Rehabilitation interventions for children living with HIV: a scoping review

Abstract

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.

• Children
• HIV
• intervention

Acknowledgements

The authors would like to thank Elizabeth Uleryk, Michelle Fraser, Gillian Witkowski, Dhara Joshi and Justina Lee for their help with title/abstract and article review. The authors would also like to thank Lynn Cockburn, Patty Rigby and Debra Cameron for their constructive advice on an earlier draft of this review.