The Information-Motivation-Behavioral Skills Model of ART Adherence in a Deep South HIV plus Clinic Sample

被引：91

作者：

Amico, K. Rivet ^{[1
]}

Barta, William ^{[1
]}

Konkle-Parker, Deborah J. ^{[2
]}

Fisher, Jeffrey D. ^{[1
,3
]}

Cornman, Deborah H.

Shuper, Paul A.

Fisher, William A. ^{[4
]}

机构：

[1] Univ Connecticut, Ctr Hlth Intervent & Prevent, Storrs, CT 06269 USA

[2] Univ Mississippi, Med Ctr, Jackson, MS 39216 USA

[3] Univ Western Ontario, Dept Psychol, London, ON, Canada

[4] Univ Western Ontario, Dept Obstet & Gynecol, London, ON, Canada

来源：

AIDS AND BEHAVIOR | 2009年 / 13卷 / 01期

关键词：

Information; Motivation; Behavioral skills; ART adherence; Mississippi; SELF-REPORTED ADHERENCE; ANTIRETROVIRAL THERAPY ADHERENCE; EMPIRICAL-TEST; PROTEASE; PATIENT; RESISTANCE; INFECTION;

D O I：

10.1007/s10461-007-9311-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

High levels of adherence to antiretroviral therapy (ART) are critical to the management of HIV, yet many people living with HIV do not achieve these levels. There is a substantial body of literature regarding correlates of adherence to ART, and theory-based multivariate models of ART adherence are emerging. The current study assessed the determinants of adherence behavior postulated by the Information-Motivation-Behavioral Skills model of ART adherence in a sample of 149 HIV-positive patients in Mississippi. Structural equation modeling indicated that ART-related information correlated with personal and social motivation, and the two sub-areas of motivation were not intercorrelated. In this Deep South sample, being better informed, socially supported, and perceiving fewer negative consequences of adherence were independently related to stronger behavioral skills for taking medications, which in turn associated with self-reported adherence. The IMB model of ART adherence appeared to well characterize the complexities of adherence for this sample.

引用

页码：66 / 75

页数：10

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