Closing the Gap! Evaluating the Implementation of Physical Therapy and an HIV Disability Questionnaire (HDQ) in community-based care

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Overview
Rehabilitation, including physical therapy (PT) can address disability experienced by people living with HIV. However, few people living with HIV in Canada access PT services. A new interdisciplinary and goal focused day health program (DHP) in Toronto offers access to PT for adults living with HIV and complex health issues. Better understanding the way PT is implemented, and its impact on the care cascade will help to inform future health service delivery in other community settings in Canada.

What is the Study Aim?
To evaluate the implementation of a physical therapy (PT) model of care while advancing the use of a patient-reported outcome measure (PROM) of disability in the clinical community with adults living with HIV.

Methods
This mixed methods pilot study involves quantitative (chart review) and qualitative (interviews and focus groups) approaches with adults living with HIV accessing physical therapy, and health care providers in HIV care. This study is a collaboration with Casey House.

Status
Recruitment and data collection is in progress. 

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CBE Study Team

Researchers
Kelly O’Brien (University of Toronto), Soo Chan Carusone (Casey House), Patty Solomon (McMaster University), Francisco Ibanez-Carrasco (St. Michael’s Hospital), Carol Strike (University of Toronto), Ann Stewart (St. Michael’s Hospital), Richard Harding (King’s College London, UK).

Knowledge Users
Puja Ahluwalia (Realize), Ken King (Community Member), Karen DePrinse (Casey House), Greg Robinson (Community Member), Rosalind Baltzer Turje (Dr. Peter AIDS Foundation), Patrick McDougall (Dr. Peter AIDS Foundation), Carly Welham (Dr. Peter AIDS Foundation), Kyle Vader (Queen’s University), Larry Baxter (Community Member).

Collaborators
Joanne Simons (Casey House), Tammy Yates (Realize), Tammy Reimer, Gina Laliberte, Mike Payne (Nine Circles Communtiy Health Centre), Darren Brown (Rehabilitation in HIV Association, UK), Esther McDonnell (Rehabilitation in HIV Association, UK), Suzanne Paddock (Toronto PWA Foundation), Jeansil Bruyere, Kimberly Wong (AIDS Community Care Montreal), Regent Park Community Health Centre (RPCHC), Committee for Accessible AIDS Treatment (CAAT).

Acknowledgements
The pilot phase of the study is funded by a grant from the Canadian Institutes of Health Research (CIHR), HIV/AIDS Community-Based Research (CBR) Program (CDE #156908). The full implementation phase of the study is funded by the Connaught Community Partnership Research Program (University of Toronto). Kelly O’Brien is supported by a Canada Research Chair in Episodic Disability and Rehabilitation.

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