Amsterdam 2015
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| Abstract #2062 - Poster 1 | ||||
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Session: 58.10: Poster 1 (Poster) on Tuesday in Chaired by Authors: Presenting Author: Mr Saul Cobbing - University of KwaZulu-Natal, South Africa |
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| Additional Authors: Dr Kouassi Martin, Mr Brou Sylvain, | ||||
| Aim: To describe and evaluate findings related to the design and implementation of a novel home based rehabilitation itervention for people living with HIV and disability in KwaZulu-Natal, South Africa. | ||||
| Method / Issue: Design: Descriptive evaluation of a randomized controlled trial assessing a HBR programme for PLHIV. Study setting: A public-funded hospital in a resource-poor community in KwaZulu-Natal, South Africa. Population: Adult HIV positive patients recruited from the hospital´s HIV clinics, on HAART for at least six months and who live with a defined physical disability. Sampling: Random allocation to intervention or control group. Research procedure: Home based care workers were trained to assess study outcome measures and implement the HBR programme, under the guidance of the lead researcher, a qualified physiotherapist. Outcome measures assessing participants´ quality of life, perceived level of disability, functional ability and endurance were assessed before and after a four month HBR programme, undertaken by participants in the intervention group. Participants in the control group continued with the standard clinic management and received written advice on home exercise.Carers and participants experiences of the HBR programme will be obtained via written feedback and interviews. | ||||
| Results / Comments: The results describe the successes and challenges of training home base carers to implement a HBR programme for adult PLHIV, from the point of view of the carers and the participants. Preliminary quantitative findings from the randomised controlled trial intervention will also be presented. | ||||
| Discussion: This study demonstrates that a task-shifting approach is a valuable means of providing alternative rehabilitation options to PLHIV in a resource-poor community. By training care workers to conduct simple HBR, it may be possible to scale up the treatment of the ever-growing number of individuals living with HIV and disability. | ||||
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