Self-management interventions for people living with human immunodeficiency virus: a scoping review

Can J Occup Ther. 2013 Dec;80(5):314-27. doi: 10.1177/0008417413512792.


Background: Self-management is an important emerging intervention for people with human immunodeficiency virus (PHAs). The principles of self-management are consistent with the principles of client-centred occupational therapy.

Purpose: This scoping review addressed three questions about self-management interventions for PHAs: (a) What knowledge, skills, and attitudes are taught? (b) What outcomes are intended? (c) What are the participation experiences of PHAs?

Method: Questions were searched in six databases. Two researchers independently reviewed abstracts and articles before inclusion. Extracted data were iteratively themed.

Findings: Thirty-five articles were included. Interventions taught self-care, interpersonal skills, technical knowledge, cognitive skills, positive attitudes, planning for the future, and role management. Outcomes included well-being, health and illness management, and health services use. Participation experiences reflected social experiences, needs of PHAs, specific needs of women, participation, empowerment, intervention importance, and experiences with service delivery.

Implications: Self-management interventions are a promising approach for occupational therapists to enable PHAs' occupational performance goals.

Publication types

  • Review

MeSH terms

  • Cognition
  • HIV Infections / psychology
  • HIV Infections / therapy*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Interpersonal Relations
  • Needs Assessment
  • Occupational Therapy / methods*
  • Self Care / methods*