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South African Journal of Occupational Therapy

On-line version ISSN 2310-3833
Print version ISSN 0038-2337

S. Afr. j. occup. ther. vol.40 n.2 Pretoria Aug. 2010




An assessment of occupational therapists' and physiotherapists' knowledge and perceptions concerning the treatment of patients with HIV and AIDS



M.E. ConchaI; M. HanssonII; S. HesselII; U SvantessonIII

IBSc OT, PhD (University of the Witwatersrand); Honorary Professorial Research Fellow, School of Public Health, University of the Witwatersrand
IIStudents in Physiotherapy, Institute of Occupational Therapy and Physiotherapy, Faculty of Health Sciences, Göteborg University, Sweden
IIIPhD, RPT; Associate Professor, Dept of Physiotherapy, Goteborg University





With the prevalence of the Human Immuno-deficiency Virus (HIV) being approx 18% in South Africa, it is highly likely that occupational therapists (OTs) and physiotherapists (PTs) working in hospitals will be in daily contact with patients who are HIV positive. It is therefore important that these therapists be knowledgeable about the condition, its causes, progress and the rehabilitative intervention if they are to make a difference in the lives of these patients. This study therefore aimed at evaluating the knowledge and perceptions that a sample of OTs and PTs had of HIV and AIDS as previous studies had found the knowledge and attitudes of health professionals towards these patients to be poor. It was therefore thought to be important to ascertain whether this had changed in more recent years.
A purposive sample of 49 OTS and PTs, drawn from the list of therapists who were employed in the public hospitals of Limpopo Province where both OTs and PTs worked, were selected for the study. These therapists were required to answer a questionnaire which contained both open and closed questions covering knowledge and perceptions of HIV and the Acquired Immune-Deficiency Syndrome (AIDS). The questionnaire was given to the therapists at specially organised meetings at each of the hospitals selected. Thirty five therapists who attended these sessions, answered the questionnaire.
The findings of this study confirmed that of other researchers, namely that there is a relatively poor knowledge base of HIV and AIDS, and therapists generally are uncomfortable being in contact with this type of patient. Thus indicating that, in spite of the increased number of patients who are HIV+ and who have AIDS and the consequent increase in contact between therapist and client, the knowledge base of OTs and PTs in this sample was no different from that found in previous studies. Thus pointing out that there is an urgent need to address these deficiencies through training and mentoring.

Key words: HIV AIDS, transmission modes, stages of HIV progression, therapy



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1. Shisana, O., Rehele, T., Simbayi, l.c., Parker, W., Zuma, K., Bhana, K. et al. The SA National HIV Prevalence, HIV Incidence , Behaviour and Communication Survey 2005. Human Sciences Research Council. 2005.         [ Links ]

2. UNAIDS/WHO, Report on the global AIDS epidemic, 2008.         [ Links ]

3. Salati FC. The knowledge and attitudes of physiotherapists towards patients with HIV/AIDS in the Lusaka Province, Zambia. A mini-thesis submitted to the Faculty of Community and Health Sciences of the University of the Western Cape in partial fulfillment of the requirements for Magister Scientiae (Physiotherapy). 2004, Unpublished.         [ Links ]

4. Worthington C, Myers T, O'Brian K, Nixon S, Cockerill R. Rehabilitation in HIV/AIDS: Development of an Expanded Conceptual Framework. AIDS Patient Care and STDs, 19:4 2005.         [ Links ]

5. Oyeyemi A (Adetoyeje), Oyeyemi A (Adewale), Abebegunde A. Knowledge, attitude and willingness of Nigerian physiotherapists to provide care for patients living with Acquired Immunodeficiency Syndrome. Physiother. Res. Int. 2008;13(30): 176 - 188.         [ Links ]

6. Aisien, A.O., Shbowale, M.O. Health Care workers' knowledge on HIV and AIDS: Universal precautions and attitude towards PLWHA in Benin-City, Nigeria. Nigerian Journal of Clinical Practice 2005; 8(2): 74-82.         [ Links ]

7. Munghera M, van der Straten A, Hall TL, Faigeles B, Mandel JS. HIV/AIDS-related attitudes and practice of hospital-based health workers in Kampala, Uganda. AIDS 1997; Suppl 1: S79-85.         [ Links ]

8. Mbanya DN, Zebaze R, Kengne AP, Minkoulou EM, Awah P, Beure. Knowledge attitudes and practices of nursing staff in a rural hospital of Cameroon: How much does the health care provider know about the human immunodeficiency virus/acquired immune deficiency syndrome? Int Nurs Rev 2001; 48 (4): 214-9.         [ Links ]

9. Johnston E, Ross E. Attitudes of a group of South African speech and hearing therapists towards patients with acquired immunodeficiency syndrome (AIDS). S Afr Commun Disord 1991; 38: 49-62.         [ Links ]

10. Puckree T, Kasiram R, Moodley M, Singh RM, Lin J. Physiotherapists and human immunodeficiency virus/acquired immune deficiency syndrome: knowledge and prevention: a study in Durban South Africa. International Journal of Rehabilitation Research 2002; 24: 231 - 234.         [ Links ]

11. Atchison BJ, Beard BJ, Lester LB. The occupational therapy personnel and AIDS: attitude, knowledge, and fear. American Journal of Occupational Therapy 1990; 44(3): 212-217.         [ Links ]

12. Gordin FM. Knowledge of AIDS among hospital workers: behavioural correlates and consequences. AIDS 1987; 1:183-8.         [ Links ]

13. Balogun JA, Kaplan MT, Miller TM. The Effect of Professional Education on the Knowledge and Attitudes of Physical Therapist and Occupational Therapist Students about Acquired Immunodeficiency Syndrome. Physical Therapy 1998; 78(10): 1073 - 1082.         [ Links ]

14. Feldmann TB, Bell RA, Stephenson JJ, Purifoy FE. Attitudes of medical school faculty and students toward acquired immunodeficiency syndrome. Acad Med 1990; 65(70): 464-466.         [ Links ]

15. Currey CJ, Johnson M, Ogden B. Willingness of Health-Professions students to treat patients with AIDS. Academic Medicine 1990; 65(7): 472-474.         [ Links ]

16. O,Brien, K. Wilkins, A. Zack, E. Scoping the Field: Identifying Key Research Priorities in HIV and Rehabilitation. AIDS Behaviour, Published on line 10 March 2009. Springer Science and Business Media, LLC 2009.         [ Links ]

17. Evian C. Primary AIDS Care. Jacana, Johannesburg, 1993.         [ Links ]

18. WHO. Case definitions for surveillance and revised clinical staging and immunological classification of HIV- related disease in adults and children. WHO 2007.         [ Links ]

19. Van Dyk A. HIVAIDS Care and Counselling, A multidisciplinary approach. Pearson Education SA, 2002.         [ Links ]

20. Brannigan, TH and Zhou Y HIV Associated Guillaine Barre Syndrome. Journal of Neural Sciences 2003; 208(1): 39-42.         [ Links ]

21. McClure J. The role of Physiotherapy in HIV/AIDS. Physiotherapy 1993; 79(6): 388-392.         [ Links ]

22. Cusak,L. and Singh, S. (eds). HIV AIDS and Care - Practical Approaches. Chapman Hall, London,1994.         [ Links ]

23. Pizzi M. The Model of Human Occupation and adults with HIV infection and AIDS. Am J Occup Ther. 1990; 44(3): 257-64.         [ Links ]

24. Fish G, Rudman DL. The potential role of occupational therapy in acute care with clients with HIV/AIDS. Occupational Therapy International 2006; 5(1): 1-16.         [ Links ]

25. O'Brian K, Bon G, Zack E, Solomon P. HIV and Rehabilitation: Development of a conceptual framework for curriculum planning. Journal of Rehabilitation Research 2008; 31(3): 189 - 197.         [ Links ]

26. Joubert R, Motala N, Mottay N, Christopher C. Occupational Therapy and its potentially positive influence on the CD4 count of individual with HIV: A single case study. SA Journal of occupational therapy 2008; 38(2): 14- 18.         [ Links ]

27. Concha, ME, Unpublished research report on "Community Care and rehabilitation for people Living with AIDS". Medical Research Council of SA 2007.         [ Links ]

28. Sheen D, Green A. Are You Positive? AIDS, Attitudes and Physiotherapy. Physiotherapy 1997; 83(4): 190-196.         [ Links ]

29. Gatsi LT, Amosun S L, Mhlanga FG. Rehabilitation Personnel and ADIDS in Zimbabwe: Knowledge, attitudes and Professional behaviour. Physiotherapy Theory and Practice 1994; 10(2): 95-102.         [ Links ]

30. Gershon RR, Vlahov D, Felknor S, Vesley D, Johnson P, Delclos G, Murphy LR. Compliance with Universal Precautions among health care workers at three regional hospitals. American Journal of Infection Control 1995; 23:4: 225 - 36.         [ Links ]

31. Health Care Workers and HIV prevention. Occupational exposure to HIV. Avert, 2009. Accessed 20/7/09.         [ Links ]

32. Adler M W. ABC of AIDS. 5th edition. London: BMJ Books; 2001.         [ Links ]

33. Dike L. Physiotherapists' Perception of Risk of HIV Transmission in Clinical Practice. Physiotherapy 1993; 79(3): 178-185.         [ Links ]

34. Dijkstra A, Kangawaza C, Martens C, Boer H, Rasker JJ. Knowledge about HIV/AIDS and policy knowledge in a South African State Hospital. Journal of Social Aspects of HIV/AIDS 2007; 4:2: 636-639.         [ Links ]



M.E. Concha

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