Helping people with HIV/AIDS return to work: A randomized clinical trial.

Abstract

Objective New treatments introduced in the mid 1990s led many people with HIV/AIDS who previously had been disabled by their disease to contemplate workforce reentry; many remain unemployed, and little is known concerning interventions that might help them return to work. We report the results of a randomized clinical trial (RCT) of an intervention designed to help people with HIV/AIDS reenter the workforce. Design We tested a mixed (group – individual) modality intervention that incorporated elements of Motivational Interviewing (Miller & Rollnick, 2002), skills building from Dialectical Behavior Therapy (Linehan, 1993), and job-related skills (Price & Vinokur, 1995). A total of 174 individuals participated in either the intervention or in standard of care and were followed for 24 months. Results Compared to individuals referred for standard of care, participants in the intervention engaged in more workforce-reentry activities over time and, once employed, were more likely to remain employed. Dose-response analyses revealed that among intervention participants, participants who attended more than one individual session engaged in more workforce-reentry activities than did individual who attended one or fewer individual sessions, whereas frequency of group session participation did not effect a difference between participants who attended more than six group sessions and participants who attended six or fewer group sessions. Conclusion Theoretically-based workforce-reentry assistance programs can assist disabled people with HIV/AIDS in their return-to-work efforts.

WITHDRAWN: Experience and reflections of using individual work histories and events of public sector doctors to unpack Human Resource Management policies and systems: Job histories as powerful method in Human Resource for Health research

“…Job histories have been defined as "when the focus of the interview is the subject's career or professional trajectory and main work-related events they are referred to as work histories" (8). Job or 'work' histories have been used in disciplines such as hospitality (9), labour market analysis (10) and health sector, more specifically occupational and environmental health (11,12). Some HRH related research also exist that use job histories as a method to examine the policy implementation (5,6,13).…”

Vocational Counseling of HIV-infected People: A Role for Nurses in HIV Care

“…The nurses also indicated that they felt less competent advising patients about facilities at work, career opportunities, or choices of professions. As described in several studies on interventions with the aim to improve work participation, addressing work participation in interventions for people with a chronic condition is beneficial (Martin et al, 2012;Varekamp, Verbeek, & van Dijk, 2006). Additional training on work and health could be provided for the nurses in HIV care to support their roles in the guidance of PLWH on work-related concerns.…”

Effectiveness and characteristics of interventions to improve work participation in adults with chronic physical conditions: a systematic review

“…In the case of missing data, authors were contacted to request additional information [22]. Studies lacking standard deviations (SD) of mean scores were not included in the forest plots [23].…”

“…A total of 30 studies met our inclusion criteria for this systematic review [22,23, (see Figure 1). These studies addressed work participation in patients with various chronic physical conditions, such as musculoskeletal disorders and/or musculoskeletal pain (n ¼ 13), rheumatic diseases (n ¼ 6), traumatic brain injury (n ¼ 5), mixed population of various chronic physical diseases (n ¼ 3), spinal cord injury (n ¼ 2) and human immunodeficiency virus (HIV) (n ¼ 1).…”