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Patterns of referral and intervention for persons with AIDS
K George1, R Dijiacomo, J Neely-Aurandt
1HealthSouth, Geisinger Medical Center, Danville, PA, 17822.
Occupational Therapy in Health Care
|August 13, 2013
Summary
Occupational therapy (OT) referrals for persons with AIDS (PWAs) increased in later disease stages, focusing on cognitive skills and adaptive equipment. Interventions aligned with PWA priorities and disease progression.
Area of Science:
- Occupational therapy
- Public health
- Infectious diseases
Background:
- Persons with AIDS (PWAs) experience diverse needs throughout disease progression.
- Occupational therapy (OT) plays a role in managing functional limitations associated with AIDS/HIV.
Purpose of the Study:
- To identify reasons for OT referrals in PWAs.
- To examine OT intervention frequency and PWA priorities across disease stages (CDC).
Main Methods:
- Surveys distributed to OT practitioners with experience working with PWAs.
- Data analyzed using frequencies, ANOVAs, and weighted rank order statistics.
Main Results:
- Referrals for OT services were significantly higher in Stages 3 and 4 compared to Stages 1 and 2.
- Early-stage referrals focused on role status and leisure; later stages emphasized cognitive/perceptual skills, adaptive equipment, and caregiver training.
- Intervention patterns and PWA priorities mirrored referral trends and disease progression.
Conclusions:
- Referral reasons and OT interventions align with PWA priorities and symptoms across AIDS/HIV stages.
- OT services should be tailored to the evolving needs of PWAs throughout the disease continuum.
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