The information-motivation-behavioral skills model of antiretroviral adherence and its applications.
The information-motivation-behavioral skills model of antiretroviral adherence and its applications.
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DOI：
10.1007/s11904-008-0028-y
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发表时间：
2008-11-01
影响因子：
4.6
通讯作者：
Harman, Jennifer J
中科院分区：
文献类型：
--
作者：
Fisher, Jeffrey D;Amico, K Rivet;Harman, Jennifer J
对高效抗逆转录病毒疗法(HAART)的坚持不够理想，可能会对艾滋病毒患者和整个公共卫生造成严重后果。HAART依从性的信息-动机-行为技能(IMB)模型可用于了解HAART依从性的动态，并对患者进行干预，以促进更理想的依从性水平。本文综述了HAART依从性的IMB模型的核心假设，并描述了该模型的相关和实验评估、应用该模型的依从性干预试验的结果，以及目前正在评估的基于IMB模型的干预措施。然后，它探索了该模型的一个潜在的有前景的应用，该模型使用最初开发和演示的协议，作为结构化的以患者为中心、提供者提供的风险降低干预来提供信息、动机和基于行为技能的遵从性促进策略。该方案可作为治疗患者个体的有价值的工具纳入临床实践。
Suboptimal adherence to highly active antiretroviral therapy (HAART) may have serious consequences for HIV patients, and for public health overall. The Information-Motivation-Behavioral Skills (IMB) model of HAART adherence can be used to understand the dynamics of HAART adherence and to intervene with patients to promote more optimal levels of adherence. This article reviews the core hypotheses of the IMB model of HAART adherence and describes available correlational and experimental evaluations of the model, outcomes of adherence intervention trials that applied the model, and IMB model-based interventions that are currently under evaluation. It then explores one potential promising application of the model that uses a protocol originally developed and demonstrated as a structured patient-centered, provider-delivered risk reduction intervention to deliver information, motivation, and behavioral skills-based adherence-promotion strategies. This protocol could be incorporated into clinical practice as a valuable tool in working with patients individually.