HIV and Disability Updating the Social Security Listings (2010) / Chapter Skim
Currently Skimming:
Appendix D: Literature Tables
Appendix D: Literature Tables
Pages 163-184
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 163... ...
The topics of these studies include return to work for people living with BOX D-1 Definitions of Categories • Category 1: Studies on clinical measures of treatment outcomes, diagnos tic techniques, or health status indicators as they relate to employment capability (i.e., return to work, employability) for U.S.-based populations with HIV/AIDS.
|
From page 164... ...
Together these databases access information related to medicine, nursing, health care delivery, psychiatry, sociology, and psychology. Search strategies were developed for each database using text terms and Medical Subject Headings focused on eight subject areas, including HIV/AIDS, disability, employment, quality of life, functional capacity, treatment outcomes, severity of impairment, and comorbidities.
|
From page 165... ...
APPENDIX D Table D-1 starts on the following page.
|
From page 166... ...
2006. Impairments various activities and and perceived competence in describes impairments persons living with HIV/AIDS.
|
From page 167... ...
for Persons - Depression Living with • Primary areas of occupational HIV/AIDS functioning where individuals reported moderate to severe impairment: managing finances and physical activities N/A N/A N/A Physical functional disability measured by: • Fatigue • Diminished capacity to engage in peak aerobic exercise capacity • Inability to engage in instrumental activities of daily living 65 • SSC-HIV Narrative slope • Positive narrative slope • Occupational measure of predictive of employment Performance employment status or engagement in other History Interview or other productive productive activity (OPHI-II) includes: activity at 3- and 6- • Relationships were statistically - Occupational month follow-up significant at 3- and 6-month identity scale follow-up; 9-month follow-up - Occupational not statistically significant competence scale - Occupational behavior settings scale • Model of Human Occupation continued
|
From page 168... ...
2006. Income and individuals diagnosed with employment of people living HIV, mental disorders, with combined HIV/AIDS, and substance abuse chronic mental illness, and disorders substance abuse disorders.
|
From page 169... ...
APPENDIX D Sample Size (Persons) Method Outcome Measures Relevant Findings 235 • Questionnaires • Employment status • Employed participants of individuals • Education exhibited a marked decline in recruited from • Finances vocational functioning relative local health care • Housing to pre-HIV status, with related agencies, HIV • Access to health and accompanying financial mental health care declines programs, HIV • Health status case management programs 12 • OPHI-II • Employment • Resumption of roles and • Completion of history before engagement in new activities Employment and after onset of resulted in increased Options Program disability confidence in occupational • Narratives identity, competence, and • Narrative slope setting analysis N/A N/A N/A • Employment is a possibility for HIV-infected people, but many face multiple challenges, including: • Side effects of treatment • Ongoing social stigma • Psychological burden associated with the disease 152 • Questionnaire • Age • Significant predictors of • Clinical markers employment: • Race - Minority race • Time since - Higher CD4 count diagnosis - Higher mental health or physical health functioning 1,138 • Interviews • HIV transmission • Less than 15 percent of risk activities sample employed, including • Medication both full- or part-time adherence • High education levels and • Employment better physical health were • Source of income indicators for employment • More than 33 percent reported not working due to a permanent disability continued
|
From page 170... ...
Effective HIV treatment combination antiretroviral months and the employment of HIV(+) therapy helps HIV-infected adults.
|
From page 171... ...
APPENDIX D Sample Size (Persons) Method Outcome Measures Relevant Findings 25 • Focus groups • Impact of • Vocational rehabilitation vocational services led to the following: rehabilitation - Improved confidence • Programmatic - Higher motivation qualities of - Increased skills vocational services - Increased self-respect • Impact of - Diversion from HIV employment - Improved health • Vocational services engender the following among participants: - Individualized approach to HIV management - Peer support N/A N/A N/A • Integrating multiple disciplines -- such as psychology, vocational rehabilitation, and community development -- in addition to approaches to clinical care are important for helping individuals with HIV/AIDS return to work 148 • Focus groups • Employment status • Most participants experienced • Interviews at 6- • Motivation to the following barriers to month intervals work employment: • Quality of life - Psychiatric disability - Substance abuse - Domestic violence - Low education levels - Incarceration history - Unstable housing 2,864 • Interviews • Return to work • Beginning treatment at less • Multistage within 6 months advanced stages of infection sampling frame of treatment leads to greatest gain in • Remaining employment status employed within • Employed patients are more 6 months of likely to remain employed treatment because of therapy • Hours at work continued
|
From page 172... ...
2005. Tailoring rehabilitation programs a vocational rehabilitation to better understand the program to the needs of people workforce-reentry process with HIV/AIDS: The Harbor– for individuals living with UCLA experience.
|
From page 173... ...
: Evaluates • CD4 count improved health status (i.e., individuals on • Viral load higher CD4 counts, fewer eight domains of • History of opportunistic infections, functioning opportunistic higher SF-36 scores for infections physical functioning, among other measures) N/A N/A N/A • Continuing need for workforce reentry programs exists • Population affected by HIV shifts; programs should reflect this change • Full-time employment may not be an appropriate goal for individuals with HIV/AIDS continued
|
From page 174... ...
2006. Returning reentry process for months to work with HIV/AIDS: individuals with A qualitative study.
|
From page 175... ...
• Barriers to work included: • Neuropsych- - Structure of disability ological measures benefits (seven tests -- not - Depressive disorder listed) - Physical limitations - Cognitive impairment 63 • Beck Depression • Functional status • Patients faced health-related Inventory • Well-being barriers to employment, • Medical Outcome - Pain including personal concerns of Survey-HIV Health - Mental health health and functional status Survey (MOS-HIV)
|
From page 176... ...
:137–144. Social Security benefits van Gorp, W
|
From page 177... ...
• Beck Depression Inventory • Endicott Quality of Life Enjoyment and Satisfaction Questionnaire • Wortman Social Support Scale continued
|
From page 178... ...
2005. The relationship of combination 2 months between HAART use and antiretroviral therapy use employment for HIV-positive and employment status individuals: An empirical for individuals who are analysis and policy outlook.
|
From page 179... ...
employment status diagnosis) • Patterns of • Maintaining or increasing employment and income was cited as the use of employment most important incentive for services of employment NWPC-ENS • 70 percent of employed • Incentives to work individuals self-reported they and effect of loss were mostly to very healthy, of employment compared to 49 percent of unemployed participants continued
|
From page 180... ...
2005. of employment and months Developing employment services independent living services for individuals with HIV/AIDS: of a 3-year federally Participatory action strategies funded demonstration at work.
|
From page 181... ...
reduced the individual's ability to participate in society 14 • Survey • OPHI-II Intensive, personalized, • Focus groups • MOS-HIV coordinated independent living • HIV impairment services positively affect the checklist lives of individuals living with • The Worker HIV/AIDS: Role (structured • Two clients obtained part-time interview) jobs • One client returned to school • One client enrolled in a full-time technical training program • One client transitioned to independent living continued
|
From page 182... ...
2009. Mediation among symptoms, 1994 and moderation: Testing functional capacity, relationships between symptom and quality of life for status, functional health, and individuals living with quality of life in HIV patients.
|
From page 183... ...
and lowers quality of life N/A N/A N/A • In 5 of 10 reviewed studies, respondents cited loss of medical benefits through Social Security as a barrier to seeking or resuming employment • Social stigma cited as a barrier to employment • Receiving support services after attaining employment were cited as important in one study
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.