Article

PURPOSE: To report the extent (how many), range (variation) and nature
(qualities) of rehabilitation interventions for children living with HIV. METHOD:
Electronic databases, reference lists of included articles, and grey literature
were searched. Title and abstract and full text review were completed
independently by two reviewers. Each study's location, research methodology,
interventions, the age of the participants, whether participants were receiving
antiretroviral therapy (ART), the health professions delivering the
interventions, when the study was conducted and the composition of the research
team were documented. The nature of the intervention goals was organized into
qualitative categories. RESULTS: The 17 included studies were conducted in seven
countries. Seven rehabilitation professions were involved with the interventions.
The age of the participants ranged from 3 months to 24 years. The year in which
the study was conducted and whether children were receiving ART were rarely
specified. Studies focused on impairments. There were no studies on activity
limitations and only two studies on participation restrictions. Alternative and
complementary therapies were the most common interventions. CONCLUSIONS: Research
in this area is limited. More rehabilitation research is needed especially in
areas where the burden of the disease is highest and for those children receiving
ART. Implications for Rehabilitation Many low-and-middle-income countries (LMICs)
struggle with an undersupply of trained rehabilitation professionals. Due to the
large number of children living with HIV in LMICs, and as more continue to
receive life-saving treatment, the need will grow for more rehabilitation
professionals to work with this population to address HIV-related disability.
This scoping review indicates that there is a dearth of research on interventions
provided by allied health professionals, including physiotherapists, occupational
therapists and speech language pathologists for children living with HIV. There
is a moderate literature base supporting the use of alternative and complementary
therapies for children living with HIV.
- SIDA - VIH

Langue : ANGLAIS