Bibliographic record
Abstract
Adults living with HIV face numerous challenges and the application of rehabilitation principles may help alleviate many of them. Stigma is a challenge many individuals living with HIV face every day and it can have important consequences for their participation in valued activities and roles in their lives. The impact of stigma associated with HIV has not been well studied from a rehabilitation science perspective. This thesis explores research on the rehabilitation interventions used by adults living with HIV to help them manage their experiences of disability and investigate how stigma intersects with the rehabilitative framework of the International Classification of Functioning, Disability and Health (ICF). A series of interrelated investigations – a scoping review, a theoretical analysis and an empirical study – were completed. The scoping review revealed the extent, range and nature of research on rehabilitation interventions used by adults living with HIV to manage their experiences of disability. The theoretical investigation illustrated how stigma and rehabilitation interrelate, specifically demonstrating how three forms of stigma (enacted, self and structural) interrelated with the ICF domains of participation restrictions, environmental and personal contextual factors. A final empirical study illustrated the real-world application of the theoretical contribution through secondary analysis of interviews with Zambian women living with HIV. These women faced enacted, self and structural stigma, which were shown to interrelate with the domains of the ICF, through accounts of their lived experiences. The concepts of rehabilitation, stigma and HIV are uniquely connected in this dissertation. The findings illustrate how stigma and rehabilitation are interrelated both theoretically and empirically using HIV as an example. The resulting insights have implications for rehabilitation professionals and researchers who can apply this information to their clinical and scientific work to strengthen the role of rehabilitation in mitigating stigma as experienced by people living with HIV.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.008 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.017 | 0.017 |
| Scholarly communication | 0.008 | 0.008 |
| Open science | 0.001 | 0.007 |
| Research integrity | 0.004 | 0.005 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".