1
|
McKinney-Prupis E, Chiu YCJ, Grov C, Tsui EK, Duke SI. Psychosocial and Health-Related Behavioral Outcomes of a Work Readiness HIV Peer Worker Training Program. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4322. [PMID: 36901333 PMCID: PMC10001842 DOI: 10.3390/ijerph20054322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 02/22/2023] [Accepted: 02/22/2023] [Indexed: 06/18/2023]
Abstract
Targeted work readiness training is an important approach to help people living with HIV (PLHIV) to overcome their unique barriers to work, while addressing social determinants of health needs. This study assesses the psychosocial impacts of a work readiness training and internship program among HIV peer workers in New York City. From 2014 through 2018, 137 PLHIV completed the training program, and 55 individuals completed both the training and the six-month peer internship. Depression, HIV internalized stigma, self-esteem, HIV medication adherence, patient self-advocacy, and safer sex communication apprehension were used as outcome measures. Paired t-tests were performed to determine if significant score changes occurred at the individual level before and after each training. Our results show that participating in the peer worker training program significantly decreased depression and internalized HIV stigma, and significantly increased self-esteem, medication adherence, and patient self-advocacy. The study underscores that peer worker training programs are important tools to improve not only the work readiness of PLHIV, but also psychosocial and health outcomes. Implications for HIV service providers and stakeholders are discussed.
Collapse
Affiliation(s)
| | | | - Christian Grov
- Graduate School of Public Health and Health Policy, City University of New York, New York, NY 10017, USA
| | - Emma K. Tsui
- Graduate School of Public Health and Health Policy, City University of New York, New York, NY 10017, USA
| | | |
Collapse
|
2
|
Britt E, Soleymani S, Wallace‐Bell M, Garland A. Motivational interviewing for employment: An exploration of practitioner skill and client change talk. JOURNAL OF EMPLOYMENT COUNSELING 2022. [DOI: 10.1002/joec.12198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Eileen Britt
- School of Psychology, Speech & Hearing University of Canterbury Christchurch New Zealand
| | - Sara Soleymani
- School of Psychology, Speech & Hearing University of Canterbury Christchurch New Zealand
| | - Mark Wallace‐Bell
- School of Health Sciences University of Canterbury Christchurch New Zealand
| | - Anna Garland
- School of Psychology, Speech & Hearing University of Canterbury Christchurch New Zealand
| |
Collapse
|
3
|
McElhiney MC, Rabkin JG, Wainberg ML, Finkel MR, Scodes J. Comparison of counseling methods to promote employment for HIV+ ADULTS. Work 2021; 69:981-995. [PMID: 34219692 DOI: 10.3233/wor-213529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Despite improved health and during a strong job market (pre-COVID-19), a substantial proportion of HIV+ adults remained unemployed. This study sought to provide time-limited counseling to promote employment goals. OBJECTIVE To determine whether behavioral activation (BA) or supportive counseling (SC), would be more effective in promoting vocational goals (full or part-time, paid or volunteer). METHODS The study included two groups: those with clinically significant fatigue, who were first treated with armodafinil. Once their fatigue diminished, they were enrolled in the counseling program. Those without fatigue were enrolled directly. Both BA and SC interventions were manualized, consisting of eight individual sessions plus a follow-up. RESULTS 116 participants entered counseling, including 87 assigned to BA and 29 to SC. Of these, 79 completed counseling or found a job by session eight. By follow-up, 51%of BA versus 41%of SC participants had found jobs, a non-significant difference either clinically or statistically. CONCLUSIONS Multiple issues contributed to difficulty in employment, including gaps in resumes, loss of contact with former colleagues, and uncertainty about career direction. Ongoing barriers included substance use, housing instability, ambivalence about forfeiting government benefits, as well as inadequately treated depression. Success in employment for about half of participants is, in this context, a reasonable outcome.
Collapse
Affiliation(s)
- Martin C McElhiney
- Department of Mood, Anxiety, Eating and Related Disorders New York State Psychiatric Institute New York, NY, USA.,Department of Psychiatry, College of Physicians and Surgeons, Columbia University Medical Center New York, NY, USA
| | - Judith G Rabkin
- Department of Mood, Anxiety, Eating and Related Disorders New York State Psychiatric Institute New York, NY, USA.,Department of Psychiatry, College of Physicians and Surgeons, Columbia University Medical Center New York, NY, USA
| | - Milton L Wainberg
- Department of Psychiatry, College of Physicians and Surgeons, Columbia University Medical Center New York, NY, USA.,Department of Translational Epidemiology New York State Psychiatric Institute New York, NY, USA
| | - Madeline R Finkel
- Department of Psychiatry, College of Physicians and Surgeons, Columbia University Medical Center New York, NY, USA
| | - Jennifer Scodes
- Department of Mental Health Data Science New York State Psychiatric Institute New York, NY, USA
| |
Collapse
|
4
|
Verhoef JAC, Bal MI, Roelofs PDDM, Borghouts JAJ, Roebroeck ME, Miedema HS. Effectiveness and characteristics of interventions to improve work participation in adults with chronic physical conditions: a systematic review. Disabil Rehabil 2020; 44:1007-1022. [PMID: 32686963 DOI: 10.1080/09638288.2020.1788180] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE Chronic physical conditions often negatively affect work participation. The objective of this systematic review is to investigate the effectiveness and characteristics of vocational rehabilitation interventions for people with a chronic physical condition. METHODS Searches in five databases up to April 2020 identified 30 studies meeting our inclusion criteria. Two reviewers independently assessed and extracted data. The Grading of Recommendation, Assessment, Development and Evaluation (GRADE) framework was used to evaluate quality of evidence for three outcome measures related to work participation. RESULTS All vocational rehabilitation interventions consisted of multiple components, but their characteristics varied widely. Analysis of 22 trials yielded a moderate positive effect with moderate certainty of interventions on work status; analysis of five trials with low risk of bias showed a large positive effect with moderate certainty (risk ratio 1.33 and 1.57, respectively). In addition, in eight studies we found a moderate to small positive effect with low certainty on work attitude (standardized mean difference = 0.59 or 0.38, respectively). We found no effect on work productivity in nine studies. CONCLUSION The systematic review of the literature showed positive effects of vocational rehabilitation interventions on work status and on work attitude; we found no effect on work productivity.Implications for rehabilitationIn rehabilitation, addressing work participation of persons with a chronic physical condition using targeted interventions is beneficial to improve or sustain work participation, irrespective of the intervention characteristics and diagnosis.Interventions that include multiple components and offer individual support, whether or not combined with group sessions, are likely to be more effective in improving work participation in persons with a chronic physical condition.The overview of vocational interventions in this systematic review may assist healthcare professionals in making informed decisions as to which intervention to provide.Vocational rehabilitation, as well as studies on work participation in chronic disease, should include a long follow-up period to explore if work participation is sustainable and contributes to health and wellbeing.
Collapse
Affiliation(s)
- Joan A C Verhoef
- Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.,Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Marjolijn I Bal
- Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.,Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Pepijn D D M Roelofs
- Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands
| | - Jeroen A J Borghouts
- Research Centre Caring Society, Avans University of Applied Sciences, Breda, The Netherlands
| | - Marij E Roebroeck
- Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.,Rijndam Rehabilitation Institute, Rotterdam, The Netherlands
| | - Harald S Miedema
- Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands
| |
Collapse
|
5
|
de Oliveira DC, Oliveira DS, Cecilio HPM, Apostolidis T, da Silva Coqueiro R. Time perspective and associated factors in Brazilians living with HIV. ACTA ACUST UNITED AC 2019; 28:580-586. [PMID: 31070973 DOI: 10.12968/bjon.2019.28.9.580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
BACKGROUND a person's time perspective can be an important variable for the understanding of behaviours that interfere with the quality of life of people living with HIV. AIMS to analyse the relationships between socio-demographic, clinical, and behavioural variables and the time perspective in Brazilians living with HIV. METHODS a cross-sectional study was conducted with a convenience sample of 281 people living with HIV in Brazil. The time perspective was evaluated using the Zimbardo Temporal Perspective Inventory (ZTPI-25). RESULTS the main findings indicate that people living with HIV are more oriented towards a future and positive past perspective, and that socio-demographic, clinical, and behavioural factors may influence the different temporal perspective constructs in people living with HIV. CONCLUSION health professionals can use the results of the present study to support strategies that encourage individuals living with HIV to self-care and lead healthier lives.
Collapse
Affiliation(s)
- Denize Cristina de Oliveira
- Full Professor, Adjunct Coordinator and Professor of the Graduate Programme in Nursing, and Professor of the Graduate Programme in Social Psychology, Universidade do Estado do Rio de Janeiro; Researcher 1A, National Council for Scientific and Technological Development, Brazil
| | - Daniela Sousa Oliveira
- Professor, Universidade do Estado da Bahia, PhD Student in the Graduate Programme in Nursing, Universidade do Estado do Rio de Janeiro, Brazil
| | | | | | | |
Collapse
|
6
|
Britt E, Sawatzky R, Swibaker K. Motivational Interviewing to Promote Employment. JOURNAL OF EMPLOYMENT COUNSELING 2018. [DOI: 10.1002/joec.12097] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Eileen Britt
- Department of Psychology, University of Canterbury, Christchurch, New Zealand
| | | | | |
Collapse
|
7
|
|
8
|
Witter S, Namakula J, Alonso-Garbayo A, Wurie H, Theobald S, Mashange W, Ros B, Buzuzi S, Mangwi R, Martineau T. Experiences of using life histories with health workers in post-conflict and crisis settings: methodological reflections. Health Policy Plan 2017; 32:595-601. [PMID: 28052985 PMCID: PMC5400054 DOI: 10.1093/heapol/czw166] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/14/2016] [Indexed: 11/16/2022] Open
Abstract
Introduction: Life history is a research tool which has been used primarily in sociology and anthropology to document experiences of marginalized individuals and communities. It has been less explored in relation to health system research. In this paper, we examine our experience of using life histories to explore health system trajectories coming out of conflict through the eyes of health workers. Methods: Life histories were used in four inter-related projects looking at health worker incentives, the impact of Ebola on health workers, deployment policies, and gender and leadership in the health sector. In total 244 health workers of various cadres were interviewed in Uganda, Sierra Leone, Zimbabwe and Cambodia. The life histories were one element within mixed methods research. Results: We examine the challenges faced and how these were managed. They arose in relation to gaining access, data gathering, and analysing and presenting findings from life histories. Access challenges included lack of familiarity with the method, reluctance to expose very personal information and sentiments, lack of trust in confidentiality, particularly given the traumatized contexts, and, in some cases, cynicism about research and its potential to improve working lives. In relation to data gathering, there was variable willingness to draw lifelines, and some reluctance to broach sensitive topics, particularly in contexts where policy-related issues and legitimacy are commonly still contested. Presentation of lifeline data without compromising confidentiality is also an ethical challenge. Conclusion: We discuss how these challenges were (to a large extent) surmounted and conclude that life histories with health staff can be a very powerful tool, particularly in contexts where routine data sources are absent or weak, and where health workers constitute a marginalized community (as is often the case for mid-level cadres, those serving in remote areas, and staff who have lived through conflict and crisis).
Collapse
Affiliation(s)
- Sophie Witter
- Professor of International Health Financing and Health Systems, ReBUILD and Queen Margaret University, Edinburgh, UK
| | - Justine Namakula
- Research Fellow, ReBUILD and Department of Health Policy, Planning and Management, Makerere School of Public Health, Kampala, Uganda
| | | | - Haja Wurie
- Health Systems Researcher, ReBUILD Consortium and College of Medicine and Allied Health Sciences, University of Sierra Leone, Freetown
| | - Sally Theobald
- Social Science and International Health, ReBUILD and RinGS consortia, Liverpool School of Tropical Medicine, Liverpool, UK.,Institute of Development Studies, Sussex, UK
| | - Wilson Mashange
- ReBUILD and Biomedical Research and Training Institute, Harare, Zimbabwe
| | - Bandeth Ros
- ReBUILD and RinGS consortia, Cambodian Development Resource Institute, Phnom Penh, Cambodia
| | - Stephen Buzuzi
- Public Health Researcher, ReBUILD and RinGS consortia, Biomedical Research and Training Institute, Harare, Zimbabwe
| | - Richard Mangwi
- ReBUILD and Department of Health Policy, Planning and Management, Makerere School of Public Health, Kampala, Uganda
| | - Tim Martineau
- Rebuild and Liverpool School of Tropical Medicine, Liverpool, UK
| |
Collapse
|
9
|
Research on rehabilitation interventions for adults living with HIV: a scoping review. Int J Rehabil Res 2017; 39:106-16. [PMID: 27028287 DOI: 10.1097/mrr.0000000000000166] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The aim of this paper is to use a scoping review to investigate the extent, range, and nature of research on rehabilitation interventions for adults living with HIV. Electronic databases (MEDLINE, EMBASE, CINAHL, AMED, and PsychINFO) and reference lists of the included articles were searched. Authors were emailed when possible for unavailable articles. A total of 897 titles and abstracts were retrieved. Thirty-three articles were included. There were 27 different rehabilitation interventions delivered by 18 professions. The studies were completed in four different countries. Most studies were published in 2008. A randomized-controlled trial was the most used method. The nature of the studies was analyzed according to the three-core concepts of the International Classification of Functioning, Disability and Health: 28 studies addressed impairments; six studies addressed activity limitations; and 14 studies addressed participation restrictions. This scoping study advances the knowledge of research on rehabilitation interventions for adults living with HIV. More research on rehabilitation interventions is needed in sub-Saharan Africa and other low-income and middle-income countries to ensure that these individuals are receiving the best possible care. There is a need for the HIV field to recognize the important contribution of rehabilitation toward the HIV care continuum.
Collapse
|
10
|
Abstract
This study documented the outcomes of 108 HIV-positive persons receiving vocational rehabilitation services. Over a 12-month follow-up, participants reported significantly decreased odds of any unstable housing [Adjusted Odds Ratio (AOR) = 0.21; 95 % CI 0.05-0.90; p < .05] and increased odds of being employed at least part-time (AOR = 10.19; 95 % CI 2.40-43.21; p < .01). However, reductions in perceived barriers to employment and increases in income were more pronounced among those not receiving disability benefits at baseline. This was consistent with findings from baseline qualitative interviews with 22 participants where those not on disability were subject to bureaucratic hurdles to rapidly accessing benefits and anticipated stigma of being on disability that propelled them to rejoin the workforce. Vocational rehabilitation could address key structural barriers to optimizing HIV treatment as prevention, and novel approaches are needed to improve outcomes among individuals receiving disability benefits.
Collapse
|
11
|
Webel AR, Wantland D, Rose CD, Kemppainen J, Holzemer WL, Chen WT, Johnson MO, Nicholas P, Eller LS, Chaiphibalsarisdi P, Sefcik E, Nokes K, Corless IB, Tyer-Viola L, Kirksey K, Voss J, Sullivan K, Rivero-Méndez M, Brion J, Iipinge S, Phillips JC, Portillo C. A Cross-Sectional Relationship Between Social Capital, Self-Compassion, and Perceived HIV Symptoms. J Pain Symptom Manage 2015; 50:59-68. [PMID: 25659523 PMCID: PMC4492802 DOI: 10.1016/j.jpainsymman.2014.12.013] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 12/15/2014] [Accepted: 01/07/2015] [Indexed: 01/28/2023]
Abstract
CONTEXT Individual resources of social capital and self-compassion are associated with health behaviors and perceived symptoms, suggesting that both are positive resources that can be modified to improve a person's symptom experience. OBJECTIVES The aim was to examine the relationship between self-compassion and social capital and its impact on current HIV symptom experience in adult people living with HIV (PLWH). We further explored the impact of age on this relationship. METHODS We conducted a cross-sectional analysis of 2182 PLWH at 20 sites in five countries. Social capital, self-compassion, and HIV symptom experience were evaluated using valid and reliable scales. To account for inflated significance associated with a large sample size, we took a random sample of 28% of subjects (n = 615) and conducted correlation analyses and zero-inflated Poisson regression, controlling for known medical and demographic variables impacting HIV symptom experience. RESULTS Controlling for age, sex at birth, year of HIV diagnosis, comorbid health conditions, employment, and income, our model significantly predicted HIV symptom experience (overall model z = 5.77, P < 0.001). Employment status and social capital were consistent, negative, and significant predictors of HIV symptom experience. Self-compassion did not significantly predict HIV symptom experience. For those reporting symptoms, an increase in age was significantly associated with an increase in symptoms. CONCLUSION Employment and social capital modestly predicted current HIV symptom experience. Social capital can be incorporated into symptom management interventions, possibly as a way to reframe a person's symptom appraisal. This may be increasingly important as PLWH age. The relationship between employment status and HIV symptom experience was significant and should be explored further.
Collapse
Affiliation(s)
- Allison R Webel
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
| | | | - Carol Dawson Rose
- Community Health Systems, University of California School of Nursing at San Francisco, San Francisco, California, USA
| | - Jeanne Kemppainen
- University of North Carolina Wilmington, Wilmington, North Carolina, USA
| | | | - Wei-Ti Chen
- Yale University, New Haven, Connecticut, USA
| | - Mallory O Johnson
- University of California at San Francisco, San Francisco, California, USA
| | - Patrice Nicholas
- Global Health and Academic Partnerships, Brigham and Women's Hospital and Massachusetts General Hospital, Massachusetts General Hospital Institute of Health Professions, Boston, Massachusetts, USA
| | | | | | | | - Kathleen Nokes
- Hunter College, City University of New York, and Hunter-Bellevue School of Nursing, New York, New York, USA
| | - Inge B Corless
- Global Health and Academic Partnerships, Brigham and Women's Hospital and Massachusetts General Hospital, Massachusetts General Hospital Institute of Health Professions, Boston, Massachusetts, USA
| | - Lynda Tyer-Viola
- Global Health and Academic Partnerships, Brigham and Women's Hospital and Massachusetts General Hospital, Massachusetts General Hospital Institute of Health Professions, Boston, Massachusetts, USA
| | - Kenn Kirksey
- Center for Nursing Research, Seton Family of Hospitals, Austin, Texas, USA
| | - Joachim Voss
- University of Washington, Seattle, Washington, USA
| | - Kathy Sullivan
- School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, Hawaii, USA
| | | | - John Brion
- Ohio State University College of Nursing, Columbus, Ohio, USA
| | | | | | - Carmen Portillo
- Community Health Systems, University of California School of Nursing at San Francisco, San Francisco, California, USA
| |
Collapse
|
12
|
Abstract
BACKGROUND The vast majority of people infected with human immunodeficiency virus (HIV) are adults of working age. Therefore unemployment and job loss resulting from HIV infection are major public health and economic concerns. Return to work (RTW) after diagnosis of HIV is a long and complex process, particularly if the individual has been absent from work for long periods. There have been various efforts to improve the RTW of persons living with HIV (HIV+), and many of these have been assessed formally in intervention studies. OBJECTIVES To evaluate the effect of interventions aimed at sustaining and improving employment in HIV+ persons. SEARCH METHODS We conducted a comprehensive search from 1981 until December 2014 in the following databases: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, OSH UPDATE databases (CISDOC, HSELINE, NIOSHTIC, NIOSHTIC-2, RILOSH), and PsycINFO. SELECTION CRITERIA We considered for inclusion all randomized controlled trials (RCTs) or controlled before-after (CBA) studies assessing the effectiveness of pharmacological, vocational and psychological interventions with HIV+ working-aged (16 years or older) participants that had used RTW or other indices of employment as outcomes. DATA COLLECTION AND ANALYSIS Two review authors independently screened all potential references for inclusion. We determined final selection of studies by consensus. We performed data extraction and management, as well as Risk of bias assessment, in duplicate. We measured the treatment effect using odds ratio (OR) for binary outcomes and mean difference (MD) for continuous outcomes. We applied the GRADE approach to appraise the quality of the evidence. MAIN RESULTS We found one RCT with 174 participants and five CBAs with 48,058 participants assessing the effectiveness of vocational training (n = 1) and antiretroviral therapy (ART) (n = 5). We found no studies assessing psychological interventions. The one RCT was conducted in the United States; the five CBA studies were conducted in South Africa, India, Kenya, and Uganda. We graded all six studies as having a high risk of bias.The effectiveness of vocational intervention was assessed in only one study but we could not infer the intervention effect due to a lack of data.For pharmacological interventions, we found very low-quality evidence for a beneficial effect of ART on employment outcomes in five studies. Due to differences in outcome measurement we could only combine the results of two studies in a meta-analysis.Two studies compared employment outcomes of HIV+ persons on ART therapy to healthy controls. One study found a MD of -1.22 days worked per month (95% confidence interval (CI) -1.74 to -1.07) at 24-months follow-up. The other study found that the likelihood of being employed steadily increased for HIV+ persons compared to healthy individuals from ART initiation (OR 0.35, 95% CI 0.26 to 0.47) to three- to five-years follow-up (OR 0.73, 95% CI 0.42 to 1.28).Three other studies compared HIV+ persons on ART to HIV+ persons not yet on ART. Two studies indicated an increase in the likelihood of employment over time due to the impact of ART for HIV+ persons compared to HIV+ persons pre-ART (OR 1.75, 95% CI 1.44 to 2.12). One study found that the group on ART worked 12.1 hours more (95% CI 6.99 to 17.21) per week at 24-months follow-up than the average of the cohort of ART and pre-ART HIV+ persons which was 20.1 hours.We rated the evidence as very low quality for all comparisons due to a high risk of bias. AUTHORS' CONCLUSIONS We found very low-quality evidence showing that ART interventions may improve employment outcomes for HIV+ persons. For vocational interventions, the one included study produced no evidence of an intervention effect. We found no studies that assessed psychological interventions. We need more high-quality, preferably randomized studies to assess the effectiveness of RTW interventions for HIV+ persons.
Collapse
Affiliation(s)
- Rachel Robinson
- Finnish Institute of Occupational Health, Neulaniementie 4, Kuopio, Finland, 70101
| | | | | |
Collapse
|
13
|
Wagener MN, Miedema HS, Kleijn LM, van Gorp ECM, Roelofs PDDM. Vocational Counseling of HIV-infected People: A Role for Nurses in HIV Care. J Assoc Nurses AIDS Care 2015; 26:330-9. [PMID: 26066689 DOI: 10.1016/j.jana.2015.03.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Accepted: 03/23/2015] [Indexed: 11/26/2022]
Abstract
People living with HIV (PLWH) face various work-related problems, such as stigma and physical difficulties. Health care professionals can help improve the employment situation of PLWH. Nurses who work in HIV care play a central role in the care of PLWH in the Netherlands. The aim of this cross-sectional study was to investigate the contributions of nurses to the vocational counseling of PLWH, and to make an inventory of needs for future care. Our findings, collected with a self-administered survey, clarified that HIV nurses in the Netherlands regularly faced patients with problems at work, but that they didn't have the required knowledge to provide assistance. Our study emphasized the important role of HIV nurses in vocational counseling because of their central positions in care and their confidential relationship with patients. The study underlined the importance of available, up-to-date knowledge about HIV and work, as well as a clear referral network.
Collapse
|
14
|
Use of Motivational Interviewing to Improve Return-to-work and Work-related Outcomes: A Review. AUSTRALIAN JOURNAL OF REHABILITATION COUNSELLING 2014. [DOI: 10.1017/jrc.2014.5] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Work-based return-to-work (RTW) interventions can help to reduce the duration and cost of work disability, and in turn, prevent the negative effects of long-term sickness absence. However, there are a number of complex cognitive, affective and behavioural factors that can impact an individual's confidence, motivation and willingness to RTW that need to be addressed to facilitate effective outcomes. This literature review investigates evidence for the use of motivational interviewing (MI) for improving return-to-work (RTW) and employment outcomes. Whilst evidence for the efficacy of MI in clinical settings to motivate health behaviour change is strong, more research is needed to determine whether MI can be usefully applied to improve RTW and other work-related outcomes.
Collapse
|