Living strategies for disability in men ageing with HIV in Ontario, Canada: a longitudinal qualitative study
Objectives To examine the living strategies used by older men living with HIV to deal with the episodic nature of disability and associated uncertainty, over time.Design Qualitative longitudinal study in which men living with HIV were interviewed on four occasions over 20 months.Setting Men were rec...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2019-08-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/8/e031262.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846151958809804800 |
|---|---|
| author | Kelly K O'Brien Patricia Solomon Rebecca McGuff Michelle Sankey |
| author_facet | Kelly K O'Brien Patricia Solomon Rebecca McGuff Michelle Sankey |
| author_sort | Kelly K O'Brien |
| collection | DOAJ |
| description | Objectives To examine the living strategies used by older men living with HIV to deal with the episodic nature of disability and associated uncertainty, over time.Design Qualitative longitudinal study in which men living with HIV were interviewed on four occasions over 20 months.Setting Men were recruited from HIV community organisations in Canada.Participants 14 men with a median age of 57.5 years and median time since diagnosis of 21.5 years.Results Five themes depict the living strategies used to deal with the episodic nature of disability and uncertainty over time. Actively engaging in problem-solving by prioritising and modifying activities and avoiding stress, advocating for support, being positive and future oriented, engaging in healthy pursuits and providing social support to others helped men to mitigate their disability. By following participants over time, we were able to gather insights into triggers of episodes of disability, and perceptions of the success of implementing their living strategies and avoiding uncertainty.Conclusions Participants used living strategies to deal with uncertainty and mitigate episodes of disability over time. This study supports the importance of programmes that promote self-management for older men living with HIV through helping them identify triggers of disability, set realistic goals and problem-solve. These may help build self-efficacy, increase sense of control, and decrease feelings of uncertainty and episodes of disability. |
| format | Article |
| id | doaj-art-1f64c8f3690f4e2ba8cd6cea5edc4e91 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1f64c8f3690f4e2ba8cd6cea5edc4e912024-11-27T02:40:09ZengBMJ Publishing GroupBMJ Open2044-60552019-08-019810.1136/bmjopen-2019-031262Living strategies for disability in men ageing with HIV in Ontario, Canada: a longitudinal qualitative studyKelly K O'Brien0Patricia Solomon1Rebecca McGuff2Michelle Sankey31 Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaSchool of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada1 School of Rehabilitation Science, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada1 School of Rehabilitation Science, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, CanadaObjectives To examine the living strategies used by older men living with HIV to deal with the episodic nature of disability and associated uncertainty, over time.Design Qualitative longitudinal study in which men living with HIV were interviewed on four occasions over 20 months.Setting Men were recruited from HIV community organisations in Canada.Participants 14 men with a median age of 57.5 years and median time since diagnosis of 21.5 years.Results Five themes depict the living strategies used to deal with the episodic nature of disability and uncertainty over time. Actively engaging in problem-solving by prioritising and modifying activities and avoiding stress, advocating for support, being positive and future oriented, engaging in healthy pursuits and providing social support to others helped men to mitigate their disability. By following participants over time, we were able to gather insights into triggers of episodes of disability, and perceptions of the success of implementing their living strategies and avoiding uncertainty.Conclusions Participants used living strategies to deal with uncertainty and mitigate episodes of disability over time. This study supports the importance of programmes that promote self-management for older men living with HIV through helping them identify triggers of disability, set realistic goals and problem-solve. These may help build self-efficacy, increase sense of control, and decrease feelings of uncertainty and episodes of disability.https://bmjopen.bmj.com/content/9/8/e031262.full |
| spellingShingle | Kelly K O'Brien Patricia Solomon Rebecca McGuff Michelle Sankey Living strategies for disability in men ageing with HIV in Ontario, Canada: a longitudinal qualitative study BMJ Open |
| title | Living strategies for disability in men ageing with HIV in Ontario, Canada: a longitudinal qualitative study |
| title_full | Living strategies for disability in men ageing with HIV in Ontario, Canada: a longitudinal qualitative study |
| title_fullStr | Living strategies for disability in men ageing with HIV in Ontario, Canada: a longitudinal qualitative study |
| title_full_unstemmed | Living strategies for disability in men ageing with HIV in Ontario, Canada: a longitudinal qualitative study |
| title_short | Living strategies for disability in men ageing with HIV in Ontario, Canada: a longitudinal qualitative study |
| title_sort | living strategies for disability in men ageing with hiv in ontario canada a longitudinal qualitative study |
| url | https://bmjopen.bmj.com/content/9/8/e031262.full |
| work_keys_str_mv | AT kellykobrien livingstrategiesfordisabilityinmenageingwithhivinontariocanadaalongitudinalqualitativestudy AT patriciasolomon livingstrategiesfordisabilityinmenageingwithhivinontariocanadaalongitudinalqualitativestudy AT rebeccamcguff livingstrategiesfordisabilityinmenageingwithhivinontariocanadaalongitudinalqualitativestudy AT michellesankey livingstrategiesfordisabilityinmenageingwithhivinontariocanadaalongitudinalqualitativestudy |