronic condition. Consequently, the disability experience of persons with HIV illness has shifted from issues related to physical well-being to those concerning performance of daily life activities and wider community participation. These changes have necessitated rehabilitation interventions for persons with HIV/AIDS to focus on issues related to enabling participation in all spheres of everyday activities. However, limited information is available on the impairments prevalent in the emergent population of people living with HIV/AIDS and on the impact of these impairments on the person's functional performance and participation in various occupations of daily living. The present study attempted to explore these issues as they are experienced by the emergent population of people living with HIV/AIDS. The purpose of the study was: (1) to explore occupational functioning across various activities, (2) to describe the various impairments prevalent in this population, and (3) to examine the impact of these impairments on the person's perceived occupational competence. Two instruments, the Sign and symptom checklist for persons with HIV disease and the Occupational Self-Assessment were administered to a sample of 35 individuals (Mean age=42.8 yrs.) living in supportive living facilities. Impairments most commonly identified by the participants included: fatigue; fear/worries; difficulty concentrating; muscle aches; and depression. The two primary areas of occupational functioning where participants reported experiencing moderate to severe difficulty included: managing finances and physically engaging in activities which were reported by 67.7% and 35.5% of the participants respectively. No statistically significant correlation was observed between various measures of impairments and the overall measure of perceived occupational competence for the sample of individuals living with HIV/AIDS included in this study.
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