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 Journal Articles uri icon

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  • 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.


  • Chan Carusone, Soo Ying
  • Vader, Kyle
  • Carusone, Soo Chan
  • Aubry, Rachel
  • Ahluwalia, Puja
  • Murray, Carolann
  • Baxter, Larry
  • Robinson, Gregory
  • Ibáñez-Carrasco, Francisco
  • Stewart, Ann
  • Solomon, Patricia
  • O’Brien, Kelly K

publication date

  • January 1, 2021