Publication Date

2008

Clinical Question

What is the evidence that occupational therapy interventions designed to address productive participation in employment improves one’s sense of self-efficacy for persons living with HIV/AIDS?

Clinical Bottom Line

Results support the effectiveness of the Enhanced Self-Determination Model Program in achieving sustained productive participation in PLWHA. The positive findings indicate that the two occupational therapy frames of reference, MOHO and the Social Model of Disability, can be used together to design interventions that address key variable to overcoming obstacles to productive participation. It was recommended that replication of the ESD program with a larger sample size and other populations that face similar challenges (homelessness, mental illness, stigma, discrimination, and poverty), to employment and self-determination, would help more fully evaluate the effectiveness and limitations of these services.

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