{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T15:07:18Z","timestamp":1785769638582,"version":"3.56.0"},"reference-count":55,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Connaught Community Partnership Research Program-University of Toronto","award":["CDE-156908"],"award-info":[{"award-number":["CDE-156908"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:p>The needs of people living with HIV (PLWH) who have access to antiretroviral therapy have shifted from hospital to community care; however, little is known about physiotherapy within HIV community-based care. Our aim was to understand strengths and challenges of implementing physiotherapy within an interprofessional HIV day health program in Toronto, Ontario, Canada. We conducted a qualitative descriptive study using semi-structured interviews. Data were analyzed using inductive content analysis. Fifteen PLWH and 5 healthcare providers participated. Strengths included improved access to physiotherapy and fulfilling an unmet need for rehabilitation; a tailored approach to physiotherapy; co-location improved communication, coordination, and engagement in care; and improved health outcomes for PLWH (i.e. function, psychosocial outcomes, and quality of life). Challenges related to managing expectations; variable attendance at visits; and managing complex and diverse needs of PLWH. Results may be transferable to other community-based care settings that provide care for PLWH and complex multi-morbidity.<\/jats:p>","DOI":"10.1177\/23259582211005628","type":"journal-article","created":{"date-parts":[[2021,3,29]],"date-time":"2021-03-29T05:30:41Z","timestamp":1616995841000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Strengths and Challenges of Implementing Physiotherapy in an HIV Community-Based Care Setting: A Qualitative Study of Perspectives of People Living with HIV and Healthcare Providers"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0667-9726","authenticated-orcid":false,"given":"Kyle","family":"Vader","sequence":"first","affiliation":[{"name":"School of Rehabilitation Therapy, Queen\u2019s University, Kingston, Ontario, Canada"},{"name":"Chronic Pain Clinic, Kingston Health Sciences Centre, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soo Chan","family":"Carusone","sequence":"additional","affiliation":[{"name":"Casey House, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Aubry","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puja","family":"Ahluwalia","sequence":"additional","affiliation":[{"name":"Realize, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolann","family":"Murray","sequence":"additional","affiliation":[{"name":"Casey House, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larry","family":"Baxter","sequence":"additional","affiliation":[{"name":"Community Member, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Robinson","sequence":"additional","affiliation":[{"name":"Community Member, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Ib\u00e1\u00f1ez-Carrasco","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Stewart","sequence":"additional","affiliation":[{"name":"St. Michael\u2019s Academic Family Health Team, Toronto, Ontario, Canada"},{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5014-0795","authenticated-orcid":false,"given":"Patricia","family":"Solomon","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1632-6537","authenticated-orcid":false,"given":"Kelly K.","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada"},{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management, and Evaluation, University of Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,29]]},"reference":[{"key":"bibr1-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(17)30066-8"},{"key":"bibr2-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-161"},{"key":"bibr3-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir626"},{"key":"bibr4-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000079"},{"key":"bibr5-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0363-2"},{"key":"bibr6-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1080\/10833196.2019.1701763"},{"key":"bibr7-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-6-76"},{"key":"bibr8-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1186\/1758-2652-12-30"},{"key":"bibr9-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-2-46"},{"key":"bibr10-23259582211005628","doi-asserted-by":"publisher","DOI":"10.4102\/sajhivmed.v12i2.191"},{"key":"bibr11-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2005.19.258"},{"key":"bibr12-23259582211005628","unstructured":"National Physiotherapy Advisory Group. Competency Profile for Physiotherapists in Canada. 2017. [Internet]. Accessed March 18, 2021. https:\/\/physiotherapy.ca\/sites\/default\/files\/competency_profile_final_en.pdf"},{"key":"bibr13-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010029"},{"key":"bibr14-23259582211005628","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2017.24.11.473"},{"key":"bibr15-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-016-1478-2"},{"key":"bibr16-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-017-2342-8"},{"key":"bibr17-23259582211005628","first-page":"99","volume":"6","author":"Pullen SD","year":"2014","journal-title":"HIV AIDS (Auckl)"},{"key":"bibr18-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1111\/pme.12799"},{"key":"bibr19-23259582211005628","first-page":"177","volume":"9","author":"Pullen S","year":"2017","journal-title":"HIV AIDS (Auckl)"},{"key":"bibr20-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1089\/biores.2020.0006"},{"key":"bibr21-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2018.1448469"},{"key":"bibr22-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.10.009"},{"key":"bibr23-23259582211005628","unstructured":"Casey House. [Internet]. Accessed March 18, 2021. https:\/\/www.caseyhouse.com\/"},{"key":"bibr24-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"bibr25-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20362"},{"key":"bibr26-23259582211005628","doi-asserted-by":"publisher","DOI":"10.11648\/j.ajtas.20160501.11"},{"key":"bibr27-23259582211005628","volume-title":"Interviews: Learning the Craft of Qualitative Research Interviewing","author":"Kvale S","year":"2009"},{"key":"bibr28-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"bibr29-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1177\/1077800410383121"},{"key":"bibr30-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-014-0724-8"},{"key":"bibr31-23259582211005628","doi-asserted-by":"publisher","DOI":"10.2989\/16085906.2016.1159968"},{"key":"bibr32-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2016.08.008"},{"key":"bibr33-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1097\/JNC.0000000000000009"},{"key":"bibr34-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2017.1290208"},{"key":"bibr35-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2004.11.002"},{"key":"bibr36-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2013.811209"},{"key":"bibr37-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cix998"},{"key":"bibr38-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2016.07.003"},{"key":"bibr39-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1177\/2325957416686836"},{"key":"bibr40-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-2913-4"},{"key":"bibr41-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000595"},{"issue":"1","key":"bibr42-23259582211005628","first-page":"73","volume":"7","author":"Barr V","year":"2003","journal-title":"Hosp Q"},{"key":"bibr43-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2019.02.019"},{"key":"bibr44-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2012.0294"},{"key":"bibr45-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.12.016"},{"key":"bibr46-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1111\/sms.12050"},{"key":"bibr47-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-091287"},{"key":"bibr48-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12097"},{"key":"bibr49-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2016.11.005"},{"key":"bibr50-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1080\/09593980601147843"},{"key":"bibr51-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1177\/0269215508101742"},{"key":"bibr52-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1080\/09540120902803158"},{"key":"bibr53-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2016.1191611"},{"key":"bibr54-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026827"},{"key":"bibr55-23259582211005628","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2019.0310"}],"container-title":["Journal of the International Association of Providers of AIDS Care (JIAPAC)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582211005628","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259582211005628","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259582211005628","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:49:57Z","timestamp":1777502997000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259582211005628"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,1]]},"references-count":55,"alternative-id":["10.1177\/23259582211005628"],"URL":"https:\/\/doi.org\/10.1177\/23259582211005628","relation":{},"ISSN":["2325-9582","2325-9582"],"issn-type":[{"value":"2325-9582","type":"print"},{"value":"2325-9582","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,1]]},"article-number":"23259582211005628"}}